Association between maternal smoking during pregnancy and smoking behaviors in adult offspring

BackgroundMaternal smoking during pregnancy (MSP) is associated with offspring smoking. However, there is still scant evidence to support the association between MSP and smoking behaviors in adult offspring.MethodsThis is a prospective cohort study based on the UK Biobank. Maternal smoking around bi...

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Main Authors: Lin Yang, Jing Li, Yinzi Chen, Yanling Wei, Congying Song, Jingwen Zhang, Liang Dai, Yu Shi, Zuying Xiong, Ying Shan, Xiaoyan Huang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1505418/full
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author Lin Yang
Jing Li
Jing Li
Yinzi Chen
Yanling Wei
Congying Song
Jingwen Zhang
Liang Dai
Yu Shi
Zuying Xiong
Ying Shan
Xiaoyan Huang
Xiaoyan Huang
author_facet Lin Yang
Jing Li
Jing Li
Yinzi Chen
Yanling Wei
Congying Song
Jingwen Zhang
Liang Dai
Yu Shi
Zuying Xiong
Ying Shan
Xiaoyan Huang
Xiaoyan Huang
author_sort Lin Yang
collection DOAJ
description BackgroundMaternal smoking during pregnancy (MSP) is associated with offspring smoking. However, there is still scant evidence to support the association between MSP and smoking behaviors in adult offspring.MethodsThis is a prospective cohort study based on the UK Biobank. Maternal smoking around birth was reported by the offspring through a questionnaire. Participants with unknown maternal smoking status were classified as having missing values. Logistic regression, linear regression and negative binomial regression models were used to estimate the associations of exposure to maternal smoking around birth with four outcomes of offspring smoking behaviors, including smoking status, age started smoking, pack years of smoking, and number of unsuccessful stop-smoking attempts.ResultsWe included 156,604, 101,204, 96,466, and 70,308 participants in the analyses of smoking status, age started smoking, pack years of smoking, and number of unsuccessful stop-smoking attempts, respectively. After adjusted for potential confounders, MSP demonstrated significant associations with offspring smoking (OR: 1.08 [95% CI: 1.07, 1.10]), age started smoking (beta per year: −0.83 [95% CI: −0.89, −0.77]), pack years of smoking (beta per pack-year: 3.51 [95% CI: 3.28, 3.74]) and number of unsuccessful stop-smoking attempts (IRR: 1.11 [95% CI 1.09, 1.13]). Subgroup analysis showed the excessive risks for smoking status and age started smoking in females, pack years of smoking in males, and for number of unsuccessful stop-smoking attempts in the non-breastfeeding group.ConclusionThe unfavorable effects of maternal smoking around birth might reach at least up to offspring’s middle even older age. Smoking cessation before pregnancy should be encouraged to prevent the transmission to the next generation.
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spelling doaj-art-3428d906b51a45a5a59bd0554557f38a2025-08-20T03:44:28ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-03-011310.3389/fpubh.2025.15054181505418Association between maternal smoking during pregnancy and smoking behaviors in adult offspringLin Yang0Jing Li1Jing Li2Yinzi Chen3Yanling Wei4Congying Song5Jingwen Zhang6Liang Dai7Yu Shi8Zuying Xiong9Ying Shan10Xiaoyan Huang11Xiaoyan Huang12Health Management Center, Peking University Shenzhen Hospital, Peking University, Shenzhen, ChinaRenal Division, Peking University Shenzhen Hospital, Peking University, Shenzhen, ChinaClinical Research Academy, Peking University Shenzhen Hospital, Peking University, Shenzhen, ChinaSchool of Public Health, Fudan University, Shanghai, ChinaClinical Research Academy, Peking University Shenzhen Hospital, Peking University, Shenzhen, ChinaClinical Research Academy, Peking University Shenzhen Hospital, Peking University, Shenzhen, ChinaRenal Division, Peking University Shenzhen Hospital, Peking University, Shenzhen, ChinaClinical Research Academy, Peking University Shenzhen Hospital, Peking University, Shenzhen, ChinaDepartment of Ultrasound, Peking University Shenzhen Hospital, Peking University, Shenzhen, ChinaRenal Division, Peking University Shenzhen Hospital, Peking University, Shenzhen, ChinaClinical Research Academy, Peking University Shenzhen Hospital, Peking University, Shenzhen, ChinaRenal Division, Peking University Shenzhen Hospital, Peking University, Shenzhen, ChinaClinical Research Academy, Peking University Shenzhen Hospital, Peking University, Shenzhen, ChinaBackgroundMaternal smoking during pregnancy (MSP) is associated with offspring smoking. However, there is still scant evidence to support the association between MSP and smoking behaviors in adult offspring.MethodsThis is a prospective cohort study based on the UK Biobank. Maternal smoking around birth was reported by the offspring through a questionnaire. Participants with unknown maternal smoking status were classified as having missing values. Logistic regression, linear regression and negative binomial regression models were used to estimate the associations of exposure to maternal smoking around birth with four outcomes of offspring smoking behaviors, including smoking status, age started smoking, pack years of smoking, and number of unsuccessful stop-smoking attempts.ResultsWe included 156,604, 101,204, 96,466, and 70,308 participants in the analyses of smoking status, age started smoking, pack years of smoking, and number of unsuccessful stop-smoking attempts, respectively. After adjusted for potential confounders, MSP demonstrated significant associations with offspring smoking (OR: 1.08 [95% CI: 1.07, 1.10]), age started smoking (beta per year: −0.83 [95% CI: −0.89, −0.77]), pack years of smoking (beta per pack-year: 3.51 [95% CI: 3.28, 3.74]) and number of unsuccessful stop-smoking attempts (IRR: 1.11 [95% CI 1.09, 1.13]). Subgroup analysis showed the excessive risks for smoking status and age started smoking in females, pack years of smoking in males, and for number of unsuccessful stop-smoking attempts in the non-breastfeeding group.ConclusionThe unfavorable effects of maternal smoking around birth might reach at least up to offspring’s middle even older age. Smoking cessation before pregnancy should be encouraged to prevent the transmission to the next generation.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1505418/fullmaternal smokingpregnancyoffspringsmokingUK Biobank
spellingShingle Lin Yang
Jing Li
Jing Li
Yinzi Chen
Yanling Wei
Congying Song
Jingwen Zhang
Liang Dai
Yu Shi
Zuying Xiong
Ying Shan
Xiaoyan Huang
Xiaoyan Huang
Association between maternal smoking during pregnancy and smoking behaviors in adult offspring
Frontiers in Public Health
maternal smoking
pregnancy
offspring
smoking
UK Biobank
title Association between maternal smoking during pregnancy and smoking behaviors in adult offspring
title_full Association between maternal smoking during pregnancy and smoking behaviors in adult offspring
title_fullStr Association between maternal smoking during pregnancy and smoking behaviors in adult offspring
title_full_unstemmed Association between maternal smoking during pregnancy and smoking behaviors in adult offspring
title_short Association between maternal smoking during pregnancy and smoking behaviors in adult offspring
title_sort association between maternal smoking during pregnancy and smoking behaviors in adult offspring
topic maternal smoking
pregnancy
offspring
smoking
UK Biobank
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1505418/full
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