宜昌市在校青少年烟草使用流行现状分析  

Study on the epidemiological status of tobacco use among adolescents in Yichang City

作　　者：王早霞[1] 方敏[1] 刘继恒[1] 彭磊[1] 刘晓俊[1] 张慧琦[1] WANG Zao-xia;FANG Min;LIU Ji-heng;PENG Lei;LIU Xiao-jun;ZHANG Hui-qi(Yichang Center for Disease Control and Prevention,Yichang 443005,China)

机构地区：[1]湖北省宜昌市疾病预防控制中心,湖北宜昌443005

出　　处：《中国健康教育》2021年第11期1005-1008,1013,共5页Chinese Journal of Health Education

摘　　要：目的调查宜昌市在校青少年烟草使用的流行特点,为制定青少年控烟策略提供科学依据。方法通过分层整群抽样法抽取宜昌市69所中学9490名在校学生,进行匿名自填式问卷调查。结果宜昌市在校青少年现在吸烟率为2.29%,农村(2.82%)高于城市(1.03%)(P<0.01),男生(3.94%)高于女生(0.54%)(P<0.01),职高(9.99%)高于高中(2.33%)、初中(0.57%)(P<0.01);现在吸烟率随年龄增长、一周可支配零花钱增多呈增高趋势(P均<0.01)。在校青少年尝试吸烟率为11.22%,64.95%的青少年第一次尝试吸烟的年龄小于14岁。宜昌市在校青少年在室外公共场所二手烟暴露率最高(47.01%)。Logistic回归分析显示,性别为男性(OR=0.249,95%CI:0.160~0.387)、年龄较大(OR=2.158,95%CI:1.468~3.172)、学校类型为职高(初中OR=0.470,95%CI:0.269~0.822;高中OR=0.363,95%CI:0.256~0.514)、父母都吸烟(OR=3.143,95%CI:1.646~6.005)、好朋友中有人吸烟(OR=0.044,95%CI:0.024~0.081)是宜昌市在校青少年吸烟的影响因素(P均<0.05)。结论宜昌市在校青少年吸烟现象应引起相关部门的共同关注,社会、学校和家庭应为青少年营造无烟环境,加强青少年控烟健康教育,减少青少年吸烟危险因素,从而减少烟草对青少年的危害。Objective To describe the epidemiological characteristics of tobacco use among adolescents in Yichang City,and to provide scientific evidence for the formulation of adolescent smoking control strategies.Methods A stratified cluster sampling method was used to select a total of 9490 students from 69 junior and senior high schools in Yichang City,and an anonymous self-administrated questionnaires survey was carried out.Results The current smoking rate of adolescents in Yichang City was 2.29%,which was higher in rural areas(2.82%)than that in urban areas(1.03%)(P<0.01).The rate of boys(3.94%)was higher than that of girls(0.54%)(P<0.01).The rate of professional high school students was the highest(9.99%),high school students second(2.33%),and then junior high school students lowest(0.57%)(P<0.01).Current smoking rate was increased with age(P<0.01)and the disposable pocket money in a week(P<0.01).The rate of the adolescents trying to smoke was 11.22%.About 64.95%of the adolescents firstly tried to smoke before 14 years old.The second-hand smoke exposure rate of adolescents in outdoor public places was the highest(47.01%).Logistic regression analysis showed that boy(OR=0.249,95%CI:0.160-0.387),older age(OR=2.158,95%CI:1.468-3.172),professional high school(junior middle school OR=0.470,95%CI:0.269-0.822;high school OR=0.363,95%CI:0.256-0.514),parents smoking(OR=3.143,95%CI:1.646-6.005),peer smoking(OR=0.044,95%CI:0.024-0.081)were influencing factors of current smoking among adolescents(P<0.01).Conclusion The phenomenon of adolescents smoking in Yichang City should be concerned by relevant departments.The society,school and family should create a smoke-free environment for adolescents,strengthen the health education of control smoking among them to reduce the risk factors and the harm of tobacco.

关 键 词：烟草使用 影响因素 回归分析 在校青少年 

分 类 号：R193[医药卫生—卫生事业管理]