哮喘联盟

   摘要
   目的：幼童的二手烟（SHS）相关性疾病，如哮喘是否能够使家长在儿童成长早期戒烟知之甚少。此研究旨在揭示父母决定戒烟与此之间的关联，除外父母戒烟的其他潜在决定因素。
   方法：分析来自日本21世纪的新生儿的纵向调查数据，时间跨度从0.5年（N =47015）到4.5年（N=39817），筛选的参与者其家长在基线（母亲吸烟N =8037;父亲吸烟N =28486）水平就吸烟。使用多变量对数二项式回归模型，根据他们的孩子SHS-相关疾病的发作情况计算父母戒烟后孩子患这些疾病的几率，使用逆概率权重表示随访期间无应答。
   结果：共有16.7％的吸烟母亲和14.5％的吸烟父亲在随访期间已经停止吸烟。经过多变量调整，儿童二手烟相关疾病发病与无论是母亲还是父亲戒烟在统计学上并无显著相关性。随访期间发现，强大的决定因子，如每日吸的香烟数量和同伴们的吸烟状况。
   结论：SHS相关儿童疾病与父母戒烟并无显著关联。因此，可能有必要为处于医疗保健护理期间的孩子父母戒烟提供额外的帮助和支持。

 

（苏欣 审校）
Prev Med. 2015 Feb 4;73C:81-87. doi: 10.1016/j.ypmed.2015.01.028. [Epub ahead of print]


 

Are secondhand smoke-related diseases of children associated with parental smoking cessation? Determinants of parental smoking cessation in a population-based cohort study.
 

Tabuchi T1, Fujiwara T2.

ABSTRACT
OBJECTIVE: Little is known about whether secondhand smoke (SHS)-related diseases of young children, such as asthma, induce parental smoking cessation during the early child-rearing period. Our objective was therefore to show the association in addition to other potential determinants of parental cessation.
METHODS: We analyzed data from the Longitudinal Survey of Newborns in the 21st Century in Japan, from 0.5years (N=47,015) to 4.5years (N=39,817), having selected participants whose parents smoked at baseline (maternal smoking N=8,037; paternal smoking N=28,486). Multivariable log-binomial regression models were used to calculate the prevalence ratios for parental smoking cessation according to the onset of SHS-related diseases of their children, using inverse probability weight to account for non-response at follow-up.
RESULTS: A total of 16.7% of smoking mothers and 14.5% of smoking fathers had stopped smoking at follow-up. The onset of SHS-related children's diseases was not statistically significantly associated with either maternal or paternal smoking cessation after multivariable adjustments. Strong determinants were, for example, number of cigarettes smoked per day and partner's smoking status during follow-up.
CONCLUSION: SHS-related children's diseases were not associated with parental smoking cessation. It may therefore be necessary to provide additional support for parental smoking cessation within their child's medical care setting.

Prev Med. 2015 Feb 4;73C:81-87. doi: 10.1016/j.ypmed.2015.01.028. [Epub ahead of print]