与学龄儿童在场时父母吸烟相关的因素：一项横断面研究。
Factors associated with parental smoking in the presence of school-aged children: a cross-sectional study.
机构信息
Graduate Institute of Injury Prevention and Control, College of Public Health and Nutrition, Taipei Medical University, No, 250, Wu-Hsing Street, Taipei City 110, Taiwan.
出版信息
BMC Public Health. 2013 Sep 10;13:819. doi: 10.1186/1471-2458-13-819.
BACKGROUND
In 2009, the Tobacco Hazards Prevention Act (Taiwan) was amended to more effectively restrict smoking in indoor public places and workplaces in Taiwan. However, the lack of prohibitions for smoking in private homes may place family members at increased risk for exposure to environmental tobacco smoke (ETS). The aim of our study was to determine the factors associated with parental smoking in the presence of children at home.
METHODS
In 2010, we performed a cross-sectional study of factors associated with parental smoking in the presence of children at home in Taiwan using self-administered questionnaires. Quota sampling was used to select five primary schools from four different regions of Taiwan. Parents were surveyed to identify parental smokers and 307 parental smokers were selected for participation in our study. Questionnaire data regarding parental smoking in the presence of children at home and related interactions among family members were analyzed. Hierarchical logistic regression was used to determine the best-fit model for examining the relationships among the variables related to parental smoking in the presence of children at home.
RESULTS
Two-thirds of parents who smoked reported smoking in the presence of their children. The results of the hierarchical logistic regression analysis identified the smokers' compliance with their family's antismoking responses, mutual agreement with smoking bans, daily smoking, smoking more than 20 cigarettes per day, the education level of the parental smoker, and the annual family income as determinants of smoking in the presence of children at home.
CONCLUSIONS
Households with smoking parents should be targeted for interventions to encourage the adoption and enforcement of home smoking bans. Educational interventions that promote smoke-free homes for children and provide support to help parents stop smoking are critical factors in reducing the frequency of children's ETS exposure in the home.
背景
2009 年，《台湾菸草危害防制法》修订，以更有效地限制台湾室内公共场所和工作场所的吸烟行为。然而，由于缺乏对私人住宅内吸烟的限制，家庭成员可能会面临更多的环境烟草烟雾（ETS）暴露风险。我们的研究目的是确定与家中有儿童时父母吸烟相关的因素。
方法
2010 年，我们在台湾进行了一项横断面研究，采用自填式问卷调查与家中有儿童时父母吸烟相关的因素。我们使用配额抽样从台湾四个不同地区选择了五所小学。对父母进行调查以确定吸烟者，并选择 307 名父母吸烟者参与我们的研究。分析了有关家中有儿童时父母吸烟以及家庭成员之间相关互动的问卷数据。使用分层逻辑回归来确定最适合的模型，以检验与家中有儿童时父母吸烟相关的变量之间的关系。
结果
三分之二的吸烟父母报告在家中孩子面前吸烟。分层逻辑回归分析的结果确定了吸烟者对家庭反吸烟措施的遵守情况、与禁烟令的相互共识、每日吸烟、每天吸烟超过 20 支、父母吸烟者的教育水平以及家庭年收入是在家中孩子面前吸烟的决定因素。
结论
应针对有吸烟父母的家庭进行干预，以鼓励采取和执行家庭吸烟禁令。促进为儿童提供无烟家庭的教育干预措施，并为帮助父母戒烟提供支持，是减少儿童在家中 ETS 暴露频率的关键因素。
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