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三代人青少年吸烟的社会决定因素。

Social determinants of adolescent smoking over three generations.

作者信息

Doku David Teye, Acacio-Claro Paulyn Jean, Koivusilta Leena, Rimpelä Arja

机构信息

Tampere University, Finland.

University of Cape Coast, Ghana.

出版信息

Scand J Public Health. 2020 Aug;48(6):646-656. doi: 10.1177/1403494819839854. Epub 2019 Apr 11.

DOI:10.1177/1403494819839854
PMID:30973093
Abstract

We studied how multigenerational socioeconomic circumstances influence adolescents' smoking. Previous studies have shown that low academic achievement as well as parents' low socioeconomic circumstances are associated with adolescents' smoking, but there are few studies on grandparents' influence on their grandchildren's smoking. For the chain of three generations, we hypothesised that high socioeconomic circumstances of both parents and grandparents decrease the probability of smoking and adolescents' own education and circumstances contribute to this association. We further investigated the role of intergenerational social mobility. : Survey data from 1979 to 1997 on 12- to 18-year-old Finns (=54,487) were linked with 1970-2009 registry-based data of their grandparents, parents and themselves. Socioeconomic circumstances among parents and grandparents were measured by socioeconomic status, education and material resources and among adolescents by academic achievement, educational orientation, family structure and parental smoking. Logistic regression analysis was used to study the associations. : Associations of adolescent smoking with grandparental socioeconomic circumstances were weak and mediated through parental circumstances. Parental smoking and divorce and living in a non-intact family increased smoking. Adolescents' low academic achievement and orientation to low education level were the most important predictors of smoking. Upward intergenerational social mobility between fathers and children decreased the risk of smoking, whereas downward mobility increased it.

摘要

我们研究了多代社会经济环境如何影响青少年吸烟。先前的研究表明,学业成绩低以及父母的社会经济环境差与青少年吸烟有关,但关于祖父母对孙辈吸烟影响的研究很少。对于三代人的链条,我们假设父母和祖父母的高社会经济环境会降低吸烟的可能性,而青少年自身的教育和环境也促成了这种关联。我们进一步研究了代际社会流动的作用。将1979年至1997年期间针对12至18岁芬兰人(=54487人)的调查数据与他们的祖父母、父母和他们自己基于1970 - 2009年登记处的数据相联系。父母和祖父母的社会经济环境通过社会经济地位、教育程度和物质资源来衡量,而青少年的社会经济环境则通过学业成绩、教育取向、家庭结构和父母吸烟情况来衡量。使用逻辑回归分析来研究这些关联。青少年吸烟与祖父母社会经济环境的关联较弱,且通过父母的环境起中介作用。父母吸烟、离婚以及生活在不完整家庭中会增加吸烟几率。青少年学业成绩低以及倾向于低教育水平是吸烟的最重要预测因素。父亲与子女之间向上的代际社会流动降低了吸烟风险,而向下的流动则增加了吸烟风险。

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