福建省40岁及以上男性每日吸烟者重度烟草依赖情况及其影响因素分析  

Severe tobacco dependence status and influencing factors among male daily smokers≥40 years old in Fujian Province

作　　者：尹艳榕 陈婧瑜[1] 章叶发[1] 陈铁晖[1] 林修全[1] 杨泽 钟文玲 YIN Yanrong;CHEN Jingyu;ZHANG Yefa;CHEN Tiehui;LIN Xiuquan;YANG Ze;ZHONG Wenling(Department of Endemic and Non-communicable Diseases Prevention,Fujian Provincial Center for Disease and Prevention,Fuzhou,Fujian Province 350001,China)

机构地区：[1]福建省疾病预防控制中心地方病及慢性非传染性疾病防治所,福建省福州350001

出　　处：《中国慢性病预防与控制》2024年第6期445-449,共5页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：福建省卫生健康科技计划项目资助(2020QNB016);福建省科技厅引导性项目(2020Y0060)。

摘　　要：目的了解福建省40岁及以上男性每日吸烟者的烟草依赖水平及影响因素,为行政部门制定控烟策略提供科学依据。方法数据来源于2019-2020年福建省居民慢性阻塞性肺疾病监测,采用多阶段分层整群随机抽样方法抽取9个监测点≥40岁常住居民5486人,采用问卷调查了解吸烟和烟草依赖状况。将其中现在每日吸烟的男性1429名纳入分析。采用SAS 9.3软件进行统计分析,用基于复杂抽样设计的Rao-Scott χ^(2)检验进行组间差异比较,用基于复杂抽样设计的logistic回归检验等级变量的变化趋势,并运用多因素survey logistic回归分析重度烟草依赖的影响因素。结果男性每日吸烟者的重度烟草依赖率为36.74%(95%CI:31.10%~42.38%)。多因素logistic回归分析结果显示,低年龄(与80~岁组相比,40~<60和60~<80岁组的OR值分别为2.58、3.11)、吸烟年数≥10年(OR=2.12)、有慢性呼吸道症状(OR=1.67)与40岁及以上男性每日吸烟人群重度烟草依赖高风险相关,均有统计学意义(P<0.01);18岁以后开始吸烟者(OR=0.56)、职业为行政干部、办事或专业技术人员(与农林牧渔水利人员相比,OR=0.40)、高中及以上文化程度(与小学及以下文化程度组相比,OR=0.53)与40岁及以上男性每日吸烟人群重度烟草依赖低风险相关,均有统计学意义(P<0.01)。结论福建省≥40岁男性每日吸烟人群烟草依赖水平较高,应针对低文化程度、青少年、农林牧渔水利人员和存在慢性呼吸系统症状者开展烟草暴露防控。Objective To understand the level of tobacco dependence and influencing factors in male daily smokers≥40 years old of Fujian Province,and provide the scientific basis for administrative departments to formulate tobacco control strategies.Methods The data were from"chronic obstructive pulmonary disease(COPD)surveillance in Fujian from 2019 to 2020".The multi-stage stratified cluster random sampling method was used to select 5486 residents≥40 years old as the subjects,the investigation was performed with questionnaire(smoking and tobacco dependence)in 9 counties and districts.A total of 1429 daily smokers in males were included in the analysis.Rao-Scott χ^(2) test and logistic regression based on complex sampling were used to compare the differences between groups and analyze the change trend of grade variables,the multivariate survey logistic regression analysis was used to analyze the influencing factors for heavy tobacco dependence.The used software was SAS 9.3.Results The heavy tobacco dependence rate of daily smokers in males was 36.74%(95%CI:31.10%-42.38%).The results of multiple logistic regression analysis showed that low age group(as compared with≥80 years old group,40-<60 years old group OR value was 2.58 and 60-<80 years old group OR value was 3.11),smoking duration≥10 years(OR=2.12),chronic respiratory symptoms(OR=1.67)were related to the higher risk of heavy tobacco dependence(P<0.01);the smoking onset age≥18 years old(OR=0.56),office workers and technical personnels(OR=0.40)and≥high school education level(OR=0.53)were related to the lower risk of heavy tobacco dependence in≥40 years old male smokers(P<0.01).Conclusion The tobacco dependence level in male daily smokers≥40 years old in Fujian Province is relatively high.It should conduct the prevention and control of tobacco exposure targeted at residents with low education level,adolescents,occupation for agriculture and chronic respiratory symptoms.

关 键 词：烟草依赖 每日吸烟 影响因素 

分 类 号：R563[医药卫生—呼吸系统]