温州市高中生卷烟和电子烟使用现状及影响因素  

Prevalence and influencing factors of cigarette and e-cigarette use among high school students in Wenzhou

作　　者：杨桂丽[1] 郑小莲 陈红丹[3] 毛紫娟 徐宁[1] 陈镭[1] Yang Guili;Zheng Xiaolian;Chen Hongdan;Mao Zijuan;Xu Ning;Chen Lei(Department of Health Education and Health Promotion,Wenzhou Center for Disease Control and Prevention,Wenzhou 325002,China;Department of Health Education and Health Promotion,Longwan District Center for Disease Control and Prevention,Wenzhou 325024,China;Department of Health Education and Health Promotion,Ouhai Distirct Center for Disease Control and Prevention,Wenzhou 325000,China)

机构地区：[1]温州市疾病预防控制中心健康教育所,温州325002 [2]温州市龙湾区疾病预防控制中心健康教育所,温州325024 [3]温州市瓯海区疾病预防控制中心健康教育所,温州325000

出　　处：《中华健康管理学杂志》2021年第4期373-378,共6页Chinese Journal of Health Management

基　　金：温州市基础性科研项目(Y20190699);温州市医药卫生科学研究项目(2020009)。

摘　　要：目的:了解温州市高中生卷烟和电子烟使用现状及影响因素。方法:基于中国青少年卷烟流行监测项目,采用多阶段分层随机整群抽样方法,选取温州市高中在校学生为调查对象,2020年9—11月间抽样,发放《中国青少年烟草流行调查问卷》给高中生匿名填写,收集学生的一般情况、卷烟和电子烟使用行为等资料,采用χ^(2)检验分析不同特征学生的尝试吸卷烟率、尝试电子烟使用率、现在卷烟使用率、现在电子烟使用率、电子烟和卷烟双重使用率,并用logistics回归对温州市高中生吸卷烟、使用电子烟的影响因素进行分析。结果:共发放问卷3785份,回收有效问卷3740份,回收有效率为98.80%。高中生尝试吸卷烟率为11.79%(441/3740),现在吸卷烟率2.57%(96/3740),尝试电子烟使用率10.00%(374/3740),现在电子烟使用率2.86%(107/3740),电子烟和卷烟双重使用率0.99%(37/3740)。男生、职业高中、父母吸烟的学生尝试吸卷烟率、现在吸卷烟率、尝试电子烟使用率均分别显著高于女生、普通高中及父母不吸烟的学生(均P<0.05),其中男生、职业高中的学生现在电子烟使用率分别高于女生、普通高中学生(均P<0.05)。好朋友吸烟[6.076(2.872~12.855);4.630(2.656~8.071)]、职业高中[3.226(1.877~5.546);2.238(1.432~3.496)]为温州市高中生现在使用卷烟、电子烟的共同危险因素。而认为吸烟与否对社交聚会无差别[0.160(0.077~0.331);0.193(0.096~0.387)]或认为社交聚会时吸烟更不舒服[0.037(0.018~0.077);0.155(0.083~0.288)]是温州市高中生卷烟、电子烟使用的共同保护因素。除此之外,吸卷烟的危险因素还包括过去7 d暴露于二手烟[2.194(1.129~4.262)]、被赠送免费烟草制品[2.836(1.018~7.905)]、校园里看到有人吸烟[2.072(1.111~3.863)]。吸卷烟的保护因素还包括未去过烟草零售点未暴露于烟草广告和促销[0.241(0.123~0.473)]、认为吸烟使年轻人吸引力减少[0.280(Objective To study the prevalence of cigarettes and e-cigarettes,and to analyze its influencing factors among high school students in Wenzhou.Methods A self-administered questionnaire survey was conducted among a total of 3785students from senior high schools and vocational high schools in Wenzhou from September to November in 2020,who were selected by stratified cluster sampling.Their demographic information and the use of tobacco[including the use of cigarettes,e-cigarettes(currently smoking and smoking attempt),and the dual use of them]were asked in the questionnaire of“Global Youth Tobacco Survey”(GYTS).Proportion and rate were used to describe their demographic characteristics and smoking prevalence.Chi-square test was used to compare the difference in smoking prevalence of the high school students with selected characteristics.Multinomial logistic regression was used to analyze the influencing factors of tobacco use among the participants.Results Among the 3785 questionnaires,3740 were completed,and effective rate was 98.80%.The smoking attempt rate,current smoking rate,e-cigarette attempt rate,e-cigarette using rate,and dual using rate of the high school students in Wenzhou were 11.79%(441/3740),2.57%(96/3740),10.00%(374/3740),2.86%(107/3740),0.99%(37/3740),respectively.Male students,vocational high school students,the students whose parents smoking showed higher smoking attempt rate,current smoking rate,e-cigarette attempt rate than female student,senior high school students and those parents who don′t smoke,respectively(all P<0.05).Best friend smoking[6.076(2.872-12.855);4.630(2.656-8.071)],vocational high school[3.226(1.877-5.546);2.238(1.432-3.496)]were risk factors for e-cigarette and the cigarettes use,belief that whether smoking or not does not make any difference in social activities[0.160(0.077-0.331);0.193(0.096-0.387)],or smoking in social activities makes people more uncomfortable[0.037(0.018-0.077);0.155(0.083-0.288)]were protective factors of e-cigarette and the cigarettes use.Additiona

关 键 词：吸烟 高中生 流行 影响因素 

分 类 号：R163[医药卫生—公共卫生与预防医学]