武汉市中等职业院校学生吸烟行为与家庭和同伴因素的关系  

Relationships between smoking behavior and family-peer factors among secondary vocational school students in Wuhan

作　　者：滕世伟[1] 余金聪[1] 吴清锋[1] 鄢栋 严亚琼[2] 龚洁[2] 周辉 姚康 王增珍[1,5] 

机构地区：[1]华中科技大学同济医学院公共卫生学院流行病与统计系,湖北武汉430030 [2]武汉市疾病预防控制中心慢性病防制所,湖北武汉430015 [3]武汉市旅游学校学生工作处,湖北武汉430020 [4]武汉市第一商业学校学生工作处,湖北武汉430015 [5]华中科技大学同济医学院心理卫生中心,湖北武汉430030

出　　处：《中华疾病控制杂志》2016年第5期431-434,共4页Chinese Journal of Disease Control & Prevention

基　　金：国家自然科学基金(81273152)

摘　　要：目的了解家庭因素和同伴因素对武汉市中等职业院校学生吸烟行为的影响,为制定吸烟行为的预防干预策略提供依据。方法采用立意抽样方法,从武汉市中等职业学校中抽取三所学校,对其中一、二年级的学生全部进行调查。结果共2 354人接受问卷调查,武汉市中等职业院校学生尝试吸烟率为23.8%,现在吸烟率为18.6%,不同年龄和性别吸烟率差异有统计学意义(均有P<0.05);单因素分析发现,平均月花费、父母监管、家庭冲突、亲近关系、家族中吸烟比例、朋友中吸烟比例、朋友对你吸烟态度等对吸烟行为均有影响(均有P<0.05);多因素Logistic回归分析显示,吸烟行为与性别、年龄、平均学习成绩、平均月花费、父母监管、亲近关系、朋友中吸烟比例有关(均有P<0.05)。结论中等职业院校学生控烟工作需要加强,提高父母监管技能,强化亲近关系和控制同伴影响有助于减少中等职业院校学生的吸烟行为。Objective To explore the influence of family and peer factors on smoking behavior among secondary vocational school students in Wuhan,and to provide evidence for intervention strategies. Methods Three secondary vocational schools in Wuhan were selected by the method of judgmental sampling,in which all students of grade one and grade two were recruited to participate in this study. Results Of total 2 354 participants,the rates of the experimental smoking and current smoking were 23. 8% and 18. 6% respectively. There were statistically significant differences in smoking rates among students with different genders and ages（ all P〈0. 05）. Univariate analysis showed that parental monitoring,family conflict,closeness with parents,smoking proportion of family members,smoking proportion of friends,and friends＇ attitude towards smoking had significant effect on smoking behavior（ all P〈0. 05）. Multivariate Logistic regression analysis demonstrated that smoking behavior was significantly associated with gender,age,average academic achievement,average expense per month,parental monitoring,closeness with parents,and smoking proportion of friends（ all P〈0. 05）. Conclusions The tobacco control should be strengthened in secondary vocational schools. Improving monitoring skills for parents,strengthening parent-child relationship and controlling peer smoking influence would be helpful for smoking intervention in secondary vocational school students.

关 键 词：家庭 青少年 吸烟 

分 类 号：R181.1[医药卫生—流行病学]