Am J Epidemiol. 2014 Jun 15;179(12):1409-17. doi: 10.1093/aje/kwu074. Epub 2014 Apr 22.
Nicotine from maternal smoking during pregnancy can cross the placental barrier, possibly resulting in fetal brain sensitization, as indicated by studies in which prenatal exposure to maternal smoking was associated with an increased risk of tobacco use among adolescent offspring. We investigated whether this association persists beyond adolescence by studying cigarette smoking and the use of snus (Swedish oral moist snuff) among 983 young adults from a prospective cohort study conducted in Stockholm, Sweden, between 2006 and 2010. Self-reported questionnaire data were linked with data from national population-based registers from 1983 onward. Maternal smoking during pregnancy was consistently associated with snus use in offspring (e.g., for lifetime daily snus use, adjusted odds ratio = 2.04, 95% confidence interval: 1.32, 3.16; for use of >3 cans of snus per week vs. less, odds ratio = 3.85, 95% confidence interval: 1.57, 10.15). No association was apparent with offspring's smoking, age at onset of tobacco use, or changes in use between 2006 and 2010. These findings indicate that prenatal exposure to maternal smoking is associated with regular and heavy nicotine intake from smokeless tobacco rather than from smoking. This should be further explored in epidemiologic studies that simultaneously address the roles of genetics and social environments.
孕期母亲吸烟产生的尼古丁可以穿过胎盘屏障,可能导致胎儿大脑敏化,这在研究中有所体现,即母亲吸烟的产前暴露与青少年后代吸烟风险增加有关。我们通过研究斯德哥尔摩前瞻性队列研究中 2006 年至 2010 年间的 983 名年轻人的吸烟和鼻烟(瑞典口含湿鼻烟)使用情况,调查了这种关联是否会持续到青春期之后。自我报告的问卷调查数据与 1983 年以来全国人口普查登记处的数据相关联。母亲在怀孕期间吸烟与后代使用鼻烟(例如,终生每日使用鼻烟的调整比值比=2.04,95%置信区间:1.32,3.16;每周使用>3 罐鼻烟与使用量少相比,比值比=3.85,95%置信区间:1.57,10.15)始终相关。与后代吸烟、开始吸烟的年龄或 2006 年至 2010 年间使用量的变化无关。这些发现表明,产前暴露于母亲吸烟与来自无烟烟草的常规和大量尼古丁摄入有关,而不是与吸烟有关。在同时解决遗传和社会环境作用的流行病学研究中,应该进一步探讨这一点。