上海交通大学学报（医学版）

›› 2012, Vol. 32 ›› Issue (7): 852-.doi: 10.3969/j.issn.1674-8115.2012.07.007

• 专题报道（上海市青少年烟草使用调查研究） • 上一篇    下一篇

上海市浦东新区中学生尝试吸烟现状及影响因素分析

乔 韵1,2, 陶婧婧1, 蔡 泳1, 朱静芬1, 李 娜1, 何亚平1, 李国红1, 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:乔 韵（1979—）, 女, 经济师, 硕士生；电子信箱: joannajun@163.com。
  • 基金资助:

    美国Emory大学卓越控烟项目（1362-SJTU-S2）；上海市教委文科创新重点项目（12ZS106）；教育部人文社会科学研究项目（12YJC840001）

Analysis of tobacco experimentation and influential factors among middle school students of Pudong New District in Shanghai

QIAO Yun1,2, TAO Jing-jing1, CAI Yong1, ZHU Jing-fen1, LI Na1, HE Ya-ping1, LI Guo-hong1, 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:

    Emory University Foundation, 1362-SJTU-S2；Shanghai Education Committee Foundation, 12ZS106；Foundation of the Ministry of Education, 12YJC840001

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摘要：

目的 调查上海市浦东新区中学生的尝试吸烟现状，分析中学生尝试吸烟的影响因素。方法 采用以WHO的“全球青少年烟草调查问卷”为基础修改优化的问卷调查表，以分层整群抽样的方式对浦东新区7所初中、4所高中和1所职校的6 042名中学生进行问卷调查，问卷内容包括学生的一般情况、吸烟情况、对烟草使用的认同度、父母亲的文化程度和吸烟情况、朋友的吸烟情况以及对烟草媒体暴露的认同度。采用单因素和多因素分析的方法分析中学生尝试吸烟的影响因素。结果 共回收有效问卷5 909份，有效率为97.7%。其中尝试吸烟者393人，尝试吸烟率6.7%。单因素分析结果显示：中学生的性别、年龄、每月零用钱数量、班级成绩排名、父母亲吸烟情况、父亲文化程度、母亲文化程度、对同龄人使用烟草的态度以及好朋友吸烟情况9个因素均对尝试吸烟率有显著影响（P<0.001或P<0.05）；有尝试吸烟行为的中学生的烟草媒体暴露和烟草使用认同度总得分均显著高于无尝试吸烟行为者，差异有统计学意义（P<0.001）。多因素分析结果显示：男性、＞16岁、父母亲吸烟、好朋友大部分吸烟、每月零用钱＞800元、支持同龄学生吸烟以及烟草使用认同度得分高的中学生的尝试吸烟危险度高（P<0.001或P<0.05）；父亲文化程度高和课堂吸烟危害教育经历多的中学生的尝试吸烟危险度低（P<0.001和P<0.05）。结论 中学生尝试吸烟的主要危险因素有好朋友吸烟、对烟草认同度高以及父母亲吸烟等；保护因素有父亲文化程度高和课堂吸烟危害教育经历。

关键词: 尝试吸烟, 中学生, 烟草使用认同度, 影响因素

Abstract:

Objective To investigate the current situation and influential factors of tobacco experimentation among middle school students of Pudong New District in Shanghai. Methods The modified questionnaire based on “WHO Global Adolescent Tobacco Questionnaire” was adopted, and a survey was conducted among 6 042 students selected from 7 middle schools, 4 senior high schools and one vocational school of Pudong New District in Shanghai by random stratified cluster sampling. The questionnaire included basic conditions, smoking behavior, tobacco use acceptance, parental education level and smoking behavior, peer smoking behavior and acceptance of exposure to tobacco on media. Univariate analysis and multivariate analysis were employed to explore the influential factors of tobacco experimentation among middle school students. Results A total of 5 909 effective questionnaires were recovered, with the recovery rate of 97.7%. Tobacco experimentation took place in 393 students, with the tobacco experimentation rate of 6.7%. Univariate analysis indicated that sex, age, pocket money, rank in class, parental smoking, parental education level, attitude towards peer smoking and condition of peer smoking had significant impact on tobacco experimentation (P<0.001 or P<0.05). The total scores of acceptance of exposure to tobacco on media and tobacco use acceptance in students with tobacco experimentation were significantly higher than those without tobacco experimentation (P<0.001). Multivariate analysis demonstrated that male, age more than 16 years, parental smoking, peer smoking, pocket money more than 800 yuan per month, higher scores of peer smoking acceptance and tobacco use acceptance were factors of more likelihood to be involved in tobacco experimentation (P<0.001 or P<0.05). Those whose fathers had higher education level and who had more experience in tobacco control education in school were less likely to be involved in tobacco experimentation (P<0.001 and P<0.05). Conclusion Peer smoking, high tobacco use acceptance and parental smoking are major risk factors of tobacco experimentation among middle school students, and the protection factors include higher education level of father and experience in tobacco control education in school.

Key words: tobacco experimentation, middle school student, tobacco use acceptance, influential factor