小学高年级学生烟草拒绝方式及影响因素分析  

The use of resistance response to an offer of tobacco and related factors in early adolescence

作　　者：陈莹[1] 肖清宁 蓝秋梅[1] 熊芳[1] 陈明泽[2] 郭蕊[1] 

机构地区：[1]右江民族医学院公共卫生与管理学院,广西百色533000 [2]右江民族医学院临床医学院,广西百色533000

出　　处：《右江民族医学院学报》2016年第1期22-24,共3页Journal of Youjiang Medical University for Nationalities

基　　金：国家自然科学基金(81260431);广西自然科学基金项目(2013GXNSFAA019237);右江民族医学院自治区级大学生创新创业训练计划项目(201410599003)

摘　　要：目的了解小学高年级学生烟草尝试行为、拒绝方式以及影响因素。方法选择广西百色市市区4所小学477名学生（8~13岁）为调查对象,采用自制问卷调查了解其人口学特征、烟草使用、拒绝方式等情况。结果 1小学高年级学生烟草尝试者31名,占6.50%;2民族、家庭完整性、周围烟草环境是青少年烟草使用的影响因素（χ~2/P分别为7.591/0.022、4.540/0.033、9.864/0.007）;3学生较多选择＂拒绝＂（84.91%）和＂解释＂（87.63%）两种方式;4四种假定场景中,＂离开＂方式在不同烟草供给者（同伴和好友）间差异有统计学意义（χ~2/P分别为19.615/0.0009、4.164/0.041）;简单诱导情景下,好友烟草供给较同伴烟草供给出现更多＂接受＂方式（χ~2/P为18.020/0.0002）。结论小学高年级学生的家庭及周围环境是影响其烟草尝试的有效因素,好友的烟草供给会促使青少年更多地接受供给,出现烟草使用行为。Objective To analyze the preadolescents＇ intended use of resistance response to an offer of tobacco, initiation of tobacco use and related factors. Methods A total of 477 students （aged between 8 and 13 years） from four junior schools in Baise city filled the self-designed questionnaires about resistance response, initiation of tobacco useand demographic characteristics. Results ①Thirty-one of 477 responders （6.50%） reported having initiation of tobacco use.②The nationality, integrity of family, surrounding of tobacco use were influence factors to initiation of tobacco use in preadolescents （χ2/P were 7. 591/0. 022, 4. 540/0. 033, 9. 864/0. 007, respectively）. ③The two responses most often endorsed were ＂Say no＂ and ＂Say no and explain why＂, 84.91% and 87.63 % of preadoleseents showed the use of these two responses respectively. ④Across all four hypothetical scenarios of offer way （simple advise or repeated tempt ） and provider （close friends and ac- quaintances）, participants were more ambivalent about using ＂leave＂ response to offer from acquaintances than close friends for initial tobacco offers and follow-up tobacco offers （χ2= 19. 615,P =0. 0009; χ2=4. 164, P =0. 041）, and participants would be more likely to ＂accept＂ the offer from close friends than acquaintances in initial tobacco offers by simple advise （χ2 =18. 020, P =0. 0002）. Conclusion Family and peer smoking are efficient factors to initiation of tobacco use in preadolescents, tobacco offer by close friends can promote preado- lescents to accept offer resulting in tobacco use behavior.

关 键 词：青春前期 拒绝反应 烟草 

分 类 号：R181.3[医药卫生—流行病学]