家庭社会经济地位对医学生吸烟行为影响  

Impact of family socio-economic status on smoking-related knowledge,attitude and behaviors among medical college students

作　　者：牛璐[1] 罗丹[1] 周雅思[1] 肖水源[1] 田勇泉[2] 

机构地区：[1]中南大学公共卫生学院,湖南长沙410078 [2]中南大学

出　　处：《中国公共卫生》2013年第12期1761-1765,共5页Chinese Journal of Public Health

基　　金：China medical Board美国中华医学基金会(09-970)

摘　　要：目的了解医学院校大学生吸烟行为发生状况、烟草危害知识知晓程度和相关态度,探讨家庭社会地位和其他相关因素对其吸烟行为的影响。方法整群抽取长沙市2所综合性院校中所有医学类专业2 892名二、三年级学生进行一般人口学资料和吸烟相关的知识、态度和行为调查。结果在2 814名医学生中,尝试吸烟率为30.6%(男生53.3%,女生18.3%),现在吸烟率为3.8%(男生10.3%,女生0.3%),每日吸烟率为0.6%(男生1.5%,女生0.1%);首次尝试吸烟行为主要发生在小学阶段(65.5%);农村学生尝试吸烟率高于城市学生(32.8%vs.28.1%),但每日吸烟率低于城市学生(0.3%vs.0.9%),差异均有统计学意义(P<0.05);非吸烟者烟草危害知识知晓程度和拒绝吸烟的意愿均高于吸烟者(P<0.01);Spearman相关分析结果显示,家庭社会经济地位与医学生尝试吸烟率呈负相关(r=-0.64,P<0.01),与烟草危害知识和吸烟态度得分均呈正相关(r=0.071、0.077,P<0.01);多因素分析结果显示,男性、父母均吸烟、室友吸烟、亲密朋友吸烟、家庭社会地位较低和拒绝吸烟态度较弱是医学生尝试吸烟行为的危险因素;男性、室友吸烟、亲密朋友吸烟和拒绝吸烟态度较弱是医学生现在吸烟行为的危险因素。结论医学生吸烟行为受家庭社会经济地位影响,在医学院校大学生中开展的控烟行动应结合家庭和同伴的参与。Objective To assess the prevalence of smoking behavior and its association with smoking-related knowledge and attitudes and to explore the impacts of family socio-economic status and other main factors on smoking behavior among medical college students in Changsha city.Methods Totally 2 892 medical college students in two comprehensive universities were investigated with a self-designed questionnaire about socio-demographic information,smoking behaviors and related factors.Results For 2 814 students with eligible information,the prevalence rate of lifetime smoking,current smoking and daily smoking was 30.6%（53.3% for male,18.3% for female）,3.8%（10.3% for male,0.3% for female）,and 0.6%（1.5% for male,0.1% for female）,respectively,and 65.5% of the medical college smokers tried smoking when they were in primary schools.The students from rural areas had a higher lifetime smoking rate but lower daily smoking rate than the urban students（32.8% vs 28.1%,0.3% vs 0.9%,respectively）.Non-smokers had a higher score for smoking-related knowledge and were more likely to refuse smoking than smokers（P〈0.01）.A negative correlation was observed between family socio-economic status and the prevalence of lifetime smoking among medical college students（r=-0.64）,while the scores of smoking-related knowledge and attitude showed a positive correlation with family socio-economic status,with the r values of 0.071 and 0.077,respectively.Male,parental smoking behavior,roommates＇ smoking behavior,close friends＇ smoking behavior,low family socio-economic status and negative attitude to refuse smoking were the risk factors of attempting smoking;male,roommates＇ smoking behavior,close friends＇ smoking behavior and negative attitudes to refuse smoking were also the risk factors of current smoking.Conclusion Our study indicates that family socio-economic status is related with smoking behaviors among medical college students,and the positive influence of family members and friends should be considered to prevent sm

关 键 词：家庭社会经济地位 医学生 吸烟相关知识 吸烟相关态度 吸烟行为 

分 类 号：R181.34[医药卫生—流行病学]