二手烟暴露与儿童青少年超重肥胖的关联研究  

The association between secondhand smoke exposure and overweight/obesity among children and adolescents

作　　者：韦佳 罗家有[1] 陈艳华[2] 王非[2] 谭雅卿 罗米扬 李孝君 Wei Jia;Luo Jiayou;Chen Yanhua;Wang Fei;Tan Yaqing;Luo Miyang;Li Xiaojun(Xiangya School of Public Health,Central South University,Changsha 410078,China;Department of School health,Hunan Provincial Center for Disease Control and Prevention,Changsha 410005,China)

机构地区：[1]中南大学湘雅公共卫生学院,长沙410078 [2]湖南省疾病预防控制中心学校卫生科,长沙410005

出　　处：《中华预防医学杂志》2025年第1期69-75,共7页Chinese Journal of Preventive Medicine

基　　金：全国学生常见病和健康影响因素监测与干预。

摘　　要：本研究分析不同场所二手烟暴露与儿童青少年超重肥胖之间的关联。通过多阶段分层整群抽样方法,对湖南省7~18岁儿童青少年进行问卷调查和体格检查。基于“在过去7 d里,是否有人当着你的面吸烟?”的多选题评估不同场所二手烟的暴露情况。通过将BMI与《WS/T586-2018学龄儿童青少年超重与肥胖筛查》性别和年龄别BMI比较对儿童青少年超重肥胖进行判定。进一步采用多因素logistic回归模型探讨不同场所二手烟暴露与儿童青少年超重肥胖的关联。本研究共纳入187863名研究对象,儿童青少年超重肥胖检出率为28.4%。家庭、学校和其他公共场所二手烟暴露率分别为25.5%、12.6%和32.3%。家庭、学校和其他公共场所二手烟暴露的儿童青少年超重肥胖检出率均高于未暴露者。调整混杂因素后,不同场所二手烟暴露与儿童青少年超重肥胖均存在显著关联,且家庭二手烟暴露与儿童青少年肥胖关系密切(OR=1.091;95%CI:1.066~1.117)。综上,二手烟暴露与儿童青少年超重肥胖相关,尤其是家庭二手烟暴露会显著增加儿童青少年超重肥胖的风险。未来应采取综合策略,减少或避免二手烟暴露,以预防和控制儿童青少年超重肥胖。This study aimed to investigate the association between secondhand smoke exposure in different places and overweight/obesity among children and adolescents.Children and adolescents aged 7 to 18 years old in Hunan Province were recruited for questionnaire surveys and physical examinations using a multi-stage stratified cluster sampling method.Secondhand smoke exposure was evaluated according to the answer to the question,"Has someone smoked in front of you in the last 7 days?".Overweight and obesity were determined using BMI-for-age and BMI-for-sex according to the national standard WS/T586-2018.Multivariate logistic regression was used to explore the association between secondhand smoke exposure in different places and overweight/obesity among children and adolescents.A total of 187863 participants were included in this study,with a prevalence of overweight and obesity of 28.4%.The prevalence of secondhand smoke exposure at home,school and other public places was 25.5%,12.6%and 32.3%,respectively.Children and adolescents with secondhand smoke exposure at home,school and other public places had a higher prevalence of overweight and obesity than those without exposure.After adjusting for confounding factors,secondhand smoke exposure was positively associated with overweight and obesity among children and adolescents,and exposure at home showed the closest association(OR=1.091;95%CI:1.066-1.117).In conclusion,secondhand smoke exposure,especially at home,significantly increases the risk of overweight and obesity among children and adolescents.Comprehensive strategies should be implemented to avoid secondhand smoke exposure and protect children and adolescents from overweight and obesity.

关 键 词：超重 肥胖 二手烟 儿童青少年 横断面研究 

分 类 号：R723.14[医药卫生—儿科]