Tabuchi Takahiro, Fujiwara Takeo
Center for Cancer Control and Statistics, Osaka Medical Center for Cancer and Cardiovascular Diseases, 3-3, Nakamichi 1-chome, Higashinari-ku, Osaka-shi, Osaka 537-8511, Japan; Department of Social Medicine, National Research Institute for Child Health and Development,2-10-1 Okura, Setagaya-ku, Tokyo 157-8535, Japan.
Department of Social Medicine, National Research Institute for Child Health and Development,2-10-1 Okura, Setagaya-ku, Tokyo 157-8535, Japan.
Prev Med. 2015 Apr;73:81-7. doi: 10.1016/j.ypmed.2015.01.028. Epub 2015 Feb 4.
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.
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.
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.
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.
对于幼儿与二手烟（SHS）相关的疾病（如哮喘）是否会在幼儿养育早期促使父母戒烟，人们了解甚少。因此，我们的目的是除了找出父母戒烟的其他潜在决定因素外，还要揭示其中的关联。
我们分析了日本21世纪新生儿纵向调查的数据，这些数据涵盖了从0.5岁（N = 47,015）到4.5岁（N = 39,817）的时间段，我们选取了那些父母在基线时吸烟的参与者（母亲吸烟N = 8,037；父亲吸烟N = 28,486）。使用多变量对数二项回归模型，根据其子女与SHS相关疾病的发病情况计算父母戒烟的患病率比，并使用逆概率权重来处理随访中的无应答情况。
在随访时，共有16.7%的吸烟母亲和14.5%的吸烟父亲已经戒烟。在多变量调整后，子女与SHS相关疾病的发病与母亲或父亲的戒烟均无统计学上的显著关联。强有力的决定因素包括，例如，随访期间每天吸烟的数量以及伴侣的吸烟状况。
子女与SHS相关的疾病与父母戒烟无关。因此，可能有必要在孩子的医疗环境中为父母戒烟提供额外的支持。
