常州市青少年电子烟使用倾向及影响因素分析  

The tendency to use electronic cigarettes and influencing factors among adolescents in Changzhou City

作　　者：唐红艳[1] 赵晓军[1] 顾昕[1] 王珮[1] 岳文彬[1] 陆洋[2] TANG Hong-yan;ZHAO Xiao-jun;GU Xin;WANG Pei;YUE Wen-bin;LU Yang(Changzhou Municipal Center for Disease Control and Prevention,Changzhou Jiangsu 213022,China;不详)

机构地区：[1]常州市疾病预防控制中心,江苏常州213022 [2]江苏省疾病预防控制中心

出　　处：《江苏预防医学》2024年第1期37-40,共4页Jiangsu Journal of Preventive Medicine

摘　　要：目的分析常州市青少年环境烟草暴露、电子烟使用倾向及其可能的影响因素,为开展青少年电子烟早期干预提供依据。方法采用分层多阶段整群概率抽样法,2019年、2021年分别抽取常州市主城区初中、普高、职高的学生进行问卷调查。结果2019年、2021年电子烟使用倾向比例分别为11.7%、11.6%,二手烟暴露比例分别为72.8%、67.2%,电子烟广告暴露比例分别为25.7%、34.0%。调整年份、性别、年龄等因素后,多因素logistic分析显示,尝试过电子烟(OR=23.285,95%CI:12.658~42.833)、朋友吸烟(OR=2.516,95%CI:1.706~3.710)、二手烟暴露(OR=1.885,95%CI:1.215~2.924)、认为吸烟更有吸引力(OR=2.101,95%CI:1.040~4.247)、对社交场合吸烟无感(OR=2.309,95%CI:1.381~3.843)的青少年电子烟使用倾向较高;认为吸烟会减少吸引力的青少年使用电子烟的风险较低(OR=0.448,95%CI:0.301~0.668)。结论青少年电子烟使用倾向比例较高,需强化电子烟广告监管,通过同伴教育、广泛的社会宣传等方式纠正其吸烟行为。Objective To investigate the prevalence of environmental tobacco exposure and changes in the tendency to use electronic cigarettes among adolescents in Changzhou City and to identify the possible influencing factors,so as to provide insights into early interventions for electronic cigarettes among adolescents.Methods Junior,senior and vocational high school students were sampled from main urban areas of Changzhou City in 2019 and 2021 using a multistage stratified cluster probability sampling method for questionnaire surveys.Results The proportions of tendency to use electronic cigarettes were 11.7%and 11.6%in 2019 and 2021,and the proportions of secondhand smoke exposure were 72.8%and 67.2%,while the proportions of exposure to electronic cigarettes adver-tisements were 25.7%and 34.0%,respectively.Multivariate logistic regression analysis revealed that adjustment for year,gender and age,attempts to use electronic cigarettes[odds ratio(OR)=23.285,95%confidential interval(CI):(12.658,42.833)],friends′smoking[OR=2.516,95%CI:(1.706,3.710)],exposure to secondhand smoke[OR=1.885,95%CI:(1.215,2.924)],thinking that smoking is more attractive[OR=2.101,95%CI:(1.040,4.247)]and discomfort with smoking at social occasions[OR=2.309,95%CI:(1.381,3.843)]resulted in a higher proportion of tendency to use electronic cigarettes among adolescents,and thinking that smoking may be less attractive resulted in a lower risk of tendency to use electronic cigarettes among adolescents[OR=0.448,95%CI:(0.301,0.668)].Conclusions There is a high proportion of tendency to use electronic cigarettes among adolescents in Changzhou City.Intensified supervision of electronic cigarettes advertisements is needed,and smoking behaviors are required to be corrected through peer education and extensive social propaganda.

关 键 词：电子烟 青少年 认知 态度 行为 

分 类 号：R193[医药卫生—卫生事业管理]