Research Unit of Clinical Neuroscience, University of Oulu, Oulu, Finland.
Department of Psychiatry, Lapland Hospital District, Rovaniemi, Finland.
Addiction. 2017 Jan;112(1):134-143. doi: 10.1111/add.13533. Epub 2016 Sep 21.
AIMS: To study the predictive associations between maternal smoking and the impact of quitting smoking during pregnancy and offspring daily smoking at age 15-16 years. DESIGN: The Northern Finland Birth Cohort 1986 (NFBC86) includes 99% of all births in the region and has an ongoing follow-up. Data were collected using questionnaires at 24th gestational week during pregnancy and after delivery, and at follow-up in 2001-02, when the offspring were aged 15-16 years. SETTING: Northern Finland. PARTICIPANTS: NFBC86 included 9432 live born children. Data regarding maternal smoking during pregnancy and offspring smoking at age 15-16 years were available for 4462 subjects (47.3% of the original sample). MEASUREMENTS: The outcome was offspring's self-reported daily smoking. Maternal smoking during pregnancy was considered using a four-class variable: (1) no smoking, (2) mother had smoked, but had quit smoking before becoming pregnant, (3) mother quit smoking during the 1st trimester and (4) mother quit smoking after the 1st trimester or continued smoking throughout the pregnancy. Information regarding paternal smoking during pregnancy, maternal and paternal smoking and education level, family structure and dwelling at offspring's age 15-16 years were considered potential confounding variables. FINDINGS: Continuing smoking after the 1st trimester increased the odds of daily smoking among offspring, independently of confounding factors [odds ratio (OR) = 1.8, 95% confidence interval (CI) = 1.3-2.5]. Continuing to smoke after the 1st trimester was associated with higher odds compared with quitting smoking during the 1st trimester. Also, parental smoking at offspring age 15-16 years increased the odds of offspring daily smoking, independently of prenatal smoking exposure. CONCLUSIONS: Prenatal smoking exposure increases the risk for offspring adolescent daily smoking. Quitting smoking during the early stages of pregnancy may decrease the odds for offspring smoking.
目的:研究母亲吸烟与怀孕期间戒烟对子女 15-16 岁时每日吸烟的影响之间的预测关联。
设计:北芬兰出生队列 1986 年(NFBC86)包括该地区所有出生的 99%,并持续进行随访。数据是在怀孕期间 24 孕周、分娩后以及在 2001-02 年随访时收集的,当时子女年龄为 15-16 岁。
地点:北芬兰。
参与者:NFBC86 包括 9432 名活产儿。有 4462 名受试者(原始样本的 47.3%)提供了怀孕期间母亲吸烟和子女 15-16 岁时吸烟的数据。
测量:结果是子女自我报告的每日吸烟情况。怀孕期间母亲吸烟情况采用四分类变量表示:(1)不吸烟,(2)母亲吸烟,但在怀孕前已戒烟,(3)母亲在孕早期戒烟,(4)母亲在孕早期后戒烟或整个孕期持续吸烟。考虑了怀孕期间父亲吸烟、父母吸烟和教育水平、家庭结构和子女 15-16 岁时的住所等信息,作为潜在的混杂因素。
结果:与孕早期后继续吸烟相比,孕早期戒烟可降低子女每日吸烟的几率[比值比(OR)=1.8,95%置信区间(CI)=1.3-2.5]。与孕早期戒烟相比,孕早期后继续吸烟的几率更高。此外,子女 15-16 岁时父母吸烟也会增加子女每日吸烟的几率,而与产前吸烟暴露无关。
结论:产前吸烟暴露会增加子女青少年时期每日吸烟的风险。在妊娠早期戒烟可能会降低子女吸烟的几率。
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