长沙市大学生尝试吸烟者吸烟行为演变及影响因素分析  

An investigation on the trend and related determinants of cigarette smoking on experimental smokers among undergraduate students in Changsha

作　　者：杨柳[1] 陈凤磊[1] 史翔宇[1] 陈浩[1] 林丹[1] 谭红专[1] 

机构地区：[1]中南大学公共卫生学院,长沙410078

出　　处：《中华流行病学杂志》2011年第12期1204-1207,共4页Chinese Journal of Epidemiology

摘　　要：目的分析长沙市大学生尝试吸烟者吸烟行为演变及影响因素。方法采用问卷调查方式在长沙市的高校大学生中进行调查，选择1个月前尝试过吸烟者为研究对象，然后根据现在是否吸烟将研究对象分成两组，再应用单因素岔检验和多因素logistic回归模型对影响现在吸烟的因素进行分析。结果1550名过去尝试吸烟者中，477名现在吸烟，现在吸烟率为30．8％（95％CI：28．5—33．1）。logistic回归分析结果显示：本科二批录取学生（OR=2．367）和本科三批录取学生（OR=2．562）较本科一批录取学生的现在吸烟率高，体育艺术专业学生（OR=2．456）较文科生高，父亲为干部的学生（OR=1．602）较父亲为工人的学生高；男性（OR=7．386）、每月零用钱多（OR=1．139）、家人吸烟者多（OR=1．801）、对吸烟好处持肯定态度（OR=1．140）是过去尝试吸烟者现在吸烟的危险因素，吸烟致病的相关知识掌握好（OR=0．806）对过去尝试吸烟者现在是否吸烟具有保护作用。结论大学生尝试吸烟者可能演变为规律吸烟，其影响因素主要有学校类别、专业类别、性别、父亲职业、每月零用钱多少、家人吸烟情况、对吸烟的认识及对吸烟好处的认可态度等。Objective To investigate the trend and related determinants of cigarette smoking on experimental smokers among undergraduate students in Changsha. Methods Stratified sampling method was adopted and 3600 undergraduate students from grade 1 to 3 in Changsha city were investigated through a self-administered questionnaire. All the experimental smokers during the last month were selected and divided into two groups based on the present smoking status. Z2 test and logistic regression analysis were used to compare the differences of cigarette smoking among subpopulations and to explore the determinants. Results Among the 1550 experimental smokers of undergraduate students, the prevalence of cigarette smoking was 30.8% （95%CI： 28.5-33.1 ）. Students from the second-class （OR=2.367） or the third-class universities （OR=2.562） were more likely to adopt smoking behavior than those from top universities. Students majored in sports or arts （OR= 2.456） were significantly more inclined to smoke than the liberal arts students. Students whose father were cadres （0R=1.602） were more likely to become smokers than those whose fathers were workers. Students being males （0R=7.386） , having high monthly expenses （OR=1.139） , with positive attitude to smoking benefits （OR= 1.140） were risk factors for smoking. Number of smoking members in the family （OR=1.801） was significantly associated with the prevalence of cigarette smoking. Knowledge on diseases caused by smoking （0R=0.806） was protecting factor to smoking among the experimental smokers. Conclusion Those experimental smokers among undergraduate students might become smokers and the determinants of cigarette smoking behavior would include： ranking of universities, students＇ major, gender, father＇ s occupation, amount of pocket money, number of smoking members in the family, knowledge about smoking, the attitude to the benefit of smoking.

关 键 词：吸烟 大学生 影响因素 

分 类 号：R163.2[医药卫生—公共卫生与预防医学]