青岛初中生尝试吸烟现状及影响因素分析  

Smoking attempt and its influence factors among junior high school students in Qingdao city

作　　者：王亚妮[1] 綦斐[2] 贾晓蓉[2] 林鹏[2] 刘辉[2] 耿梅云 曲烟滨 李善鹏[2] 

机构地区：[1]青岛大学公共卫生学院,山东青岛266071 [2]青岛市疾病预防控制中心

出　　处：《中国公共卫生》2017年第5期725-729,共5页Chinese Journal of Public Health

基　　金：基金项目:吸烟所致疾病负担与控烟政策评价研究(2012-WSZD118)

摘　　要：目的了解山东省青岛市初中生尝试吸烟状况及影响因素,为制定青少年控烟策略提供依据。方法通过多阶段分层整群抽样方法,于2014年9—11月,抽取青岛市44所初中6 155名初中生为调查对象,采用全球青少年烟草流行核心问卷调查青少年烟草使用和戒烟情况、二手烟暴露情况、获得卷烟的途径、烟草使用认知等。对数据加权后,采用SPSS软件进行数据分析。结果青岛市初中生尝试吸烟率为7.3%,男生尝试吸烟率为11.0%,高于女生的3.5%;初三学生尝试吸烟率为10.3%,高于初二学生的6.7%,初二学生高于初一学生的3.7%;城市学生尝试吸烟率为8.4%,高于农村学生的6.4%,差异均有统计学意义(均P<0.05)。尝试吸烟的单因素分析结果显示,年级、性别、城乡等个体因素,家庭环境因素,社会环境因素以及吸烟认同度均对初中生尝试吸烟率有显著影响(P<0.01)。多因素logistic回归分析结果显示,初二、初三、男生、父母中有人吸烟、朋友中有人吸烟、看到教师吸烟、接触过烟草产品广告和营销的初中生尝试吸烟的危险度高。结论青岛市初中生尝试吸烟率受个人、家庭、学校、社会环境因素影响。Objective To study the status and influencing factors of smoking attempt among junior high school students in Qingdao city and to provide evidences for making strategies for tobacco control among the students. Methods With multi-stage stratified cluster sampling, we recruited 6 155 students from 44 junior high schools and conducted a questionnaire survey among the students with Global Youth Tobacco Survey （GYTS） between September and November 2014. The collected data were analyzed with SPSS software after weighting process. Results The rate of smoking attempt was 7.3% among the students and the rate for the boys （ 11.0% ） was higher than that for the girls （3.5%） ;the smoking attempt rate increased with the schooling grade, with the rates of 3.7% ,6. 7%, and I0. 3 % among the students of grade one, two, and three and a significant difference （ P 〈 0. 05 ） ; the urban students had a significantly higher smok- ing attempt rate than the rural students （ 8.4% vs. 6. 4 %, P 〈 0. 05 ）. The results of univariate analysis showed that grade, gender, residential area, familial environment, social environment, and attitude towards smoking were significant influencing factors of smoking attempt among the students （P 〈0.01 for all）. The results of multivariate logistic regression analysis revealed that the students of grade two or grade three, male gender, with parental smoking, with smoking friends, witnessing smoking of a teacher, and exposed to tobacco advertisement were more likely to attempt smoking. Conclusion Smoking attempt behavior is influenced by individual, familial, school, and social factors among the junior high school students in Qingdao city.

关 键 词：尝试吸烟 初中生 影响因素 

分 类 号：R163.2[医药卫生—公共卫生与预防医学]