天津市6~18岁学生添加糖知识知晓及摄入情况影响因素分析  

Status of awareness and intake of additive sugar among students aged 6-18 years and their influencing factors in Tianjin City

作　　者：潘怡[1] 解美秋 薛晓丹[1] 李丹丹 沈文达[1] 张颖[1] 李威[1] PAN Yi;XIE Mei-qiu;XUE Xiao-dan;LI Dan-dan;SHEN Wen-da;ZHANG Ying;LI Wei(Department of Non-communicable Disease Control and Prevention,Tianjin Centers for Disease Control and Prevention,Tianjin 300011.China)

机构地区：[1]天津市疾病预防控制中心非传染性疾病预防控制所,天津300011

出　　处：《中国健康教育》2024年第11期983-987,1002,共6页Chinese Journal of Health Education

基　　金：天津市医学重点学科(专科)建设项目:流行病学-非传染病预防与控制(TJYXZDXK-051A);天津卫生健康科技项目(TJWJ2023XK028)。

摘　　要：目的了解天津市中小学生添加糖知识知晓和摄入情况并探讨其影响因素。方法2021年11—12月,借助微信公众平台,采用在线自填式问卷评估全市中小学生(6~18岁)添加糖知识知晓及摄入情况,共收集有效问卷136715份。结果添加糖知识正确率>70%的学生有25342名(18.5%),城区(24.0%)高于涉农区(14.5%),女生(18.9%)高于男生(18.2%),小学生(19.5%)高于中学生(16.0%)。Logistic回归分析显示,天津市中小学生含糖饮料摄入≥3次/周的危险因素是男性(OR=1.19),这一行为的保护因素包括:地区(城区)、学段(小学)、父母文化程度(大专及以上)、添加糖知识正确率>70%和家长限制添加糖摄入(OR分别为0.87、0.51、0.91、0.88、0.15);含糖食品摄入≥3次/周的危险因素包括:地区(城区)、学段(小学)、父母文化程度(大专及以上)和添加糖知识正确率>70%(OR分别为1.15、1.06、1.50、1.19),保护因素为男性和家长限制添加糖摄入(OR分别为0.69、0.26)。结论天津市中小学生添加糖知识知晓水平较低,含糖食品和饮料摄入受性别、地区、学段、父母文化程度、添加糖知识正确率、家长是否限制添加糖摄入等因素影响。应在学校和家庭层面广泛开展减糖专项行动,营造减糖支持氛围,有效减少该市中小学生添加糖摄入。Objective To understand the awareness and intake of additive sugar,as well as explore their influencing factors among primary and middle school students in Tianjin.Methods From November to December of 2021,the awareness and intake of additive sugar among schoolchildren aged 6-18 years were evaluated by online questionnaire survey using WeChat public platform,136715 valid questionnaires were collected.Results There were 25342 students(18.5%)whose correct answer rate of additive sugar was higher than 70%,the correct rate in urban areas(24.0%)higher than that in suburban areas(14.5%),girls(18.9%)higher than boys(18.2%),primary school students(19.5%)higher than that middle school students(16.0%).Analysis results of Logistic regression showed that the behavioral risk factors of students who drank sugar-sweetened beverage≥3 times per week was boy(OR=1.19).The protective factors were as follows:urban area(OR=0.87),primary school stage(OR=0.51),high parents educational level(OR=0.91),awareness rate of added sugar>70%(OR=0.88)and restriction of added sugar by parents(OR=0.15).The behavioral risk factors of students who ate sugar-sweetened snacks≥3 times per week were as follows:urban area(OR=1.15),primary school stage(OR=1.06),high parents educational level(OR=1.50)and awareness rate of added sugar>70%(OR=1.19).The protective factors were:boy(OR=0.69)and restriction of added sugar by parents(OR=0.26).Conclusion The correct answer rate of additive sugar was relatively low in Tianjin City.The intake of sugar-sweetened beverage and snacks has been influenced by gender,areas,grade,parents'educational level,knowledge about additive sugar and family factors.Sugar reduction intervention should be carried out at both school and family level,in order to create supportive atmosphere and reduce the intake of additive sugar among primary and middle school students in Tianjin.

关 键 词：添加糖 含糖饮料 回归分析 学生 

分 类 号：R193[医药卫生—卫生事业管理]