北京市18~65岁居民电子烟使用情况及其与卷烟使用和戒烟关系研究  

Current situation of e-cigarettes and its relationship with smoking and smoking cessation among residents aged 18-65 in Beijing

作　　者：姜博 马爱娟[1] 谢瑾[1] 谢晨[1] 韩雪玉 聂黎[1] 隗瑛琦 方凯[1] 董晶[1] 赵越[1] 董忠[1] Jiang Bo;Ma Aijuan;Xie Jin;Xie Chen;Han Xueyu;Nie Li;Wei Yingqi;Fang Kai;Dong Jing;Zhao Yue;Dong Zhong(Institute of Chronic Non-communicable Disease Control and Prevention,Beijing Center for Disease Prevention and Control,Beijing 100020,China)

机构地区：[1]北京市疾病预防控制中心慢性病预防与控制所,北京100020

出　　处：《中华流行病学杂志》2025年第4期638-645,共8页Chinese Journal of Epidemiology

基　　金：北京市卫生健康和科技成果适宜技术推广项目(BHTPP2024043)。

摘　　要：目的了解北京市18~65岁居民电子烟使用情况,探索电子烟使用与卷烟使用、戒烟行为的关系,为电子烟相关政策措施的制定与完善提供科学支持。方法以2022年北京市成人慢性病及其危险因素监测的居民19684人为研究对象,应用复杂抽样加权方法估计比例,应用复杂抽样logistic回归分析电子烟使用情况与卷烟使用和戒烟之间的关系。结果总人群电子烟曾经使用者比例为3.36%,其中现在吸电子烟比例为1.26%,男性现在吸电子烟(1.87%)和已戒电子烟(3.47%)比例高于女性(0.60%和0.64%)(χ^(2)=64.70,P<0.001);电子烟使用原因前3位分别为想戒卷烟、认为电子烟危害小、喜欢电子烟口味;83.54%的电子烟使用者先使用卷烟。复杂抽样logistic回归结果显示,现在吸卷烟(OR=61.35,95%CI:36.98~101.76)、已戒卷烟(OR=31.20,95%CI:15.52~62.71)与电子烟吸烟行为呈正相关,现在吸电子烟(OR=0.13,95%CI:0.04~0.39)与戒卷烟呈负相关。结论北京市电子烟使用比例较低,电子烟使用与卷烟使用相关且不利于戒烟,应加强电子烟的管控措施力度和危害健康教育宣传。Objective To understand the usage situation of e-cigarettes among residents aged 18-65 in Beijing,explore the relationship between e-cigarette use and cigarette smoking as well as smoking cessation behaviors,and provide scientific support for the developing and improving policies and measures related to e-cigarettes.Methods Using 19684 residents data from the Beijing Non-communication Chronic Disease and Risk Factors Surveillance in 2022,complex sampling weighted methods were used to estimate proportions,and complex sampling logistic regression analysis was applied to explore the relationship between e-cigarette use,cigarette smoking,and smoking cessation.Results Among all study participants,the proportion of those who had ever used e-cigarettes was 3.36%,with the current e-cigarette use at 1.26%.The proportion of current e-cigarette users(1.87%)and the former e-cigarette users(3.47%)were higher(χ^(2)=64.70,P<0.001)among males compared to females(0.60% and 0.64% respectively).The top three reasons for using e-cigarettes were wanting to quit smoking,perceiving e-cigarettes as less harmful,and enjoying the flavors of e-cigarettes.83.54% of e-cigarette users started with cigarettes.The results of the complex sampling multivariable logistic regression analysis showed that current smoking(OR=61.35,95%CI:36.98-101.76)and former smoking(OR=31.20,95%CI:15.52-62.71)were positively associated with e-cigarette,while current e-cigarette use(OR=0.13,95%CI:0.04-0.39)was negatively associated with quitting cigarette smoking.Conclusions The proportion of e-cigarette use in Beijing was relatively low.E-cigarette use was associated with cigarette use and was not conducive to smoking cessation.Therefore,stronger regulatory measures and health education campaigns regarding the risks of e-cigarettes should be implemented.

关 键 词：电子烟 吸烟 影响因素 

分 类 号：R163[医药卫生—公共卫生与预防医学]