Wen C P, Tsai S P, Cheng T Y, Hsu C C, Chen T, Lin H S
Division of Health Policy Research, National Health Research Institutes, Miaoli, Taiwan.
Tob Control. 2005 Jun;14 Suppl 1(Suppl 1):i10-5. doi: 10.1136/tc.2003.005637.
To assess parental influence on smoking behaviour by high school students in an Asian culture and to compare the relative importance of parental and peer influence.
A 5% nationally representative sample, including 44 976 high school students in 10th to 12th grade (aged 15-18 years) in Taiwan, were surveyed in 1995. Each completed a long self administered questionnaire. Parental influence was measured by examining both parental behaviour (smoking status) and attitudes (perceived "tender loving care" (TLC) by adolescents). Changes in smoking status were used to determine peer influence, defined as the increase in the likelihood of smoking from grade 10 to 12 in a steady state environment. Odds ratios (ORs) were calculated for parental and peer influence, using logistic regression.
Adolescents of smoking parents with low TLC had the highest smoking rates and those of non-smoking parents with high TLC had the lowest. The difference was more than twofold in boys and more than fourfold in girls. When either parental smoking status or TLC alone was considered, parental influence was similar to peer influence in boys, but larger than peer influence in girls. However, when smoking status and TLC were considered jointly, it became larger than peer influence for both groups (OR 2.8 v 1.8 for boys and OR 3.9 v 1.3 for girls).
When parental influence is taken as parental behaviour and attitude together, it plays a more important role than peer influence in smoking among high school students in Taiwan. This study, characterising such relationships among Asian populations for the first time, implies that future prevention programmes should direct more efforts toward the parental smoking and parent-child relationships, and not aim exclusively at adolescents in schools.
评估在亚洲文化背景下父母对高中生吸烟行为的影响，并比较父母影响与同伴影响的相对重要性。
1995年对台湾10至12年级（年龄15 - 18岁）的44976名高中生进行了调查，这些学生构成了全国5%的具有代表性的样本。每人都完成了一份冗长的自填问卷。通过考察父母行为（吸烟状况）和态度（青少年感知到的“关爱”）来衡量父母的影响。吸烟状况的变化被用来确定同伴影响，同伴影响被定义为在稳定环境下从10年级到12年级吸烟可能性的增加。使用逻辑回归计算父母影响和同伴影响的比值比（OR）。
父母吸烟且关爱程度低的青少年吸烟率最高，父母不吸烟且关爱程度高的青少年吸烟率最低。男孩中的差异超过两倍，女孩中的差异超过四倍。单独考虑父母吸烟状况或关爱程度时，父母影响在男孩中与同伴影响相似，但在女孩中大于同伴影响。然而，当同时考虑吸烟状况和关爱程度时，父母影响在两组中都大于同伴影响（男孩OR为2.8对1.8，女孩OR为3.9对1.3）。
当将父母影响视为父母行为和态度的综合作用时，它在台湾高中生吸烟问题上比同伴影响发挥着更重要的作用。本研究首次描述了亚洲人群中的此类关系，这意味着未来的预防项目应更多地关注父母吸烟及亲子关系，而不是仅仅针对学校中的青少年。
