Janakiram Chandrashekar, Sanjeevan Vinita, Joseph Joe
Department of Public Health Dentistry, Amrita School of Dentistry, Amrita University, Kerala, India.
Asian Pac J Cancer Prev. 2019 Oct 1;20(10):3029-3035. doi: 10.31557/APJCP.2019.20.10.3029.
Parental influence may be a strong modifiable risk factor in the initiation of Tobacco habits among young adults. Parenting style may modify the risk of initiation of Tobacco use.
To examine the intergenerational transfer of Tobacco habits amongst the urban and tribal populations in Kerala.
A hospital based unmatched case control study was undertaken in urban and tribal health centres in Kerala, India. 239 cases (19-30 years of age using any form of Tobacco, 64.10% males) and 256 controls (35.90% males) were enrolled. Parental Tobacco exposure ascertainment was done by conducting in depth interviews using a validated structured questionnaire, parent bonding instrument and life grid technique. Multiple logistic regressions were performed.
The odds of a case initiating the habit of Tobacco use was nearly four times more when the parent was a Tobacco user [adjusted OR 4.26 (95% CI 2.39 - 7.58)] as opposed to controls. Among other covariates examined, low parental bonding with subject (especially father- warmth/care) was a strong risk factor for Tobacco usage [OR 2.17 (95% 1.11 - 4.23)]. The cases had nearly four times the probability of Tobacco uptake compared to controls if the mothers had no formal schooling [adjusted OR of 3.93 (95% CI, 2.12 - 7.26)].
Parental use of Tobacco influences the uptake of Tobacco habits in their children, with the father's parenting (low paternal warmth) being a strong risk factor.
父母的影响可能是年轻人开始吸烟习惯的一个强大的可改变风险因素。养育方式可能会改变开始吸烟的风险。
研究喀拉拉邦城市和部落人口中吸烟习惯的代际传递。
在印度喀拉拉邦的城市和部落健康中心进行了一项基于医院的非匹配病例对照研究。纳入了239例病例（19 - 30岁，使用任何形式的烟草，男性占64.10%）和256例对照（男性占35.90%）。通过使用经过验证的结构化问卷、父母关系量表和生活网格技术进行深入访谈来确定父母的烟草暴露情况。进行了多因素逻辑回归分析。
与对照组相比，父母为吸烟者时，病例开始吸烟习惯的几率几乎高出四倍[调整后的比值比为4.26（95%置信区间2.39 - 7.58）]。在检查的其他协变量中，与受试者的父母关系薄弱（尤其是父亲的温暖/关怀）是吸烟的一个强烈风险因素[比值比为2.17（95%置信区间1.11 - 4.23）]。如果母亲没有接受过正规教育，病例吸烟的可能性是对照组的近四倍[调整后的比值比为3.93（95%置信区间2.12 - 7.26）]。
父母吸烟会影响其子女吸烟习惯的养成，父亲的养育方式（父亲温暖程度低）是一个强烈的风险因素。
