参照规范对吸烟及被动吸烟的影响
发布时间：2018-08-12 07:57
【摘要】：研究目的 检验控烟态度及参照规范(组织规范、主观规范)对吸烟行为及二手烟暴露的影响,为无烟校园政策倡导促动提供依据。 研究方法 本研究为获取医学生数据,样本从江浙沪地区10所医学院校获取。研究内容包括医学生吸烟行为及二手烟暴露情况、控烟态度、组织规范及主观规范。采用SPSS20.0for Windows软件进行统计分析。采用描述性分析、χ2检验(Pearson χ2、列联系数以及线性趋势检验)、logistic回归等方法分析资料。 研究结果 本研究共发放问卷1735份,回收有效问卷1620份。其中吸烟人数为93人,吸烟率为5.7%；报告不吸烟的医学生中,二手烟暴露的672人,暴露率为44.0%。 男性医学生吸烟率为11.8%,女性的为1.6%,前者高于后者(P0.01)；60.8%的医学生有非常积极的公共控烟态度,研究结果显示：公共控烟态度越积极,吸烟率越低(P0.01)。59.0%的学生报告其所在学校有禁止室内吸烟的政策,60.6%的学生对政策的执行力表示认同,学校控烟政策执行得到认同的学生吸烟率远低于认为政策未执行的(P0.01)；朋友规范阳性率为10.2%,研究结果显示朋友规范与吸烟率密切相关(P0.01)。吸烟行为影响因素的多因素logistic回归结果显示：积极的控烟态度是保护因素,朋友规范阳性是危险因素,相较于无校园控烟政策,校园内全面烟草限制但政策未执行是危险因素。 男性二手烟暴露率为47.5%,女性为41.9%,男性二手烟暴露情况比女性严重(P0.01)。年级(P0.05)、学校控烟执行情况(P0.01)、朋友规范(P0.01)、家人规范(P0.05)与二手烟暴露密切关联。二手烟暴露影响因素的有序logistic回归结果提示：相较于校园内无烟草限制,部分校园内烟草限制但政策未执行的二手烟暴露情况是危险因素；家人规范阳性是二手烟暴露的危险因素。 研究结论 参照规范与吸烟行为及二手烟暴露有密切关系。这些结果提示无烟校园政策倡导促动时应着重考虑培养学生积极的公共控烟态度,加强控烟政策的执行及监督,关注朋友及家人规范阳性的学生,即有针对性的强化参照规范,开发与文化相适应的控烟策略。
[Abstract]:Objective to examine the effects of smoking control attitude and reference norms (organizational norm, subjective norm) on smoking behavior and secondhand smoke exposure, and to provide evidence for promoting the policy of smokeless campus. Methods in order to obtain the data of medical students, samples were obtained from 10 medical colleges in Jiangsu, Zhejiang and Shanghai. The study included smoking behavior and exposure to secondhand smoke among medical students, smoking control attitude, organizational norms and subjective norms. SPSS20.0for Windows software was used for statistical analysis. Descriptive analysis, 蠂 2 test (Pearson 蠂 2, column connection number and linear trend test) and logistic regression were used to analyze the data. Results A total of 1735 questionnaires were distributed and 1620 valid questionnaires were collected. The number of smokers was 93, and the smoking rate was 5.7. Among the medical students who reported no smoking, 672 were exposed to secondhand smoke, and the exposure rate was 44.0. The smoking rate of male medical students was 11.8%, and that of female students was 1.6%. The former was higher than the latter (P0.01) 60.8% of the medical students had a very positive public smoking control attitude. The results showed that the more positive the public smoking control attitude, the more positive the public smoking control attitude. The lower the smoking rate (P0.01). 59.0% of the students reported that their school had a policy to prohibit indoor smoking. 60.6% of the students agreed with the implementation of the policy, and the smoking rate of the students who were identified with the implementation of the school smoking control policy was much lower than that of the school that the policy was not implemented (P0.01). The positive rate of friend norm was 10.2. The results showed that the friend norm was closely related to smoking rate (P0.01). The results of logistic regression showed that positive attitude towards tobacco control was a protective factor, positive friend norm was a risk factor. Compared with no campus tobacco control policy, the overall tobacco restriction in campus was not carried out, but the policy was not carried out. The rate of exposure to secondhand smoke was 47.5% in males and 41.9% in females. The exposure rate of secondhand smoke in males was more serious than that in females (P0.01). Grade (P0.05), school smoking control implementation (P0.01), friends norms (P0.01), family norms (P0.05) and secondhand smoke exposure is closely related. The results of orderly logistic regression showed that: compared with no tobacco restriction in campus, secondhand smoke exposure was a risk factor in part of the campus, but the policy was not carried out; Positive family norms are a risk factor for exposure to secondhand smoke. Conclusion reference norms are closely related to smoking behavior and secondhand smoke exposure. These results suggest that the promotion of smokeless campus policy should focus on fostering students' positive public attitude towards tobacco control, strengthening the implementation and supervision of tobacco control policies, and paying attention to students whose friends and family are norm-positive. Develop culturally appropriate tobacco control strategies.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R163
