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2019年武汉市成人吸烟状况调查及影响因素分析
引用本文:钟庆,张志峰,梅欣,李俊林,黄远霞,钟晴,李毅琳.2019年武汉市成人吸烟状况调查及影响因素分析[J].现代预防医学,2022,0(14):2629-2634.
作者姓名:钟庆  张志峰  梅欣  李俊林  黄远霞  钟晴  李毅琳
作者单位:武汉市疾病预防控制中心,湖北 武汉430024
摘    要:目的 分析武汉市15岁及以上的城乡常住居民吸烟情况及影响因素,为有效开展控烟工作提供参考依据。方法 于2019年采用多阶段随机抽样方法抽取武汉市3个区36个居委会(村)2 551名15岁以上的常住居民直接上门进行问卷调查,对不同特征成年居民的吸烟情况进行分析。采用SPSS 22.0软件进行统计分析,每组间比较采用χ2检验。结果 2019年武汉市成人的现在吸烟率和现在每日吸烟率分别为23.5%和19.8%;男性高于女性,其中男性现在吸烟率及现在每日吸烟率分别为44.8%和38.2%,女性现在吸烟率及现在每日吸烟率分别为2.4%和1.6%;不同性别、年龄、文化、职业的成年现在吸烟率和现在每日吸烟率差异均有统计学意义(P<0.05)。多因素logistic回归分析结果:男性(OR = 89.689,95%CI:35.407~227.191)、年龄25~44岁(OR = 8.797,95%CI:2.977~25.991)、年龄45~64岁(OR = 10.437,95%CI:3.421~31.837)、65岁以上(OR = 10.558,95%CI:1.455~76.623)、在家中暴露于二手烟(OR =9.777,95%CI:5.701~16.767)、在商店看到过卷烟推销的广告和标牌(OR = 2.230,95%CI:1.012~4.913)的居民现在吸烟概率高,家中有不允许吸烟规定的(OR = 0.559,95%CI:0.342~0.912)的居民现在吸烟概率较低,差异均有统计学意义(P<0.05)。结论 武汉市成年居民吸烟率较高,需针对低文化程度、女性、中老年男性及留守老年农民等重点人群采取特别的戒烟干预措施,并引导公众有意识地远离吸烟,采取健康的生活方式。

关 键 词:吸烟状况  成人  影响因素

Survey on smoking status of adults in Wuhan in 2019 and analysis of influencing factors
ZHONG Qing,ZHANG Zhi-feng,MEI Xin,LI Jun-lin,HUANG Yuan-xia,ZHONG Qing,LI Yi-lin.Survey on smoking status of adults in Wuhan in 2019 and analysis of influencing factors[J].Modern Preventive Medicine,2022,0(14):2629-2634.
Authors:ZHONG Qing  ZHANG Zhi-feng  MEI Xin  LI Jun-lin  HUANG Yuan-xia  ZHONG Qing  LI Yi-lin
Affiliation:Wuhan Center for Disease Control and Prevention, Wuhan, Hubei 430024, China
Abstract:Objective To analyze the smoking status and influencing factors of urban and rural permanent residents aged 15 years and above in Wuhan city, and to provide a reference basis for effective tobacco control. Methods A multi-stage random sampling method was used to select 2 551 permanent residents aged 15 years or older from 36 neighborhood committees (villages) in three districts of Wuhan in 2019. Direct door-to-door questionnaire surveys were conducted to analyze the smoking status of adult residents with different characteristics. Chi-square test was used for comparison between each group using SPSS 22.0 software. Results The present smoking rate and present daily smoking rate of adults in Wuhan in 2019 were 23.5% and 19.8%, respectively. Men had higher rates than women, with the present smoking rate and present daily smoking rate of men being 44.8% and 38.2% in men and 2.4% and 1.6% in women, respectively. The differences in adult current smoking rate and current daily smoking rate by gender, age, culture, and occupation were statistically significant (P<0.05). Results of multifactorial logistic regression analysis showed that males (OR=89.689, 95%CI: 35.407-227.191), age of 25 to 44 years (OR=8.797, 95%CI: 2.977-25.991), age of 45 to 64 years (OR=10.437, 95%CI: 3.421-31.837), and age of 65 years or older (OR=10.558, 95%CI: 1.455- 76.623), those who were exposed to secondhand smoke at home (OR=9.777, 95%CI: 5.701-16.767), and those who watched advertisements and signs promoting cigarettes in stores (OR=2.230, 95%CI: 1.012 to 4.913) had a higher present smoking rate. Residents who had rules against smoking in their homes (OR=0.559, 95%CI: 0.342-0.912) had a lower present smoking rate, with all differences being statistically significant (P<0.05). Conclusion The smoking prevalence among adult residents in Wuhan is high, and special smoking cessation interventions are needed for key populations such as those with low literacy, females, middle-aged and elderly males, and elderly farmers left behind, and to guide the public to consciously stay away from smoking and adopt a healthy lifestyle.
Keywords:Smoking status  Adults  Influencing factors
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