山东省中学生吸烟状况调查及相关因素分析

目的了解山东省中学生吸烟状况及相关因素,为有效开展中学生控烟工作提供依据。方法于2008年4-5月,采用分层随机抽样的方法,抽取山东省经济较发达、中等发达和欠发达城市各1座作为监测城市,每座监测城市随机抽取初中、高中、职业高中(职高)各3所,使用北京大学儿童青少年卫生研究所编制的"中国青少年健康相关行为调查问卷",对9272名中学生进行自填匿名问卷集体调查。结果山东省中学生的尝试吸烟率为34.85%,现在吸烟率为12.97%,被动吸烟率为52.47%。非条件Logistic分析显示,男生、职高学生、所在城市较发达、自感学习成绩较差、母亲文化水平低和其他家庭类型是吸烟的危险因素。结论山东省中学生吸烟问题较为严重,应积极采取措施进行有效干预。

Survey on Smoking Prevalence and Analysis of its Influencing Factors among Middle School Students in Shandong Province

Objective To study the prevalence of smoking and its influential factors among middle school students in Shandong. Methods A survey with self-administered questionnaire was conducted among 9 272 middle school students selected at random from each three schools of primary schools, high middle schools and vocational high schools of three cities with different economic levels in Shandong province. Results The response rate was 95.7% （8 873/9 272）. Rates of attempting smoking and current smoking of middle school students in Shandong were 34.85% and 12.97%, respectively; the rate of passive smoking was 52.47%. Multivariate unconditional Logistic regression analysis showed that rates of smoking were higher in males, vocational high school students, students who self-reported poor performance in studying, students coming from more developed cities, students whose mothers had low education level and students coming from other types of familes. Conclusion Rates of smoking among middle school students were higher in Shandong than in some of other cities. It suggested that tobacco control among middle school students should be focused on more powerful control measures and health education should be carried out to help the young people to establish a health conception.