2021年定州市青少年烟草使用现况及影响因素分析  

Analysis on the current situation and influencing factors of tobacco use among teenagers in Dingzhou in 2021

作　　者：韩娟 郭明 张敏 周鸣 李霞 HAN Juan;GUO Ming;ZHANG Min;ZHOU Ming;LI Xia(Dingzhou Center for Disease Control and Prevention,Dingzhou,Hebei 073000,China)

机构地区：[1]定州市疾病预防控制中心,河北定州073000

出　　处：《医学动物防制》2024年第1期45-50,共6页Journal of Medical Pest Control

基　　金：2022年度河北省医学科学研究课题(20220789);2021年河北省青少年烟草流行监测项目(冀卫办健指函[2021]5号)。

摘　　要：目的 了解定州市青少年烟草使用现状,为制定有针对性的控烟措施提供数据支持。方法 采用多阶段分层整群概率抽样方法,2021年在定州市抽取4 622名中学生进行烟草流行问卷调查,使用SPSS 22.0软件进行分析,采用χ2检验和二项logistic回归分析对结果进行比较。结果 2021年定州市青少年学生尝试吸烟率为14.47%,男生明显高于女生,差异有统计学意义(χ^(2)=324.551,P<0.001);现在吸烟率为6.49%,男生明显高于女生,差异有统计学意义(χ^(2)=202.569,P<0.001)。多因素logistic回归分析结果显示,男生、每周生活费≥30元、在媒体看到过有人吸烟、朋友吸烟、看到教师吸烟、认为吸烟更有吸引力、社交场合感觉吸烟更舒服是青少年吸烟的危险因素。结论 定州市青少年烟草使用以男生为主,职高学生的烟草使用率高于普通中学生,青少年二手烟暴露率高,青少年吸烟行为与同伴吸烟、看到教师吸烟和媒体吸烟镜头有关。应加大学校烟草危害健康教育,重点加强对职高男生等重点人群的控烟干预,发挥同伴教育的监督影响作用,创建无烟学校。Objective To understand the current situation of tobacco use among adolescents in Dingzhou,so as to provide data support for formulating targeted tobacco control measures.Methods A questionnaire survey on tobacco prevalence was conducted among 4622 middle school students in Dingzhou City multistage stratified cluster probability sampling.The SPSS 22.0 software was used for analysis,and the results were compared with X’test and binomial logistic regression analysis.Results In 2021,the smoking attempt rate of adolescent students in Dingzhou was 14.47%,and the male students were significantly higher than the female students,the difference was statistically significant(x2=324.551,P<0.001).The current smoking rate was 6.49%,the male students were significantly higher than the female students,the difference was statistically significant(x^(2)=202.569,P<0.001).The results of multifactorial logistic regression analysis showed that male students,with living expenses≥30 yuan per week,seeing someone smoking in the media,friends smoking,seeing teachers smoking,thinking that smoking was more attractive,and feeling more comfortable smoking in social occasions were the risk factors for adolescent smoking.Conclusion The tobacco use of adolescents in Dingzhou is mainly male students.The tobacco use rate of vocational high school students is higher than that of ordinary middle school students.The exposure rate of second-hand smoke is high in teenagers.Teenagers'smoking behavior is related to peer smoking,seeing teachers smoking and media smoking scenes.It is necessary to increase health education on tobacco harm in schools,focus on strengthening tobacco control intervention for vocational high school male students and other key populations,and give full play to the supervision and influence of peer education to create smoke-free schools.

关 键 词：青少年 烟草使用 认知 戒烟 二手烟暴露 影响因素 

分 类 号：R163[医药卫生—公共卫生与预防医学]