浙江省湖州市农村中学生吸烟现状及影响因素分析

目的了解湖州市农村地区中学生吸烟行为及其影响因素，为制定有效的防控措施提供科学依据。方法采取分层随机整群抽样法，对705名农村中学生进行吸烟现状及影响因素的问卷调查。结果农村中学生尝试过吸烟（包括只吸1口）的占14.43％，其中男生为21.41％，女生为8.58％，差异有统计学意义（X^2=22.67，P=0.00）；初中生尝试吸烟率为12.09％，高中生尝试吸烟率为16.71％，差异有统计学意义（X^2=5.10，P〈0.05）；经非条件Logistic逐步回归分析，朋友中有人吸烟、有喝酒经历、父母中有人吸烟、认为“吸第一支烟是避免成为吸烟者的关键”的同学，其发生尝试吸烟行为的危险性分别是其他中学生的3.01、2.84、2.02和0.44倍。结论湖州市农村中学生尝试吸烟现象较为普遍，好友吸烟、喝酒行为、父母吸烟对中学生吸烟行为产生严重影响。应在学校里开展预防吸烟、喝酒等危险行为的健康教育活动，向吸烟学生开展控烟同伴教育，在家庭中给孩子创造无烟环境。

Analysis of smoking and its influencing factors among rural middle school students in Huzhou City,Zhejiang

Objective To understand smoking behavior among rural middle school students and its influencing factors, and provide a scientific basis for development of effective prevention and control measures. Methods A stratified random cluster sampling method was used, and a questionnaire survey was conducted among 705 rural middle school students. Results The ratio of attempting smoking in rural middle school students （ including suction only once ） was 14.43% , 21.41% in boys and 8.58% in girls, the difference was statistically significant （ X^2 = 22. 67, P = 0.00）. The smoking rate in junior school students was 12.09%, while 16.71% in high school students, the difference was statistically significant （ X2 = 5.10, P 〈 0.05 ）. Non-conditional logistic stepwise regression analysis showed that the risks of students who had friends smoking, drinking experience, parent smoking, and the students who considered the first cigarette was the key factors to smoking, were 3.01, 2. 84, 2.02, 0.44, respectively. Conclusion Smoking is common among rural middle school students in Huzhou City, and the main influencing factors are friend smoking, drinking experience and parents＇ smoking. It is necessary to carry out health education activities to prevent smoking, drinking and other risk behaviors in school, carry out tobacco control with peer education, and to create a smoke-free environment to the child in the family.