湖北省高中生吸烟行为流行状况及影响因素分析  

Analysis of smoking epidemiology and its influencing factors among high school students in Hubei Province

作　　者：罗彦[1] 黄希骥[1] 马丽娜[1] 卞晨阳 覃世龙[1] LUO Yan;HUANG Xi-ji;MA Li-na;BIAN Chen-yang;QIN Shi-long(Health Education Institute of Hubei Provincial Center for Disease Control and Prevention,Wuhan,Hubei Province 430079,China)

机构地区：[1]湖北省疾病预防控制中心健康教育所,湖北省武汉430079

出　　处：《中国慢性病预防与控制》2022年第4期269-272,共4页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的 了解湖北省高中生吸烟行为流行现状及影响因素,为进一步开展校园控烟工作提供科学依据。方法 于2019年6—10月,采取多阶段整群随机抽样法选取湖北省30所高中(职业高中)的4 272名在校高中生为研究对象,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,内容包括吸烟行为及二手烟暴露情况。采用SPSS 22.0软件进行χ^(2)检验、趋势χ^(2)检验和非条件多因素logistic回归分析。结果 湖北省在校高中学生尝试吸烟率和现在吸烟率分别为18.26%和4.94%。男生和职业高中生尝试吸烟率和现在吸烟率分别高于女生和普通高中生,差异均有统计学意义(P<0.01)。随年龄与年级的增长,尝试吸烟率与现在吸烟率均呈上升趋势(P<0.01)。高中生在家庭内、室内公共场所和室外公共场所二手烟暴露率分别为26.87%、47.52%和47.35%。多因素logistic回归分析结果显示,男生(OR=3.69,95%CI:2.42~5.64),年龄大(OR=1.46,95%CI:1.24~1.72),职业高中学生(OR=2.68,95%CI:1.94~3.69),家庭内(OR=1.86,95%CI:1.35~2.56)、室内公共场所二手烟暴露(OR=4.64,95%CI:2.79~7.71)以及朋友吸烟(OR=17.51,95%CI:8.10~37.82)与高中生吸烟行为高风险相关(P<0.01)。能够从大众媒体获取控烟信息(OR=0.65,95%CI:0.48~0.88)与高中生吸烟行为低风险相关(P<0.01)。结论 湖北省高中生吸烟行为、二手烟暴露现况不容忽视,应重视朋友吸烟、室内公共场所二手烟暴露对高中生吸烟行为的影响。Objective To understand the smoking epidemiology and its influencing factors among high school students in Hubei Province,and provide the scientific evidence for tobacco control in schools. Methods From June to October 2019,the multistage stratified clustering random sampling method was used to select 4 272 students from 30 high schools in Hubei Province as the subjects,the investigation was performed with questionnaire. The used questionnaire was Chinese questionnaire of the Global Youth Tobacco Survey(GYTS),which included smoking behaviour and the second hand smoking exposure. The χ^(2)test,trend χ^(2)test and unconditional multiple factors logistic regression were used to analyze the data. The used software was SPSS 22.0. Results The smoking-attempt rate and current smoking rate of high school students in Hubei Province were 18.26% and 4.94%. The smoking-attempt rate and current smoking rate of male students were significantly higher than those of female students(P<0.01),the smoking-attempt rate and current smoking rate of vocational high school students were significantly higher than those of general high school students(P<0.01). The attempt-smoking rates and current smoking rates increased with age and grade(P<0.01). The second hand smoking exposure rates from home,indoor and outdoor public places for high school students were26.87%,47.52% and 47.35%,respectively. The multiple factors regression analysis showed that males(OR=3.69,95%CI:2.42-5.64),higher age(OR=1.46,95%CI:1.24-1.72),vocational school students(OR=2.68,95%CI:1.94-3.69),the second hand smoking exposure from home(OR=1.86,95%CI:1.35-2.56) and indoor public places(OR=4.64,95%CI:2.79-7.71),friends smoking(OR=17.51,95%CI:8.10-37.82) were related to higher risk of smoking behaviour in high school students(P<0.01).The information of tobacco control from mass medium(OR=0.65,95%CI:0.48-0.88) was related to low risk of smoking behavior in high school students(P<0.01). Conclusion The situation of smoking behavior and second hand smoking exposure among hi

关 键 词：高中生 尝试吸烟 吸烟 影响因素 

分 类 号：R163[医药卫生—公共卫生与预防医学]