Are secondhand smoke-related diseases of children associated with parental smoking cessation? Determinants of parental smoking cessation in a population-based cohort study |
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| Institution: | 1. Center for Cancer Control and Statistics, Osaka Medical Center for Cancer and Cardiovascular Diseases, 3-3, Nakamichi 1-chome, Higashinari-ku, Osaka-shi, Osaka 537-8511, Japan;2. Department of Social Medicine, National Research Institute for Child Health and Development,2-10-1 Okura, Setagaya-ku, Tokyo 157-8535, Japan;1. Center for Health Data and Analysis, Rhode Island Department of Health, Providence, RI, USA;2. Brown University School of Public Health, Department of Epidemiology, Providence, RI, USA;3. Division of Chronic Disease & Health Promotion, Rhode Island Department of Health, Providence, RI, USA;1. Clinical and Population Health Research Program, University of Massachusetts Medical School, 368 Plantation Street, Worcester, MA 01605, USA;2. Division of Epidemiology of Chronic Diseases and Vulnerable Populations, Department of Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, Worcester, MA 01605, USA;3. Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, 55 Lake Avenue, Worcester, MA 01655, USA;4. Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA, USA;5. Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA;6. Division of General Internal Medicine, Department of Medicine, Georgetown University Hospital, USA;7. Department of Medicine, Creighton University, Omaha, NE, USA;1. Harvey L. Neiman Health Policy Institute, 1891 Preston White Drive, Reston, VA 20191, United States;2. Department of Health Administration and Policy, George Mason University, Fairfax, VA 22030, United States;3. Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 South Kingshighway Blvd., St. Louis, MO 63110, United States;4. Department of Radiology, Weill Cornell Medical College, 1300 York Avenue, New York, NY 10065, United States;5. Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1364 Clifton Road NE, Atlanta, GA 30322, United States |
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| Abstract: | ObjectiveLittle is known about whether secondhand smoke (SHS)-related diseases of young children, such as asthma, induce parental smoking cessation during the early child-rearing period. Our objective was therefore to show the association in addition to other potential determinants of parental cessation.MethodsWe analyzed data from the Longitudinal Survey of Newborns in the 21st Century in Japan, from 0.5 years (N = 47,015) to 4.5 years (N = 39,817), having selected participants whose parents smoked at baseline (maternal smoking N = 8,037; paternal smoking N = 28,486). Multivariable log-binomial regression models were used to calculate the prevalence ratios for parental smoking cessation according to the onset of SHS-related diseases of their children, using inverse probability weight to account for non-response at follow-up.ResultsA total of 16.7% of smoking mothers and 14.5% of smoking fathers had stopped smoking at follow-up. The onset of SHS-related children's diseases was not statistically significantly associated with either maternal or paternal smoking cessation after multivariable adjustments. Strong determinants were, for example, number of cigarettes smoked per day and partner's smoking status during follow-up.ConclusionSHS-related children's diseases were not associated with parental smoking cessation. It may therefore be necessary to provide additional support for parental smoking cessation within their child's medical care setting. |
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