衢州市中学生2012年与2017年吸烟情况比较

目的了解衢州市中学生2012年和2017年吸烟状况的变化,为学校控烟工作提供依据。方法采用分层整群抽样的方法,分别于2012年和2017年5月采用《浙江省青少年健康相关行为调查问卷》对衢州市抽中班级的1 454和1 655名中学生进行自填式匿名问卷调查。结果衢州市中学生尝试吸烟率、吸过一整支烟的报告率和现在吸烟率分别从2012年的31.36%,17.81%和8.73%降至2017年的21.70%,12.45%和6.22%,差异均有统计学意义(χ~2值分别为37.30,17.52,7.12,P值均<0.01)。现在吸烟的学生中,吸烟频率≥20 d/月、重度吸烟的比例分别从2012年的30.71%和7.09%降至15.53%和0.97%。2次调查结果均显示,中学生尝试吸烟率、吸过一整支烟的报告率和现在吸烟率男生均高于女生(χ2值分别为117.50,63.99;47.14,51.26;110.18,22.50),非普通高中均高于普通高中和初中(χ2值分别为47.14,51.26;70.34,43.77;62.67,22.50,P值均<0.01)。结论衢州市学校控烟工作取得一定成效,中学生烟草使用行为明显下降。

Comparison of smoking status of middle school students during 2012 to 2017 in Quzhou

Objective To understand the change of smoking status among middle school students in Quzhou City from 2012 to 2017, and to provide a basis for school tobacco control. Methods Through stratified cluster sampling method, Zhejiang youth health-related behavior questionnaire survey was conducted among 1 454 students in May 2012 and among 1 655 students in May2017. Results Among middle school students in Quzhou, attempting smoking rate, ever-smoking a whole cigarette reporting rate and current-smoking report rate decreased from 31.36%, 17.81% and 8.73% in 2012 to 21.70%,12.45% and 6.22% in 2018 respectively, with statistically significant differences( χ~2= 37.30,17.52,7.12,P<0.01). Among the current-smoking students, the rate of smoking frequency≥20 d/month and heavy-smoking rate decreased from 30.71% and 7.09% in 2012 to 15.53% and 0.97% respectively. It showed that attempting smoking rate, ever-smoking a whole cigarette reporting rate and current-smoking report rate of male students were higher than that of female students( χ2= 117.50,63.99;47.14,51.26;110.18,22.50), and the non-ordinary high school students were higher than that of ordinary high school students and middle school students across two waves surveillance( χ2=47.14,51.26;70.34,43.77;62.67,22.50)( P<0.01). Conclusion School tobacco control have made a great progress,the tobacco use behavior of middle school students declines sharply in Quzhou.