上海交通大学学报（医学版）

›› 2012, Vol. 32 ›› Issue (7): 832-.doi: 10.3969/j.issn.1674-8115.2012.07.003

• 专题报道（上海市青少年烟草使用调查研究） • 上一篇    下一篇

上海市初中生尝试吸烟的环境感知系统研究

蔡 泳1, 李 娜1, 朱静芬1, 何亚平1, 陆 琳1, 乔 韵1,2, 马 进1   

  1. 1.上海交通大学 公共卫生学院, 上海 200025； 2.浦东卫生发展研究院, 上海 201208
  • 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:蔡 泳（1976—）, 男, 讲师, 博士；电子信箱: caiyong202028@163.com。
  • 基金资助:

    上海市教委文科创新重点项目（12ZS106）；教育部人文社科青年基金（12YJC840001）；上海交通大学晨星优秀青年教师奖励项目；比尔和梅琳达盖茨基金（1362-SJTU-S2）

Perceived environment system of tobacco experimentation among junior middle school students in Shanghai

CAI Yong1, LI Na1, ZHU Jing-fen1, HE Ya-ping1, LU Lin1, QIAO Yun2, MA Jin1   

  1. 1.School of Public Health, Shanghai Jiaotong University, Shanghai 200025, China；2.Pudong Institute for Health Development, Shanghai 201208, China
  • Online:2012-07-28 Published:2012-08-17
  • Supported by:

    Shanghai Education Committee Foundation, 12ZS106；Foundation of the Ministry of Education of China, 12YJC840001；Shanghai Jiaotong University Foundation；Bill and Melinda Gates Foundation, 1362-SJTU-S2

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摘要：

目的 对上海市初中生尝试吸烟的环境感知系统进行分析，为初中生控烟工作提供依据。方法 通过横断面研究，采用分层整群抽样的方式，对上海市23所初中的12 413名初中生的尝试吸烟情况及环境感知系统进行调查；并对感知系统中的因素进行Logistic回归分析，分析其对尝试吸烟的影响。结果 初中生尝试吸烟率为6.8%，男生的尝试吸烟率为9.3%，明显高于女生的4.6%（P<0.001）。多因素Logistic回归分析结果显示：环境感知系统中的7项因素对初中生尝试吸烟行为均有影响，主要因素包括同伴吸烟压力（OR=4.12，95%CI：3.50～4.84)、家庭烟草暴露多（OR=1.46，95%CI:1.38～1.96）、媒体烟草暴露多 (OR=1.40，95%CI:1.19～1.65) 以及吸烟认同度高 (OR=1.37，95%CI:1.17～1.60)。结论 环境感知系统中各项因素均与初中生尝试吸烟行为的发生密切相关，应作为初中生控烟工作的重点。

关键词: 环境感知系统, 影响因素, 尝试吸烟, 初中生

Abstract:

Objective To analyse the perceived environment system of tobacco experimentation among junior middle school students in Shanghai. Methods Cross-sectional study was conducted among 12 413 students from 23 junior middle schools in Shanghai by stratified cluster sampling. The conditions of tobacco experimentation and perceived environment system of these students were surveyed. The potential factors in perceived environment system were assessed using Logistic regression analysis, and their impact on tobacco experimentation was analysed. Results The rate of tobacco experimentation in junior middle school students was 6.8%. The rate of tobacco experimentation of boy students was 9.3%, which was significantly higher than that of girl students (4.6%)(P<0.001). Multivariate regression analysis indicated that 7 factors in perceived environment system had impact on tobacco experimentation in junior middle school students, which included high smoking press from peers (OR=4.12, 95%CI: 3.50-4.84), more exposure to cigarette smoke in family (OR=1.46, 95%CI: 1.38-1.96), more exposure to smoking from media (OR=1.40, 95%CI:1.19-1.65) and high tobacco use acceptance (OR=1.37, 95%CI:1.17-1.60). Conclusion Factors in perceived environment system are closely related to tobacco experimentation in junior middle school students, which should be attached great importance in tobacco control among junior middle school students.

Key words: perceived environment system, risk factor, tobacco experimentation, junior middle school students