Titre : | Roles of parental smoking and family structure for the explanation of socio-economic inequalities in adolescent smoking (2023) |
Auteurs : | S. LEGLEYE ; D. BRICARD ; M. KHLAT |
Type de document : | Article : Périodique |
Dans : | Addiction (Vol.118, n°1, January 2023) |
Article en page(s) : | 149-159 |
Langues: | Anglais |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus géographique FRANCEThésaurus mots-clés TABAC ; PARENT ; ADOLESCENT ; INEGALITE ; ETUDE TRANSVERSALE ; ESCAPAD ; FAMILLE ; CATEGORIE SOCIO-PROFESSIONNELLE ; PREVALENCE |
Résumé : |
BACKGROUND AND AIMS: Among European countries, France is particularly concerned by adolescent tobacco smoking, especially in disadvantaged socio-economic backgrounds (SES). We measured the respective contributions of parental smoking and family living arrangement to social disparities in smoking during adolescence.
DESIGN: Secondary analysis of survey data. SETTING: A cross-sectional nation-wide exhaustive 12-day survey in March 2017 of French youth aged 17-18.5 years participating in the national mandatory civic information day. PARTICIPANTS: A total of 13 314 adolescents answering a pen-and-paper questionnaire about their own tobacco consumption and the smoking of their parents. MEASUREMENTS: Risk ratios (RRs) were computed using modified Poisson regressions, and population-attributable fraction (PAF) was used as a measure of the explanatory roles of the different factors as mediators of SES. FINDINGS: Adolescents living within very privileged and privileged SES were significantly less likely to report daily tobacco smoking (20.4 and 22.7%, respectively) than those within modest and disadvantaged ones (26.0 and 28.6%, respectively). Parental smoking and family living arrangement independently explained the smoking inequalities among adolescents. After adjusting for schooling factors, the risks associated with parental smoking ranged between RR = 1.64 [95% confidence interval (CI) = 1.50-1.79] when the father only smoked and RR = 2.17 (95% CI = 1.99-2.36) when both parents smoked, compared with non-smoking parents; the risk associated with living in a non-intact family was 1.35 (95% CI = 1.26-1.43) and that of living outside the parental home was 1.20 (95% CI = 1.10-1.30). Apprentices and adolescents out of school had higher risks than those at school (RR = 1.82, 95% CI = 1.68-1.98) and RR = 2.10, 95% CI = 1.92-2.29). The contribution of parental smoking to adolescent smoking (PAF = 32%) was greater than that of SES (PAF = 9%), family living arrangement (PAF = 17%) or schooling factors (14%). The share of SES decreased from 18 to 9% when considering these mediating factors. CONCLUSION: In France, parental smoking appears to be the factor that most influences adolescent smoking, followed by family living arrangement; the role of family socio-economic status is small in comparison. |
Domaine : | Tabac / Tobacco / e-cigarette |
Refs biblio. : | 52 |
Affiliation : | Université Paris-Saclay, Faculté de médecine UVSQ, Université Paris-Sud, Villejuif, France |
Cote : | Abonnement |
Lien : | https://doi.org/10.1111/add.16026 |
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