江苏省大学生尝试吸烟行为的影响因素研究  

Study on Influencing Factors on Smoking Attempt Behavior among College Students in Jiangsu Province

作　　者：雍政 李施睿 吕慧 李青函 严娜 王威 YONG Zheng;LI Shirui;LV Hui;LI Qinghan;YAN Na;WANG Wei(School of Public Health,Xuzhou Medical University,Xuzhou,Jiangsu,221004,China)

机构地区：[1]徐州医科大学公共卫生学院,江苏徐州221004

出　　处：《中国社会医学杂志》2023年第5期595-599,共5页Chinese Journal of Social Medicine

基　　金：国家自然科学基金项目(82003484);江苏省高校自然科学研究项目(20 KJB330005);江苏省高校哲学社会科学研究项目(2020SJA1053);江苏省博士后科研项目(2020Z177)。

摘　　要：目的了解江苏省大学生尝试吸烟行为的影响因素,为大学生烟草控制工作提供参考依据。方法采用多阶段随机抽样的方法,通过匿名问卷调查1041名大学生的吸烟情况。其中155名(14.89%)大学生报告入学前从未吸烟而入学后尝试过吸烟,再以年级为匹配变量,运用倾向性评分匹配法,以1∶2匹配了310名从未吸烟的大学生,运用条件Logistic回归分析尝试吸烟行为的影响因素。结果江苏省大学生尝试吸烟率为44.3%,大学前从不吸烟者的大学阶段尝试吸烟行为发生率为21.1%。条件Logistic回归分析结果显示,性别为男(OR=3.655,95%CI:2.188~6.105)、跨省上学(OR=2.020,95%CI:1.135~3.597)、月生活费≥2000元(OR=2.030,95%CI:1.108~3.719)、能从校园超市获取烟草(OR=8.193,95%CI:3.895~17.236)、高校所在地人均GDP(OR=2.674,95%CI:1.483~4.823)是尝试吸烟行为的危险因素,而家乡人均GDP(OR=0.402,95%CI:0.222~0.730)是尝试吸烟行为的保护因素。结论大学生烟草控制工作需要重点关注男性、外地学生,要加强对校园及校园周边售烟点的合理监管,同时需要引领大学生建立起正确的价值观,避免将吸烟当作一种享乐方式。Objective This study aimed to investigate influencing factors of smoking attempt behavior among college students in Jiangsu province,to provide reference for tobacco control of college students.Methods A total of 1041 college students was recruited by multi-stage random sampling method to complete an anonymous survey to measure their smoking status.Among them,155(14.89%)college students reported that they had never smoked before enrollment but had tried smoking after enrollment.Taking grade as the matching variable,310 college students who had never smoked were matched by applying to propensity score matching,in a ratio of 1∶2.Conditional Logistic regression was used to analyze the influencing factors of smoking attempt behavior.Results The rate of smoking attempt among college students in Jiangsu province was 44.3%,and the incidence of smoking attempt behavior at the university stage among people who had never smoked before enrollment was 21.1%.Conditional Logistic regression analysis showed that male(OR=3.655,95%CI:2.188-6.105),going to school in another province(OR=2.020,95%CI:1.135-3.597),monthly living expenses≥2000 yuan(OR=2.030,95%CI:1.108-3.719),having access to tobacco from campus supermarket(OR=8.193,95%CI:3.895-17.236),per capita GDP of the region where the university is located(OR=2.674,95%CI:1.483-4.823)were risk factors for smoking attempt behavior,while per capita GDP of hometown(OR=0.402,95%CI:0.222-0.730)was a protective factor for smoking attempt beha-vior.Conclusion College students'tobacco control needs to focus on male and non-local students,strengthen reasonable supervision of cigarette selling points on campus and around campus,and guide college students to establish correct values and avoid taking smoking as a way to have fun.

关 键 词：吸烟 大学生 影响因素 条件LOGISTIC回归 

分 类 号：R-055[医药卫生] F768.29[经济管理—产业经济]