儿童早期父母缺失与青春期前吸烟和饮酒的开始。
Parental absence in early childhood and onset of smoking and alcohol consumption before adolescence.
机构信息
Research Department of Epidemiology and Public Health, University College London, London, UK.
出版信息
Arch Dis Child. 2018 Jul;103(7):691-694. doi: 10.1136/archdischild-2016-310444. Epub 2016 Oct 10.
BACKGROUND
Parental absence, due to death or separation from a parent, has been associated with smoking and alcohol consumption in adolescence and adulthood. The aim of this study was to investigate whether parental absence in early childhood was associated with smoking and alcohol uptake before adolescence.
METHODS
Data on 10 940 children from the UK's Millennium Cohort Study were used. Logistic regression was used to test associations between parental absence (0-7 years) and reports of smoking and alcohol consumption at age 11.
RESULTS
Children who experienced parental absence were more likely to have smoked (OR=2.58, 95% CI 1.88 to 3.56) and consumed alcohol (OR=1.46, 95% CI 1.25 to 1.72). No differences were found by child sex or age, or parent absent. Children who experienced parental death were less likely to have drunk alcohol but those who had were more likely to have consumed enough to feel drunk.
CONCLUSIONS
Parental absence was associated with early uptake of risky health behaviours in a large, nationally representative UK cohort. Children who experience parental absence should be supported in early life in order to prevent smoking and alcohol initiation.
背景
父母一方的缺失（由于死亡或与父母一方分离）与青少年和成年期的吸烟和饮酒有关。本研究旨在调查儿童早期父母缺失是否与青春期前的吸烟和饮酒有关。
方法
使用来自英国千禧年队列研究的 10940 名儿童的数据。采用逻辑回归检验 0-7 岁时父母缺失与 11 岁时吸烟和饮酒报告之间的关联。
结果
经历父母缺失的儿童更有可能吸烟（OR=2.58，95%CI 1.88 至 3.56）和饮酒（OR=1.46，95%CI 1.25 至 1.72）。儿童性别、年龄或父母缺失情况没有差异。经历父母死亡的儿童饮酒的可能性较小，但那些饮酒的儿童更有可能饮酒过量而感到醉酒。
结论
在一个大型的、具有全国代表性的英国队列中，父母缺失与早期开始危险健康行为有关。经历父母缺失的儿童应在其早期生活中得到支持，以预防吸烟和饮酒的开始。
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