浙江省大学生烟草使用情况及校内二手烟暴露的影响因素  

Current status of cigarette use and exposure to second-hand smoke and associated factors among college students in Zhejiang

作　　者：徐越[1] 胡秀静 陈赫妮 姚丁铭[1] 张雪海[1] Xu Yue;Hu Xiujing;Chen Heni;Yao Dingming;Zhang Xuehai(Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou 310051,China)

机构地区：[1]浙江省疾病预防控制中心,杭州310051

出　　处：《中华健康管理学杂志》2023年第9期685-691,共7页Chinese Journal of Health Management

基　　金：2022年度浙江省中医药科学研究基金项目(2022ZA047)。

摘　　要：目的调查浙江省大学生烟草使用情况, 分析校内二手烟暴露的影响因素。方法采用多阶段整群抽样方法, 于2021年抽取浙江省9所高等学校的在校大学生进行问卷调查, 发放6 530份, 收回6 035份, 有效问卷6 030份(96.48%);对调查对象的人口学特征、卷烟和电子烟使用情况、以及二手烟暴露情况进行描述性分析, 不同特征大学生二手烟暴露情况的比较采用χ2检验, 校内二手烟暴露的影响因素分析采用多因素logistic回归分析。结果浙江省大学生现在吸烟率和现在电子烟使用率分别为3.70%和1.56%, 卷烟和电子烟双重使用率为1.16%;大学生校内二手烟暴露率为25.06%, 校外场所二手烟暴露率为32.35%。大学生对吸烟导致疾病的知晓率依次为:肺癌(92.02%)、心脏病(73.15%)、卒中(72.87%)、阳痿(64.08%);二手烟导致疾病的知晓率依次为:成人肺癌(91.11%)、成人心脏疾病(78.91%)、儿童肺部疾病(89.35%)。多因素logistic回归分析结果显示:性别、学校类型、专业、年级、禁烟规定、吸烟镜头、二手烟危害健康知识等7个因素对大学生在校遭受二手烟暴露产生影响[OR值=2.63、0.67、0.69、(0.39、0.60、0.68)、0.51、1.74、0.72](均P<0.01)。结论浙江省大学生卷烟和电子烟使用情况不容乐观, 尤其是电子烟使用率甚至高于成人水平;大学生二手烟暴露状况依然严峻, 男生、非医学类、专科生、高年级的大学生校内二手烟暴露更为严重, 二手烟暴露知识认知率高、媒体吸烟镜头接触少、学校有全面无烟规定的大学生在校内二手烟暴露较轻。Objective To describe the prevalence of tobacco use among college students in Zhejiang Province and analyze the influencing factors of second-hand smoke exposure on campus.Methods In 2021,college students were selected from 9 colleges through stratified multi-stage cluster sampling from Zhejiang Province and surveyed using questionnaire.A total of 6530 questionnaires were distributed and 6035 were returned,with 6030 valid questionnaires(96.48%).A descriptive analysis of the demography characteristics,cigarettes and electronic cigarettes(e-cigarettes)use,and second-hand smoke exposure of the subjects was carried out,and chi-square test was used for statistical analysis and multivariate logistic regression analysis was used to analyze influencing factors of second-hand smoke exposure on campus.Results The current smoking rate and current use rate of e-cigarettes among college students were 3.70%and 1.56%,respectively,and the dual use rate of cigarettes and e-cigarettes was 1.16%.The exposure rate of second-hand smoke among college students on campus was 25.06%,while the exposure rate of second-hand smoke in off campus places was 32.35%.The awareness rates of smoking related diseases among college students were as follows:lung cancer(92.02%),heart disease(73.15%),stroke(72.87%),and impotence(64.08%).The awareness rate of second-hand smoke related diseases were as follows:lung cancer in adults(91.11%),heart disease in adults(78.91%),and lung disease in children(89.35%).The multivariate logistic regression analysis showed that seven factors(including gender,school type,major,grade,smoking ban regulations,smoking scenes,and knowledge about the health hazards of second-hand smoke)had a statistically significant impact on college students′exposure to second-hand smoke at school[OR=2.63,0.67,0.69,(0.39,0.60,0.68),0.51,1.74,0.72](all P<0.01).Conclusions The use of cigarettes and e-cigarettes among college students in Zhejiang Province is not optimistic,especially the use rate of e-cigarettes is higher than adult.The stat

关 键 词：吸烟 电子烟 二手烟 大学生 烟草对健康的危害 

分 类 号：R163[医药卫生—公共卫生与预防医学]