中国五省中学生健康素养与尝试吸烟行为的关联

目的 探讨中学生健康素养与尝试吸烟行为的关联，为中学生控烟健康教育提供参考。方法 采用分层整群抽样方法，于2017年6—11月选取中国东、中、西部5省(浙江、广东、江西、四川、贵州)1 066名中学生进行问卷调查，收集中学生健康素养与尝试吸烟行为情况。结果 中学生健康素养总得分为(13.49±1.87)分，生活在东部地区、农村地区、女生、监护人为父母和祖辈共同监护、独生子女、不吸烟、每周零花钱较少的学生健康素养得分较高(t/F=9.81,3.10,11.12,2.65,3.50,4.47,2.64,P值均<0.05)。尝试吸烟行为发生率为5.5%;多因素Logistic回归分析显示，中/西部地区、饮酒、健康素养水平较低与中学生尝试吸烟行为均呈正相关(OR值分别为2.75,3.54,21.62,2.50,P值均<0.05)。结论 低健康素养可作为中学生尝试吸烟行为的预测因子，应采取措施控制中学生尝试吸烟行为。

Association of health literacy with smoking attempt behavior among middle school students in five provinces in China

  Objective  To explore the association of health literacy with smoking attempt behavior among middle school students in China, and to provide ideas for health education for middle school students.  Methods  Using stratified cluster sampling method, 1 066 students were selected from Zhejiang, Guangdong, Jiangxi, Sichuan and Guizhou provinces in China during June to November 2017, a questionnaire survey was conducted to collect health literacy and smoking attempt behavior.  Results  The score of health literacy among middle school students was (13.49±1.87). Students who lived in eastern and rural areas, girls, guardians who were jointly supervised by their parents and grandparents, the only child, non-smokers, and small amount of weekly pocket money had higher scores in health literacy(t/F=9.81, 3.10, 11.12, 2.65, 3.50, 4.47, 2.64, P < 0.05). The prevalence of smoking attempt behavior was 5.5%. Multiple Logistic regression analyses showed that central and western China, drinking and low healthy literacy were positively correlated with smoking attempt behavior (OR=2.75, 3.54, 21.62, 2.50, P < 0.05).  Conclusion  Low healthy literacy can be used as a predictor of smoking attempt among middle school students, the health education should be conducted to control the smoking attempt behavior.