2019年与2021年上海市崇明区青少年吸烟情况对比分析  

Comparative analysis on adolescent prevalence among tobacco in Chongming District of Shanghai in 2019 and 2021

作　　者：施天云 叶红 李岩 李春圆 SHI Tianyun;YE Hong;LI Yan;LI Chunyuan(Chongming District Center for Disease Control and Prevention,Shanghai 202150,China.)

机构地区：[1]上海市崇明区疾病预防控制中心,上海202150

出　　处：《预防医学情报杂志》2024年第7期813-817,共5页Journal of Preventive Medicine Information

摘　　要：目的 了解上海市崇明区青少年近三年烟草流行情况和变化趋势,分析其吸烟行为的影响因素,为相关部门制定其控烟干预措施提供依据。方法 采用多阶段分层整群抽样的方法,分别于2019年抽取599名学生,2021年抽取682名学生作为调查对象开展调查。采用χ^(2)检验比较2年烟草流行特征变化,多因素Logistic回归分析其相关影响因素。结果 2021年的初中生尝试吸烟率为11%,高于2019年初中生尝试吸烟率(6.2%)(χ^(2)=4.589,P=0.032);2021年职高学生的尝试吸烟率14.2%,低于2019年职高学生的尝试吸烟率(26.0%)(χ^(2)=4.857,P=0.028),以上差异均具有统计学意义;2021年有38.2%的女生肯定的认为戒烟困难,有44.8%的初中生、35.2%的高中生肯定的认为戒烟困难,以上数据与2019年相比差异具有统计学意义(P<0.05)。2021年有79.3%的女生肯定地认为其他人吸烟产生的烟雾对自己有害,高于2019年(72.1%),差异具有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,好朋友吸烟(2019年OR=16.612,95%CI:3.473~79.461、2021年OR=24.722,95%CI:5.145~118.805)是吸烟行为的危险因素。结论 崇明区青少年吸烟率流行水平较低,但是对于初中生的烟草教育需要引起重视,加强同伴教育,在校园内继续加强吸烟危害宣传与戒烟干预。Objective To understand the tobacco epidemic situation and change trend of teenagers in Chongming district of Shanghai in the past three years,and to analyze the influencing factors of their smoking behavior,so that to provide a basis for relevant departments to formulate their tobacco control intervention measures.Methods By using the multi-stage stratified cluster sampling method,599 students and 682 students were selected as respondents in 2019 and 2021.The χ^(2)test was used to compare the change of tobacco epidemic characteristics in 2 years,and the multivariate logistic regression were used to analyze the related influencing factors.Results Smoking rate in junior high school students in 2021 was 11%,higher than that in 2019(6.2%)(χ^(2)=4.589,P=0.032);In 2021 it was 14.2% among vocational high school students,lower than that in 2019(26.0%)(χ^(2)=4.857,P=0.028).The differences were statistically significant;In 2021,38.2% of girls will definitely think it was difficult to quit smoking,and 44.8% of middle school students and 35.2% of high school students will definitely think it was difficult to quit smoking,differences between the above data compared with 2019 was statistically significant(P<0.05).In 2021,79.3% of the girls positively believed that the smoke produced by others smoking was harmful to them,it was higher than that in 2019(72.1%),and the difference was statistically significant(P<0.05).The results of multivariate logistic regression analysis showed that smoking among good friends(in 2019OR=16.612,95% CI:3.473-79.461,in 2021 OR=24.722,95% CI:5.145-118.805) were risk factors for smoking behavior.Conclusions The smoking prevalence among adolescents in Chongming district is relatively low,but the tobacco education for junior high school students should be taken seriously,and peer education should be strengthened,and smoking harm publicity and smoking cessation intervention should be continued in schools.

关 键 词：青少年 吸烟 对比分析 影响因素 

分 类 号：R195[医药卫生—卫生统计学]