湖北省在校中学生电子烟使用现况与影响因素分析  

Status of current e-cigarettes use and its influencing factors among current middle school students in Hubei

作　　者：周亮 黄希骥[1] 罗彦[1] 马丽娜[1] 徐静东[1] ZHOU Liang;HUANG Xi-ji;LUO Yan;MA Li-na;XU Jing-dong(Hubei Provincial Center for Disease Control and Prevention,Wuhan,Hubei 430079,China)

机构地区：[1]湖北省疾病预防控制中心,湖北武汉430079

出　　处：《现代预防医学》2021年第19期3524-3527,3578,共5页Modern Preventive Medicine

摘　　要：目的了解湖北省在校中学生电子烟使用现状并分析其影响因素,为进一步开展校园控烟工作提供科学依据。方法采用多阶段分层整群随机抽样法,2019年6至12月,对湖北省在校初中、高中、职业高中生共8414名学生进行问卷调查,问卷使用全球青少年烟草调查(GYTS)中国项目问卷。对问卷中电子烟使用情况、电子烟预期使用情况的差异采用率与X2检验进行分析,使用非条件logistic回归分析电子烟使用的影响因素。结果湖北省在校中学生电子烟尝试使用率和现在使用率分别为8.2%和1.6%,有26.1%的中学生在使用电子烟后会使用传统卷烟。电子烟预期使用情况分析显示:使用过电子烟的中学生中,有59.7%会在朋友给电子烟时使用电子烟,未来12个月使用电子烟的概率(29.6%)显著高于未使用电子烟的中学生(1.7%)(P均<0.01)。Logistic回归分析显示:职业高中生电子烟使用风险高于初中生,OR(95%CI)为1.50(1.16~1.94),女生使用电子烟的风险低于男生,OR(95%CI)为0.29(0.24~0.36),一周零用钱数越高,电子烟使用风险越高,OR(95%CI)为1.34(1.20~1.51),年级越高,电子烟使用风险越高OR值(95%CI)为1.22(1.09~1.36)。相对于从不吸烟者,戒烟和现在吸烟学生电子烟使用风险较高,OR值(95%CI)分别为11.91(9.7~14.62)和24.88(16.3~38.0)。结论湖北省中学生电子烟使用较普遍,电子烟使用是传统烟草成瘾的"入门效应",性别、学校类型、零花钱数、吸烟行为是中学生学生电子烟使用的影响因素。Objective To understand the status of e-cigarette use and its influencing factors among current middle school students in Hubei Province,so as to provide scientific evidence for developing further tobacco control strategies in school.Methods A questionnaire survey was conducted among 8414 middle school students in Hubei Province by using multistage stratified cluster random sampling method from Jun to Dec in 2019.The questionnaire was based on the Global Youth Tobacco Survey(GYTS)China project questionnaire.Rate and chi-square test were used to analyze the difference of electronic cigarette use and the expected electronic cigarette use.Conditional logistic regression analysis was adopted to explain influencing factors of current e-cigarettes use.Results The rate of e-cigarette attempt use and current use among young students in 2019 were 8.2%and 1.6%in Hubei Province,respectively,and 26.1%of young students would use traditional cigarettes after using e-cigarettes.Analysis of expected electronic cigarette use revealed that among students previously used e-cigarettes,59.7%of them would use e-cigarettes when their friends gave them,and the rate of their use of e-cigarettes in the next 12 months(29.6%)would be significantly higher than students who didn’t use e-cigarettes(1.7%)(P<0.01).Logistic regression analysis revealed the risk of e-cigarette use was higher among vocational school students than junior school students,whose OR(95%CI)was 1.50(1.16-1.94).Girls had lower risk of e-cigarette use than boys,whose OR(95%CI)was 0.29(0.24-0.36).The more pocket money,the higher risk of e-cigarette use,whose OR(95%CI)was 1.34(1.20-1.51).The higher grade,the higher risk of e-cigarette use,whose OR(95%CI)was 1.22(1.09-1.36).The ex-smokers and the current-smokers had higher risk of e-cigarette use,whose OR(95%CI)were 11.91(9.7-14.62)and 24.88(16.3-38.0),respectively.Conclusion E-cigarette use is relatively common among middle school students in Hubei Province.The use of e-cigarette is the"entry effect"of traditional tobacco a

关 键 词：中学生 电子烟 影响因素 

分 类 号：R179[医药卫生—妇幼卫生保健]