湖北省青少年烟草使用现况及其影响因素分析

了解湖北省青少年烟草使用现况及其影响因素,为制定烟草控制策略提供科学依据.方法 采用多阶段分层整群随机抽样法,抽取湖北省36所初中共5 438名青少年进行自填问卷调查.结果 湖北省青少年现在烟草使用率为5.66%,男生(8.31%)高于女生(2.48%),农村(6.27%)高于城市(4.84%),年级越高、可支配零用钱越多,现在烟草使用率越高(x2值分别为104.282,21.746,48.768,22.926,P值均<0.01);89.40%的青少年在14岁之前第一次尝试吸卷烟;现在吸烟的青少年中,71.71%想戒烟,91.79%没有接受过专业人员的帮助或建议.Logistic回归分析显示,性别、年龄、每周可支配零花钱数、父母吸烟、朋友吸烟、对戒烟困难性与二手烟危害的认知是青少年现在烟草使用行为的影响因素(P值均<0.01);父母都不吸烟、朋友中没人吸烟、认为戒烟容易、认为二手烟有危害是青少年吸烟行为的保护因素(OR值分别为1.763,10.521,2.047,2.243).结论 湖北省青少年烟草使用现象较为普遍,小学生、初中生是控烟健康教育的重点人群,学校是开展控烟教育的较好场所.

Status of current tobacco use and its influencing factors among adolescents in Hubei province

Objective To understand the status of tobacco use and its influencing factors among teenagers in Hubei province,and to provide scientific evidence for developing tobacco control strategies.Methods Multistage stratified clustering random sampling was used to select a total of 5 438 teenagers from 36 schools in Hubei province to have a self-administrated questionnaires survey.Results The rate of current tobacco use among adolescents in Hubei province was 5.66%.The prevalence rate of current tobacco use for boys(8.31%) was higher than that of girls(2.48%),the rate of rural(6.27%) were higher than that of urban areas (4.84%),the rate was increased with the growth of grade and disposable pocket money (P<0.01).About 89.40% of the adolescents firstly tried to smoke before 14 years old.71.71% of the current youth smokers wanted to quit smoking,91.79% of them had never received any assistances or suggestions from the professional.Logistic regression analysis showed that gender,age,pocket money of every week,parental smoking,peer smoking,the knowledge of difficulties for smoke-quitting and second-hand-smoke were influencing factors of current tobacco use among adolescents(P<0.01);Without smoking parents or friends,thinking it easy to quit smoke and knowing the harm of second-hand-smoke were the protective factors of adolescents' tobacco use behavior (OR =1.763,10.521,2.047,2.243).Conclusion The behavior of tobacco use is quite common among teenagers in Hubei province.Pupils and junior school students are the key population for health education on controlling tobacco,and school is a good place to conduct tobacco education.