Mansouri A, Alvandi I, Mohammad K, Zeraati H, Fotouhi A
Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran.
Iran Red Crescent Med J. 2012 Mar;14(3):158-63. Epub 2012 Mar 1.
Based on WHO reports, smoking is an epidemic in developing countries. One of important issues about this behavior is its distribution pattern in family members. The main purpose of this study was to evaluate if cigarette smoking had a tendency to cluster or aggregate in the families and what the determinants were.
Using a multi-stage random cluster sampling approach, a household survey was conducted in Kish Island in 2009. We used the Alternating Logistic Regressions algorithm to model to show the familial aggregation.
The odds ratio for the aggregation of cigarette smoking between family members was 1.63 (1.29-2.06) which increased to 1.96 (1.50-2.55) after adjustment for demographic factors. There was no significant correlation between siblings' cigarette smoking nor was between spouses but the pairwise odds ratio for parents offspring was significant. In other words, cigarette smoking in at least one of the parents increased the odds of being a smoker in offspring significantly.
The study showed that the smoking behavior aggregated in families significantly. The inter-parent offspring aggregation was the main component of the familial aggregation. Higher education and age-gender interaction were determinants of smoking in the families. The programs for prevention and cessation of this behavior in the community might be more successful if they were designed in a family-based rather than an individual-based approach.
根据世界卫生组织的报告，吸烟在发展中国家呈流行趋势。关于这种行为的一个重要问题是其在家庭成员中的分布模式。本研究的主要目的是评估吸烟是否在家庭中有聚集倾向以及决定因素是什么。
采用多阶段随机整群抽样方法，于2009年在基什岛进行了一项家庭调查。我们使用交替逻辑回归算法建立模型以显示家庭聚集情况。
家庭成员间吸烟聚集的优势比为1.63（1.29 - 2.06），在调整人口统计学因素后增至1.96（1.50 - 2.55）。兄弟姐妹间吸烟无显著相关性，配偶间也无，但父母与子女的成对优势比显著。换句话说，父母中至少一方吸烟会显著增加子女成为吸烟者的几率。
该研究表明吸烟行为在家庭中显著聚集。父母与子女间的聚集是家庭聚集的主要组成部分。高等教育和年龄 - 性别相互作用是家庭中吸烟的决定因素。如果社区中预防和戒烟项目以家庭为基础而非以个人为基础进行设计，可能会更成功。
