Associations of perceived interparental relationship, family harmony and family happiness with smoking intention in never-smoking Chinese children and adolescents: a cross-sectional study
Autor: | Sai Yin Ho, Tai Hing Lam, Jianjiu Chen, Yongda Wu, Tzu Tsun Luk, Lok Tung Leung, Man Ping Wang |
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Rok vydání: | 2017 |
Předmět: |
Male
Parents China medicine.medical_specialty Adolescent Cross-sectional study media_common.quotation_subject Happiness Intention smoking Odds Developmental psychology 03 medical and health sciences 0302 clinical medicine children Asian People Epidemiology Odds Ratio Humans Medicine adolescents 030212 general & internal medicine Sibling Child Students Very Happy Smoking and Tobacco media_common Chinese business.industry Research Confounding General Medicine Odds ratio Cross-Sectional Studies Adolescent Behavior Hong Kong epidemiology Female Perception Family Relations business 030217 neurology & neurosurgery |
Zdroj: | BMJ Open |
ISSN: | 2044-6055 |
Popis: | ObjectiveTo examine the associations of perceived interparental relationship, family harmony and family happiness with smoking intention in never-smoking Chinese children and adolescents in Hong Kong.Design, settings and participantsCross-sectional surveys of 15 753 primary (grades 4–6) and 38 398 secondary (grades 7–12) never-smoking students from 71 to 75 randomly selected primary and secondary schools in Hong Kong, 2012–2013.MeasurementsOutcome variable was smoking intention which denoted any affirmative response to smoke within the coming year or when a cigarette was offered by a good friend. Exposure variables were perceived interparental relationship and family harmony each measured on a five-point scale from ‘very good’ to ‘very bad’ and perceived family happiness on a four-point scale from ‘very happy’ to ‘not happy at all’. Potential confounders included age, sex, family structure, perceived family affluence, parental smoking and sibling smoking.ResultsIn primary students, the adjusted ORs (AORs) (95% CI) of smoking intention generally increased with more negative perception of the family relationship: up to 3.67 (1.91 to 7.05) for interparental relationship, 7.71 (4.38 to 13.6) for family harmony and 5.40 (3.41 to 8.55) for family happiness. For secondary students, the corresponding AORs (95% CI) were 2.15 (1.64 to 2.82) for interparental relationship, 2.98 (2.31 to 3.84) for family harmony and 2.61 (1.80 to 3.79) for family happiness. All p for trend ConclusionsMore negatively perceived interparental relationship, family harmony and family happiness were associated with higher odds of smoking intention with dose–response relationships in never-smoking Chinese children and adolescents in Hong Kong. Children’s perception of their family relationship may be an important intervening point for preventing youth from initiating smoking. |
Databáze: | OpenAIRE |
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