Helmert U, Lang P
Abteilung Gesundheitspolitlk, Arbeits- und Sozialmedizin, Universitat Bremen.
Gesundheitswesen. 1997 Jul;59(7):461-6.
Passive smoking is a major health risk in young children. We investigated the percentage of children with mothers and/or fathers who reported regular smoking. Data are the national and regional health surveys of the German Cardiovascular Prevention Study (GCP) conducted from 1984 to 1992 in West Germany. 2538 mothers aged 25-40 years were included. The prevalence of passive smoking in children due to smoking mothers was 33.6% 55.4% of the children up to 5 years lived in households with at least one smoking parent member. In 23.4% of these households both parents were smokers. If only one member of the parents smoked this was in two out of three cases the father. 28.2% of mothers with a child younger than one year were current smokers. This prevalence rate increased with the age of the youngest child up to 35.6% for mothers, whose youngest child was 5 years old. Multiple logistic regression analysis was performed to investigate the association between smoking behaviour and the following variables: mother's age, social class, family status, community size and year of the survey. It was found that lower social class members, unmarried or divorced mothers and inhabitants of large cities reported significantly more often regular current smoking. These results underscore the importance of special intervention programs to reduce smoking in parents with young children.
被动吸烟对幼儿的健康构成重大风险。我们调查了父母报告有经常吸烟情况的儿童的比例。数据来自1984年至1992年在西德进行的德国心血管疾病预防研究(GCP)的全国和地区健康调查。纳入了2538名年龄在25至40岁之间的母亲。因母亲吸烟导致儿童被动吸烟的患病率为33.6%,55.4%的5岁以下儿童生活在至少有一名吸烟家庭成员的家庭中。在这些家庭中,23.4%的家庭父母双方都吸烟。如果父母中只有一方吸烟,那么在三分之二的情况下是父亲。28.2%的有1岁以下孩子的母亲是当前吸烟者。这种患病率随着最小孩子年龄的增长而增加,对于最小孩子为5岁的母亲,这一比例高达35.6%。进行了多元逻辑回归分析,以研究吸烟行为与以下变量之间的关联:母亲年龄、社会阶层、家庭状况、社区规模和调查年份。结果发现,社会阶层较低的成员、未婚或离异的母亲以及大城市的居民报告经常吸烟的频率明显更高。这些结果强调了特殊干预项目对于减少有幼儿的父母吸烟的重要性。