上海交通大学学报（医学版）

›› 2012, Vol. 32 ›› Issue (7): 836-.doi: 10.3969/j.issn.1674-8115.2012.07.004

• 专题报道（上海市青少年烟草使用调查研究） • 上一篇    下一篇

上海市中学生被动吸烟现状及与环境因素的关系

朱静芬, 李 娜, 何亚平, 蔡 泳, 马 进   

  1. 上海交通大学 公共卫生学院, 上海 200025
  • 出版日期:2012-07-28 发布日期:2012-08-17
  • 通讯作者: 马 进, 电子信箱: majin@shsmu.edu.cn。
  • 作者简介:朱静芬（1976—）, 女, 讲师, 硕士；电子信箱: zhujingfenjt@163.com。
  • 基金资助:

    美国Emory大学卓越控烟项目；上海市卫生局项目(20114093)

Status of passive smoking and its relationship with enviromental factors among middle school students in Shanghai

ZHU Jing-fen, LI Na, HE Ya-ping, CAI Yong, MA Jin   

  1. School of Public Health, Shanghai Jiaotong University, Shanghai 200025, China
  • Online:2012-07-28 Published:2012-08-17
  • Supported by:

    Emory University Foundation；Shanghai Municipal Health Bureau Foundation, 20114093

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摘要：

目的 了解上海市中学生被动吸烟现状，分析环境因素与被动吸烟的关系。方法 采用分层整群随机抽样法抽取上海市29所高中、初中和职业学校(职校)，使用自制问卷对13 723名学生进行现场问卷调查，调查内容包括吸烟和戒烟情况、知识和态度、二手烟暴露情况、媒体烟草暴露信息及学校控烟教育情况等，对调查结果进行统计学分析。结果 共回收有效问卷13 208份。受调查学生的尝试吸烟率和现在吸烟率分别为11.1%和2.5%，男生均显著高于女生（14.7%和7.4%, P<0.001；3.7%和1.3%, P<0.001）；被动吸烟率为67.0%，女生显著高于男生（68.6%和65.4%, P<0.001），职校生和初中生显著高于高中生（75.6%和63.2%, P<0.001；67.0%和63.2%，P<0.001）；34.5%的被动吸烟者每天都受到被动吸烟的危害。多因素Logistic回归分析结果显示：女性、初中或职校学生、父母和同伴吸烟、学校缺少控烟教育课程、反吸烟信息接触少及经常看到媒体上演员吸烟的学生更倾向于遭受被动吸烟的危害。结论 上海市中学生被动吸烟现状严峻，社会、学校、家庭需共同努力，采取有效措施减少被动吸烟对中学生的危害。

关键词: 中学生, 被动吸烟, 环境因素

Abstract:

Objective To investigate the status of passive smoking in middle school students in Shanghai, and explore its relationship with environmental factors. Methods Stratified cluster random sampling method was adopted, and 13 723 students were selected from 29 senior high schools, junior middle schools and vocational schools in Shanghai. On-the-spot questionnaire survey was conducted with selfdesigned questionnaire, which included conditions of smoking and smoking-quitting, knowledge and attitude, passive smoking exposure, media propaganda on smoking and school education on tobacco control, and the survey findings were statistically analysed. Results A total of 13 208 questionnaires were recovered. The prevalences of attempted smoking and current smoking in investigated students were 11.1% and 2.5% respectively, and the prevalences of males were significantly higher than those of females (14.7% vs 7.4%, P<0.001；3.7% vs 1.3%, P<0.001). The prevalence of passive smoking in all the investigated students was 67.0%, the prevalence of females was significantly higher than that of males （68.6% vs 65.4%, P<0.001), and the prevalences of vocational school students and junior middle school students were significantly higher than that of senior high school students (75.6% vs 63.2%, P<0.001; 67.0% vs 63.2%, P<0.001). Among the passive smokers, 34.5% suffered from passive smoking every day. Multivariate Logistic regression analysis demonstrated that females, junior middle school students and vocational school students, students whose parents and friends smoked, students who had less tobacco control education in schools and less contact of anti-smoking media messages, and those who frequently saw actor smoking on media were more likely to suffer from passive smoking. Conclusion The condition of passive smoking is severe in middle school students of Shanghai, and effective measures should be taken to reduce the harm of passive smoking to students with the cooperation of society, school and family.

Key words: middle school student, passive smoking, environmental factor