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MATERNAL AND PATERNAL SMOKING DURING PREGNANCY AND RISK OF TOBACCO SMOKING IN ADOLESCENCE: FINDINGS FROM A POPULATION-BASED PROSPECTIVE COHORT STUDY
Abstract
Abstract Body
Background
Compelling, although inconsistent, epidemiological evidence suggests an association between maternal tobacco smoking during pregnancy and an increased risk of tobacco smoking in offspring. The aim of this study was to test the link between maternal tobacco smoking during pregnancy and the risk of tobacco smoking in offspring at the age of 17 years using paternal tobacco smoking during pregnancy as a negative control for intrauterine exposure.
Methods
Study participants were from the Raine Study, a prospective birth cohort study based in Perth, Western Australia (N=2730). Tobacco smoking in adolescents was measured using a self-reported questionnaire. Log-binomial regression was used to estimate the relative risks (RRs) of tobacco smoking in offspring exposed to maternal prenatal tobacco use during the first and third trimesters of pregnancy. We have also calculated the E-values to investigate the potential effect of unmeasured confounding.
Results
After adjusting for potential confounders, we found the increased risks of tobacco smoking in offspring exposed to maternal tobacco smoking during the first trimester [RR 1.50 (95% CI: 1.13-1.97)] (E-value for point estimate=2.37) and during both trimesters of pregnancy [RR 1.41 (95% CI: 1.03-1.89)] (E-value for point estimate=2.17). However, we found insufficient statistical evidence for an association between paternal tobacco smoking during pregnancy and the risk of tobacco smoking in offspring [RR 1.18 (95% CI: 0.84-1.67)].
Conclusion
Maternal tobacco smoking during pregnancy was associated with an increased risk of tobacco smoking in offspring at the age of 17 years. Tobacco smoking cessation at the early stages of gestation may reduce the risk of tobacco smoking in offspring.