中学生尝试使用电子烟的影响因素分析:一项多中心横断面研究  

Influencing factors of middle and high school students’e-cigarette experimentation:a multi-center cross sectional study

作　　者：邓慧 方玲 张玲云 郝欣宇 王帆 李洁[4] 杨练 王静[6] 郑频频[1] DENG Hui;FANG Ling;ZHANG Ling-yun;HAO Xin-yu;WANG Fan;LI Jie;YANG Lian;WANG Jing;ZHENG Pin-pin(Key Laboratory of Public Health and Safety of the Ministry of Education-Department of Preventive Medicine and Health Education,School of Public Health,Fudan University,Shanghai 200032,China;Department of Politics,East China Normal University,Shanghai 200241,China;Fudan Development Institute,Shanghai 200433,China;School of Journalism and Communication,Jinan University,Guangzhou 510632,China;School of Public Health,Chengdu University of TCM,Chengdu 610075,Sichuan Province,China;Shanghai Pudong New Area Center for Disease Control and Prevention,Shanghai 200136,China)

机构地区：[1]复旦大学公共卫生学院预防医学与健康教育教研室-公共卫生安全教育部重点实验室,上海200032 [2]华东师范大学政治学系,上海200241 [3]复旦大学发展研究院,上海200433 [4]暨南大学新闻与传播学院,广州510632 [5]成都中医药大学公共卫生学院,成都610075 [6]上海市浦东新区疾病预防控制中心,上海200136

出　　处：《复旦学报（医学版）》2022年第6期844-851,861,共9页Fudan University Journal of Medical Sciences

基　　金：彭博减低烟草使用行动倡议无烟草青少年行动基金(CHINA-26-12);上海市公共卫生体系建设三年行动计划(2020—2022年)(GWV-10.1-XK14)。

摘　　要：目的了解普通初高中在校生电子烟的使用情况,探究中学生尝试使用电子烟的影响因素,为预防中学生使用电子烟以及为电子烟监管提供科学建议。方法采用多中心分层整群抽样在上海市、广州市和成都市的普通初中和高中在校生中选取调查样本。学生匿名自填纸质问卷。使用Epidata 3.1录入问卷并用SPSS 20.0对数据进行单因素和多因素统计分析。结果共回收2456份问卷,其中有效问卷2405份,有效率97.9%。2265位(94.2%)调查对象听过说电子烟,108位(4.5%)调查对象表示曾经使用过电子烟,其中38位(1.7%)调查对象表示在过去30天吸过电子烟。Logistic回归分析显示,吸过卷烟(OR=22.99,95%CI:11.34~46.63)、对电子烟感到好奇(OR=2.23,95%CI:1.02~4.88)、对电子烟持喜欢态度(OR=3.01,95%CI:1.34~6.77)、最好的5个朋友中有人吸电子烟(OR=3.20,95%CI:1.43~7.18)和认为吸电子烟不会被父母惩罚(OR=2.20,95%CI:1.09~4.47)是中学生尝试电子烟的危险因素。结论三地在校中学生中,绝大多数听说过电子烟,部分学生尝试过电子烟。影响中学生尝试电子烟的因素有卷烟使用史、对电子烟好奇、喜欢电子烟、好朋友吸电子烟、认为吸电子烟不会受到父母惩罚。预防中学生尝试使用电子烟需要学校-家庭-社会的合作。Objective To understand the situation of e-cigarette use among middle and high school students,explore the factors that influencing their e-cigarette experimentation,and provide scientific evidence for further policies on supervision of e-cigarette among middle and high school students.Methods Multi-center stratified cluster sampling was applied in middle and high school students in Shanghai,Guangzhou and Chengdu.An anonymous self-administered questionnaire was distributed and collected in selected schools.Epidata 3.1 was used to input the data and SPSS 20.0 was used for all statistical analysis,including univariate and multivariate analysis.Results A total of 2456 valid questionnaires were collected,with 2405 valid questionnaires and an effective rate of 97.9%.Among them,2265(94.2%)respondents had heard of e-cigarette,108(4.5%)had used e-cigarette,among which 38(1.7%)had smoked e-cigarette in the past 30 days.Logistic regression analysis showed that ever used ecigarette(OR=22.99,95%CI:11.34-46.63),be curious about e-cigarette(OR=2.23,95%CI:1.02-4.88),fond attitudes towards e-cigarette(OR=3.01,95%CI:1.34-6.77),anyone among the five best friends used e-cigarette(OR=3.20,95%CI:1.43-7.18),and wouldn’t be punished by parents for using e-cigarette(OR=2.20,95%CI:1.09-4.47)were risk factors of e-cigarette experimentation.Conclusion Most of the middle and high school students had heard of e-cigarette,and some of them had used e-cigarette.The factors influencing e-cigarette experimentation among middle and high school students included cigarette use history,curiosity about e-cigarette,fond attitudes towards e-cigarette,anyone among the five best friends used e-cigarette,and wouldn’t be punished by parents for using e-cigarette.Preventing middle and high school students from e-cigarette requires cooperation among the schools,families and society.

关 键 词：电子烟 中学生 尝试使用 影响因素 

分 类 号：R17[医药卫生—妇幼卫生保健]