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广州、佛山两地学龄期儿童家庭二手烟暴露及自我保护行为调查研究
引用本文:孙秉玺,黄佩娣,赵梦珠,姚妍,周璇. 广州、佛山两地学龄期儿童家庭二手烟暴露及自我保护行为调查研究[J]. 中国儿童保健杂志, 2016, 24(6): 649-651. DOI: 10.11852/zgetbjzz2016-24-06-28
作者姓名:孙秉玺  黄佩娣  赵梦珠  姚妍  周璇
作者单位:广州市南方医科大学,广东 广州 510515
基金项目:南方医科大学大学生创新创业训练项目(201412121157);广东省医学科学技术研究基金(B2014244)
摘    要:目的 了解广州、佛山地区学龄期儿童家庭二手烟暴露情况及其面对暴露时的自我保护行为。方法 采用自行编制的学龄期儿童二手烟暴露及自我保护行为问卷,对广州、佛山两地共385名三年级以上的小学生进行问卷调查。结果 9.2%的小学生曾经尝试过吸烟,且男童显著高于女童(χ2=9.269,P=0.002);46.8%的学龄期儿童与1个或以上的吸烟者同住,且42.6%的吸烟者每天吸烟;学龄期儿童家庭二手烟暴露的来源除了家庭成员,还有客人,其中29.3%学龄期儿童在调查前一个月内曾暴露在客人的二手烟中,42.6%的家人会主动提供香烟给客人;暴露的场所除了家庭室内还有私家车;但90%以上的学龄期儿童不认可吸烟行为,且认为二手烟对自身有害;面对二手烟暴露,98.8%学龄期儿童会采取主动或者被动的自我保护行为,并且其中大部分会尝试劝家人戒烟,而女童更倾向于劝解家人戒烟(χ2=7.161,P= 0.012)。66.7%的吸烟家长被儿童劝解戒烟后会有积极的改变,其中有8.8%学龄期儿童报告吸烟者戒烟了。结论 广州、佛山地区学龄期儿童家庭二手烟暴露情况不容乐观,儿童对被动吸烟有一定的自我保护能力,在性别方面需要针对性的指导。控烟工作应注意将儿童与家长结合起来,共同创建无烟家庭。

关 键 词:学龄期儿童   二手烟   自我保护行为  
收稿时间:2015-11-22

Research on household second-hand smoke exposure among school-aged children and their self-protection behavior in Guangzhou and Foshan.
SUN Bing-xi,HUANG Pei-di,ZHAO Meng-zhu,YAO Yan,ZHOU Xuan.. Research on household second-hand smoke exposure among school-aged children and their self-protection behavior in Guangzhou and Foshan.[J]. Chinese Journal of Child Health Care, 2016, 24(6): 649-651. DOI: 10.11852/zgetbjzz2016-24-06-28
Authors:SUN Bing-xi  HUANG Pei-di  ZHAO Meng-zhu  YAO Yan  ZHOU Xuan.
Affiliation:Southern Medical University,Guangzhou,Guangdong 510515,ChinaCorresponding author:ZHOU Xuan,E-mail:xuan724@smu.edu.cn
Abstract:Objective To investigate the status of household second-hand smoke (SHS) exposure among school-aged children in Guangzhou and Foshan and their self-protection behavior. Method Totally 385 school-age children in Grades 4 and above from primary schools in Guangzhou and Foshan were investigated with self-designed questionnaires. Results The surveyed results showed that the smoking attempt rate of the school-aged children was 9.2%,and the boys' smoking-attempting rate was significantly higher than that of the girls' (χ2=9.269,P=0.002).46.8% of school-aged children were living with at least 1 smoker,and 42.6% of smokers smoked almost every day.Second-hand smoke in the house could come from family members as well as guests,nearly 30% of the school-aged children were exposed to second-hand smoke from guests in one month,42.6% of the families even offered guests cigarettes.Except in houses,the exposure also took place in private cars.But most of children didn't approve of smoking and held that second-hand smoke is harmful to them.Faced with second-hand smoke exposure from family members,98.8% of school-age children took active or passive self-protective action,some had advised household smokers to quit smoking.Girls were more likely to persuade family members to give up smoking(χ2=7.161,P= 0.012).Almost 70% of smokers had positive changes after their children's persuasion and 8.8% of them had quit smoking. Conclusion The present situation of the school-age children's exposure to second-hand smoke is still serious.However,children have certain self-protection ability to passive smoking and need more gender-specific guidance.Attention should be paid to combining children's and parents' strengths to create "Smoke-Free Homes" on tobacco control in China.
Keywords:school-aged children   second-hand smoke   self-protective behavior  
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