童年期不良经历对女同性恋人群吸烟行为的影响  

The influence of adverse childhood experience on the smoking behavior of lesbians

作　　者：肖汉[1] 丁昌棉 李晶晶 李小燕 燕虹 XIAO Han;DING Changmian;LI Jingjing;LI Xiaoyan;YAN Hong(Xuanwu Hospital Copital Medical University,Beijing 100053,China;Wuhan University School of Health Sciences,Wuhan 430071,China)

机构地区：[1]首都医科大学宣武医院呼吸科,北京100053 [2]武汉大学健康学院

出　　处：《公共卫生与预防医学》2020年第4期93-96,共4页Journal of Public Health and Preventive Medicine

基　　金：国家自然科学基金号(81273135)。

摘　　要：目的分析女同性恋人群童年期不良经历对其吸烟行为的影响。方法以自行设计的电子问卷通过微信或QQ进行网络问卷调查。结果294名女同性恋者中55.78%报告有ACE经历,其中33.33%报告有过虐待经历,24.49%报告有过忽视经历,32.65%报告有过家庭功能障碍经历。55.10%女同性恋患者报告最近30d吸烟;有ACE经历者吸烟率(61.58%)高于没有ACE经历者(46.92%)(P<0.05);ACE各维度中,不同家庭功能障碍者之间的吸烟率差异有统计学意义(69.79%vs 47.98%,P<0.01)。多因素Logistic回归分析显示,ACE经历(尤其家庭功能障碍维度)是女同性恋人群吸烟的危险因素。结论女同人群有较高的ACE经历和吸烟率,ACE是女同人群吸烟的重要危险因素。Objective To analyze the influence of Lesbian′s adverse childhood experience(ACE)on their smoking behavior.Methods The self-designed electronic questionnaire is used to conduct online questionnaire survey through wechat or QQ.Results A total of 294 lesbians were investigated and analyzed.55.78%of them reported ACE experience,33.33%of them reported abuse experience,24.49%reported neglect experience,32.65%reported family dysfunction experience.55.10%of them reported smoking in the last 30 days,and the smoking rate of those with ACE experience(61.58%)was higher than those without ACE experience(46.92%),the difference was statistically significant(P<0.05);There was significant difference in smoking rate among family dysfunction in ACE(69.79%vs 47.98%,P<0.01).Multiple logistic regression analysis showed that ACE experience(especially family dysfunction dimension)was a risk factor of smoking in lesbians.Conclusion Lesbians have higher ACE experience and smoking rate,and ACE is an important risk factor of smoking among lesbians.

关 键 词：女同性恋 童年不良经历 吸烟 

分 类 号：R18[医药卫生—流行病学]