基于多水平模型的重庆市青少年吸烟行为相关因素分析  

Associated factors on smoking behavior among adolescents in Chongqing based on a multi-level model

作　　者：金嘉民 代佳男 易静[1] JIN Jiamin;DAI Jianan;YI Jing(Medical and Social Development Research Center,School of Public Health,Chongqing Medical University,Chongqing(400016),China;不详)

机构地区：[1]重庆医科大学公共卫生学院医学与社会发展研究中心,重庆400016 [2]重庆市健康教育所

出　　处：《中国学校卫生》2023年第12期1809-1813,共5页Chinese Journal of School Health

摘　　要：目的了解重庆市青少年吸烟行为现状及在个体和学校两个水平上的相关因素,为青少年烟草控制对策的制定提供科学依据。方法2021年9-10月在重庆市开展青少年烟草流行监测,采用多阶段分层整群概率抽样法,选取重庆市10个监测区县的9588名在校生完成中国青少年烟草流行调查问卷。采用多水平Logistic回归模型,对青少年吸烟行为现状及相关因素进行分析。结果重庆市青少年尝试吸烟率为17.1%,现在吸烟率为3.9%,青少年吸烟行为在学校水平上存在聚集性。多水平Logistic回归模型显示,普高、职高、男生、家中有人吸烟、在室内公共场所看到有人吸烟、看到有人在学校吸烟、好朋友中有人吸烟(有一些吸、大多数吸、全部吸)、社交场合吸烟感到更舒服、使用过电子烟与尝试吸烟均呈正相关(OR值分别为1.45,1.40,1.91,1.50,1.42,1.43,2.05,5.38,6.53,1.36,5.04,P值均<0.05);吸烟使人看起来减少吸引力和社交场合吸烟感到更不舒服与尝试吸烟均呈负相关(OR值分别为0.76,0.58,P值均<0.05)。职高、男生、家中有人吸烟、在室内公共场所看到有人吸烟、好朋友中有人吸烟(有一些吸、大多数吸、全部吸)、使用过电子烟与现在吸烟均呈正相关(OR值分别为1.62,1.67,1.69,1.83,5.84,23.02,35.84,6.28,P值均<0.05);社交场合吸烟感到更不舒服与现在吸烟呈负相关(OR=0.29,P<0.01)。结论重庆市青少年尝试吸烟和现在吸烟行为在学校水平上存在聚集性,影响因素涵盖学校类型、性别、家庭环境、社交因素等多个方面。应加强公共场所控烟条例的实施与拓宽实施范围,通过社会-学校-家庭的合作促进青少年的健康成长。Objective To investigate the current status of smoking behavior among adolescents in Chongqing and associated factors at both individual and school levels,so as to provide scientific evidence for the development of smoking control strategies for adolescents.Methods From September to October 2021,adolescents'tobacco epidemic monitoring was carried out in Chongqing.A total of 9588 students from 10 monitoring districts and counties in Chongqing were selected to complete the Chinese adolescent tobacco epidemic survey questionnaire by multi-stage stratified cluster probability sampling method.Multi-level Logistic regression model was used to analyze smoking behavior among adolescents and associated factors.Results The attempted smoking rate among young people was 17.1%,and the current smoking rate was 3.9%in Chongqing.There was a clustering of smoking behavior among participants the school level.Multi-level Logistic regression models showed that general high school,vocational high school,male students,smoking at home,seeing someone smoking in indoor public places,seeing someone smoking at school,smoking among good friends(some smoking,most smoking,all smoking),feeling more comfortable of smoking in social occasions,using electronic cigarette,which were positively correlated with smoking attempts(OR=1.45,1.40,1.91,1.50,1.42,1.43,2.05,5.38,6.53,1.36,5.04,P<0.05).Smoking making people look less attractive and feeling more uncomfortable of smoking in social occasions were negatively correlated with smoking attempts(OR=0.76,0.48,P<0.05).Vocational high school,male students,smoking at home,seeing someone smoking in indoor public places,smoking among good friends and using electronic cigarette,which were positively correlated with smoking now(OR=1.62,1.67,1.69,1.83,5.84,23.02,35.84,6.28,P<0.05).Feeling more uncomfortable of smoking in social occasions was negatively correlated with current smoking(OR=0.29,P<0.01).Conclusions There is a cluster of attempted smoking and current smoking behaviors at the school level among adole

关 键 词：吸烟 行为 回归分析 青少年 健康教育 

分 类 号：C913.5[经济管理] F768.29[社会学] B844.2[哲学宗教—发展与教育心理学]