本文编号：2178427
[Abstract]:Objective to examine the effects of smoking control attitude and reference norms (organizational norm, subjective norm) on smoking behavior and secondhand smoke exposure, and to provide evidence for promoting the policy of smokeless campus. Methods in order to obtain the data of medical students, samples were obtained from 10 medical colleges in Jiangsu, Zhejiang and Shanghai. The study included smoking behavior and exposure to secondhand smoke among medical students, smoking control attitude, organizational norms and subjective norms. SPSS20.0for Windows software was used for statistical analysis. Descriptive analysis, 蠂 2 test (Pearson 蠂 2, column connection number and linear trend test) and logistic regression were used to analyze the data. Results A total of 1735 questionnaires were distributed and 1620 valid questionnaires were collected. The number of smokers was 93, and the smoking rate was 5.7. Among the medical students who reported no smoking, 672 were exposed to secondhand smoke, and the exposure rate was 44.0. The smoking rate of male medical students was 11.8%, and that of female students was 1.6%. The former was higher than the latter (P0.01) 60.8% of the medical students had a very positive public smoking control attitude. The results showed that the more positive the public smoking control attitude, the more positive the public smoking control attitude. The lower the smoking rate (P0.01). 59.0% of the students reported that their school had a policy to prohibit indoor smoking. 60.6% of the students agreed with the implementation of the policy, and the smoking rate of the students who were identified with the implementation of the school smoking control policy was much lower than that of the school that the policy was not implemented (P0.01). The positive rate of friend norm was 10.2. The results showed that the friend norm was closely related to smoking rate (P0.01). The results of logistic regression showed that positive attitude towards tobacco control was a protective factor, positive friend norm was a risk factor. Compared with no campus tobacco control policy, the overall tobacco restriction in campus was not carried out, but the policy was not carried out. The rate of exposure to secondhand smoke was 47.5% in males and 41.9% in females. The exposure rate of secondhand smoke in males was more serious than that in females (P0.01). Grade (P0.05), school smoking control implementation (P0.01), friends norms (P0.01), family norms (P0.05) and secondhand smoke exposure is closely related. The results of orderly logistic regression showed that: compared with no tobacco restriction in campus, secondhand smoke exposure was a risk factor in part of the campus, but the policy was not carried out; Positive family norms are a risk factor for exposure to secondhand smoke. Conclusion reference norms are closely related to smoking behavior and secondhand smoke exposure. These results suggest that the promotion of smokeless campus policy should focus on fostering students' positive public attitude towards tobacco control, strengthening the implementation and supervision of tobacco control policies, and paying attention to students whose friends and family are norm-positive. Develop culturally appropriate tobacco control strategies.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R163
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