广州不同性质学校初中生吸烟KAP比较

目的 比较广州地区公立、厂办和民营3类学校初中生吸烟相关KAP的异同，为有针对性地开展控烟健康教育提供依据。方法 用自制问卷对广州市黄埔区6所公立、厂属和私立中学的3957名初中生进行横断面调查，内容包括一般人口学特征、吸烟相关知识、态度和行为。结果 调查应答率为95．6％。3类学校学生的性别、年龄和户口地分布有统计学差别；吸烟与健康相关知识得分民营〉公立〉厂办，差异均有显著性；吸烟与健康相关态度得分，正向态度为厂办〉公立〉民营，负向态度为公立〉厂办〉民营，态度总分为厂办〉公立〉民营，其中正向态度得分在3类学校学生中的差异无显著性。而负向态度得分和态度总分在3类学校学生中的差异有显著性。所调查初中生的尝试吸烟率为20．5％，每周吸烟率为5．1％，每日吸烟率为3．5％，尝试吸烟率、每周吸烟率和每日吸烟率均为民营〉公立〉厂办．且尝试吸烟率的差异有显著性。结论 民营学校初中生吸烟与健康知识相对缺乏、态度趋向负面且吸烟行为发生率明显偏高，应成为目前学校控烟工作的重点对象。

Comparison of KAP for Smoking Among the Students in Different Types of Schools

Objective To compare smoking-related knowledge,attitude and practice among secondary school students in private schools,public schools and factory-affiliated ones,and to provide bases for health education on smoking cessation.Methods A cross-sectional study was conducted among 3 957 students from 6 secondary schools in different types in Huangpu District in Guangzhou.The contents of the questionnaire included their socio-demographic characteristics and smoking related knowledge,attitude and practice.Results The response rate was 95.6%.There were significant differences in the distribution of sex,age and source of the students in three types of schools.The mean score for smoking related knowledge was the highest among the students in the factory-affiliated schools and the lowest in the private schools,and the differences were significant in statistics.The highest mean score for smoking related attitudes was ranked as the following: the factory-affiliated >the public >the private for the positive attitudes;the public >the factory-affiliated >the private for the negative attitudes;for the general attitude,the factory-affiliated >the public >the private.Among them,significant differences were observed in the mean scores of the negative smoking-related attitudes and the general smoking-related attitudes.Among the students surveyed,20.5% of them ever attempted to smoking,5.1% weekly smoked and 3.5% daily smoked.The prevalence rates of attempts to smoking,weekly smoking and daily smoking were the highest in the factory-affiliated schools,followed by in the public and private ones,and significant differences was found in the prevalence of attempting to smoking among the students in the three types of schools.Conclusion Smoking-related knowledge is poor among the students in the private schools,and most of them are trend to the negative attitudes.The prevalence rate of smoking is higher than the other two kinds of schools.Therefore,more attention should be paid to the students in the private schools for smoking prevention and control.