宿州市埇桥区初中生吸烟行为现状及影响因素分析

目的 了解宿州市埇桥区初中生吸烟行为现状及其相关影响因素,为实施有效干预措施提供依据.方法 采用分层整群随机抽样方法抽取安徽省宿州市2016年4月6所初中3 955名在校生,进行匿名吸烟行为问卷调查,采用单因素和多因素logistic回归分析,探讨影响该地区初中生吸烟行为的因素.结果 宿州市埇桥区初中生总体吸烟率为6.8%.单因素分析显示:性别、年级、零用钱多少、家庭性质、父母是否提醒、父亲文化、父母是否吸烟、同伴是否吸烟、是否留守青少年、是否经常暴露于网吧、烟草知识掌握情况、学习成绩优劣等12个因素与吸烟率有关 (P<0.05).进一步行多因素回归分析显示:男生、单亲家庭、留守青少年、父母经常吸烟、父亲文化程度低、同伴经常吸烟、经常暴露于网吧是吸烟的危险性因素(P<0.05);低年级、零用钱较少、学习成绩较好、烟草知识及格是吸烟行为的保护性因素(P<0.05).同学们烟草知识及格率为61.01%,烟草相关知识平均分为(6.39±1.13)分,烟草专业知识较匮乏.结论 宿州市埇桥区初中生吸烟现状不容乐观,家庭环境是重要影响因素,政府、学校需要加强与学生家长的沟通,进行更有针对性的干预.

The current situation of smoking and analysis of its influencing factors among junior middle school students of Yongqiao district in Suzhou

Objective To investigate the current situation of smoking and its influencing factors so as to provide evidence for further tobacco control strategies.Methods A total of 3 955 students among 6 junior middle schools from Yongqiao District, Suzhou city were selected by stratified cluster sampling to conduct an anonymous questionnaire survey, then univariate analysis and multivariate Logistic regression analysis were employed to explore the potential influencing factors of smoking.Results The overall smoking rate of junior middle school students was 6.8%.Univariate Chi-square tests indicated that different gender, grade, pocket money, whether single-parent family, parental reminder, father's education level, parental smoking, peer smoking, whether being left-behind children, whether exposure to Internet cafes, awareness of tobacco harms and rank in class had effect on smoking rate with statistically significant difference.Multivariate Logistic analysis indicated that male, single-parent families, left-behind adolescents, parental smoking, low educational level of father, peer smoking, frequent exposure to Internet cafes were smoking risk factors (P<0.05), and lower grade, less pocket money, good scholarship, pass tobacco knowledge test were protecting factors (P<0.05).The pass rate of the tobacco harms knowledge was 61.01%, with an average score of 6.39±1.13, so that the students were lacking in professional knowledge of tobacco.Conclusion The prevalence of smoking in Yongqiao District in Suzhou is not optimistic, and the family environment is important influencing factors;the government, schools need to strengthen communication with parents of the students, and targeted strategies should be taken for the intervention.