Relationship between parental smoking and adolescent smoking: gender differences and mediation of resilience

Abstract Background Though the relationship between parental smoking and adolescent smoking has been established, gender differences, and mediation of resilience in this relationship are poorly understood. This research aims to investigate the prevalence of adolescent smoking, and to understand how...

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Main Authors: Yi Liu, Ling Li, Zhangming Chen, Silan Ren, Ruini He, Yudiao Liang, Youguo Tan, Xu Shao, Shanshan Chen, Xiaogang Chen, Jinsong Tang, Yanhui Liao
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-21457-5
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author Yi Liu
Ling Li
Zhangming Chen
Silan Ren
Ruini He
Yudiao Liang
Youguo Tan
Xu Shao
Shanshan Chen
Xiaogang Chen
Jinsong Tang
Yanhui Liao
author_facet Yi Liu
Ling Li
Zhangming Chen
Silan Ren
Ruini He
Yudiao Liang
Youguo Tan
Xu Shao
Shanshan Chen
Xiaogang Chen
Jinsong Tang
Yanhui Liao
author_sort Yi Liu
collection DOAJ
description Abstract Background Though the relationship between parental smoking and adolescent smoking has been established, gender differences, and mediation of resilience in this relationship are poorly understood. This research aims to investigate the prevalence of adolescent smoking, and to understand how consequences may differ for boys and girls, as well as to explore what role resilience played in this relationship. Methods Through the school-based cross-sectional survey, a total of 65,898 adolescents were involved in this study, and information were collected by self-reported questionnaire. Participants’ smoking status and their parental smoking status were collected by self-made questionnaire, and resilience was assessed by the 10-item Connor-Davidson Resilience Scale (CD-RISC-10). The multivariate logistic regression was conducted to explore the relationship between parental smoking and adolescent smoking. After that, the path analysis was applied to explore the mediation of resilience in this relationship. Results Of all participants, the rate of self-report current smoking and biologically verified smoking was 1.4% and 2.0%, respectively. Both self-reported and biologically verified prevalence of smoking among boys were higher than that in girls. There were gender differences in the impact of parental smoking on adolescent smoking: mother smoking had a negative effect on adolescent smoking, and resilience could mitigate this negative effect. Father smoking had no association with girl smoking, while father smoking was positively associated with boy smoking, and resilience was mediated in this association. Conclusions Our findings suggested smoking prevention in adolescents can be done differently for different genders. Besides, results indicated resilience was important in preventing adolescent smoking. Furthermore, parents quitting smoking can play an important role in preventing adolescent smoking to a certain extent.
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spelling doaj-art-77eeee46aa8b4bf082b5633704bf52d92025-02-09T12:58:37ZengBMCBMC Public Health1471-24582025-02-012511710.1186/s12889-025-21457-5Relationship between parental smoking and adolescent smoking: gender differences and mediation of resilienceYi Liu0Ling Li1Zhangming Chen2Silan Ren3Ruini He4Yudiao Liang5Youguo Tan6Xu Shao7Shanshan Chen8Xiaogang Chen9Jinsong Tang10Yanhui Liao11Department of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Psychiatry, The Second Xiangya Hospital of Central South UniversityDepartment of Nursing, Sichuan Vocational College of Health and RehabilitationDepartment of Psychiatry, Zigong Mental Health CenterDepartment of Psychiatry, Zigong Mental Health CenterDepartment of Psychiatry, Zigong Mental Health CenterDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Psychiatry, The Second Xiangya Hospital of Central South UniversityDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineAbstract Background Though the relationship between parental smoking and adolescent smoking has been established, gender differences, and mediation of resilience in this relationship are poorly understood. This research aims to investigate the prevalence of adolescent smoking, and to understand how consequences may differ for boys and girls, as well as to explore what role resilience played in this relationship. Methods Through the school-based cross-sectional survey, a total of 65,898 adolescents were involved in this study, and information were collected by self-reported questionnaire. Participants’ smoking status and their parental smoking status were collected by self-made questionnaire, and resilience was assessed by the 10-item Connor-Davidson Resilience Scale (CD-RISC-10). The multivariate logistic regression was conducted to explore the relationship between parental smoking and adolescent smoking. After that, the path analysis was applied to explore the mediation of resilience in this relationship. Results Of all participants, the rate of self-report current smoking and biologically verified smoking was 1.4% and 2.0%, respectively. Both self-reported and biologically verified prevalence of smoking among boys were higher than that in girls. There were gender differences in the impact of parental smoking on adolescent smoking: mother smoking had a negative effect on adolescent smoking, and resilience could mitigate this negative effect. Father smoking had no association with girl smoking, while father smoking was positively associated with boy smoking, and resilience was mediated in this association. Conclusions Our findings suggested smoking prevention in adolescents can be done differently for different genders. Besides, results indicated resilience was important in preventing adolescent smoking. Furthermore, parents quitting smoking can play an important role in preventing adolescent smoking to a certain extent.https://doi.org/10.1186/s12889-025-21457-5Parental smokingAdolescent smokingResilienceUrinary cotinine testTobacco controlGender differences
spellingShingle Yi Liu
Ling Li
Zhangming Chen
Silan Ren
Ruini He
Yudiao Liang
Youguo Tan
Xu Shao
Shanshan Chen
Xiaogang Chen
Jinsong Tang
Yanhui Liao
Relationship between parental smoking and adolescent smoking: gender differences and mediation of resilience
BMC Public Health
Parental smoking
Adolescent smoking
Resilience
Urinary cotinine test
Tobacco control
Gender differences
title Relationship between parental smoking and adolescent smoking: gender differences and mediation of resilience
title_full Relationship between parental smoking and adolescent smoking: gender differences and mediation of resilience
title_fullStr Relationship between parental smoking and adolescent smoking: gender differences and mediation of resilience
title_full_unstemmed Relationship between parental smoking and adolescent smoking: gender differences and mediation of resilience
title_short Relationship between parental smoking and adolescent smoking: gender differences and mediation of resilience
title_sort relationship between parental smoking and adolescent smoking gender differences and mediation of resilience
topic Parental smoking
Adolescent smoking
Resilience
Urinary cotinine test
Tobacco control
Gender differences
url https://doi.org/10.1186/s12889-025-21457-5
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