河南省初中生烟草暴露现状及影响因素分析

发布时间：2018-07-03 19:58

本文选题：初中生 + 尝试吸烟　；参考：《郑州大学》2016年硕士论文

【摘要】：目的了解河南省初中生尝试吸烟、现在吸烟和二手烟暴露现状并分析其相关的影响因素,为政府制定有针对性的控烟政策和措施提供科学依据。方法采用多阶段分层整群随机抽样方法,在河南省抽取16个调查点48所初中共7789名在校学生进行问卷调查。使用EpiData3.1建立数据库,采用SPSS20.0进行数据清理、样本加权和统计分析。结果1烟草使用的流行现况河南省初中生尝试吸烟率和现在吸烟率分别为23.8%和7.5%,均为男生高于女生(χ2=99.076,P0.001;χ2=89.911,P0.001);农村高于城市(χ2=5.862,P=0.016;χ2=5.138,P=0.023);年龄不同,尝试吸烟率和现在吸烟率也不同(χ2=65.473,P0.001;χ2=19.838,P0.001),且随着年龄的增长而逐渐上升。2二手烟暴露的流行现况河南省初中生二手烟暴露率为72.4%,其中男生(78.0%)高于女生(66.2%)(c2=57.028,P0.001);城市(76.6%)高于农村(71.5%)(c2=4.956,P=0.033);年龄不同,二手烟暴露率也不同(c2=12.397,P0.001),且随着年龄的增长而逐渐上升。不同场所二手烟暴露率不同,以室内、外公共场所最高(57.0%),家中次之(43.1%),公共交通工具最低(15.8%)。3尝试吸烟、现在吸烟、二手烟暴露的影响因素多因素Logistic回归分析显示:河南省初中生尝试吸烟的危险因素有男生(OR=4.250)、年龄(13~15岁OR=1.561;15岁OR=1.810)、暴露于烟草广告和促销(OR=1.221)、好朋友吸烟(OR=4.365)、看到老师在学校吸烟(OR=1.449)和在学校附近能买到烟(OR=2.413);保护因素有认为吸烟能使年轻人减少吸引力(OR=0.778)、认为在社交场合吸烟使人更不舒服(OR=0.683)、在媒体上看到过控烟信息(OR=0.765)及在课堂上学习过烟草使用的危害(OR=0.703)。河南省初中生现在吸烟的危险因素有男生(OR=6.463)、好朋友吸烟(OR=13.887)、看到老师在学校吸烟(OR=1.661)、在学校附近能买到烟(OR=2.750)、认为吸烟使人更有吸引力(OR=1.391)和认为在社交场合吸烟使人更舒服(OR=1.914);保护因素有认为吸烟使人减少吸引力(OR=0.699)、认为在社交场合吸烟使人更不舒服(OR=0.372)和在媒体上看到过控烟信息(OR=0.773)。河南省初中生二手烟暴露的危险因素有男生(OR=1.332)、父亲吸烟(OR=2.261)、母亲吸烟(OR=2.049)、好朋友吸烟(OR=2.466)和看到老师在学校吸烟(OR=2.525);保护因素有农村(OR=0.595)和认为“二手烟”肯定有害健康(OR=0.770)。结论1河南省初中生尝试吸烟和现在吸烟情况均比较严重,高于全国水平。2河南省初中生二手烟暴露率较高,且公共场所暴露情况严重。3影响河南省初中生吸烟行为及二手烟暴露情况的因素比较多,其中好朋友吸烟是最重要的危险因素,对吸烟行为及烟草危害的正确的认知是重要的保护因素。
[Abstract]:Objective to understand the current situation of smoking and secondhand smoke exposure among junior high school students in Henan Province and analyze the related factors so as to provide scientific basis for the government to formulate targeted smoking control policies and measures. Methods A multi-stage stratified cluster random sampling method was used to investigate 7789 students in 48 junior middle schools in 16 investigation points in Henan Province. EpiData3.1 was used to build the database, SPSS 20.0 was used to clean up the data, and the samples were weighted and statistically analyzed. Results (1) prevalence of tobacco use among junior middle school students in Henan Province was 23.8% and 7.5% respectively, which was higher in boys than in girls (蠂 2 99.076, P 0.001; 蠂 2, 89.911P 0.001), and higher in rural than in urban areas (蠂 2, 5.862, P < 0.016; 蠂 2, 5.138, P 0.023), and in different ages, the prevalence of tobacco use in rural areas was higher than that in urban areas (蠂 2, 5.862, P 0. 016; 蠂 2, 5. 138, P 0. 023). The prevalence of secondhand smoke exposure in junior middle school students in Henan Province is 72.4%, 78.0% of which is higher in boys (78.0%) than in girls (66.2%) (C27.028P0.001), 76.6% in urban areas (76.6%) is higher than that in rural areas (71.5%) (c24.956P0.033), and 72.4% in male students (78.0%), and in rural areas (71.5%) (c24.956P0.033), among which, the prevalence of secondhand smoke exposure is higher in boys (78.0%) than in girls (66.2%), and in urban (76.6%) higher than in rural areas (71.5%) (c24.956P0.033). The rate of exposure to secondhand smoke was also different (C _ 2N _ (12.397) P _ (0.001), and gradually increased with age. The exposure rate of secondhand smoke was different in different places. Indoor and outer public places (57.0%), home (43.1%), public transport (15.8%) .3 tried to smoke. Logistic regression analysis showed that male students (OR4.250), age (13 ~ 15 years old), exposure to tobacco advertising and promotion (OR1.221), and good friends (OR4.365) were exposed to tobacco advertising and promotion (OR1.221). School smoking (OR1. 449) and buying cigarettes near school (OR2.413); protective factors were perceived as making young people less attractive (OR0.778), more uncomfortable in social settings (OR0.683), seen in the media (OR0.765) and studied in class. Hazards of overuse of tobacco (ORO 0.703). The risk factors of smoking among junior high school students in Henan Province are male students (OR6.463), good friends smoking (OR13.887), seeing teachers smoking in school (OR1.661), buying cigarettes near school (OR2.750), thinking that smoking makes people more attractive (OR1.391) and that smoking in social places makes people more attractive. Comfort (OR1. 914), protective factors were considered that smoking makes people less attractive (OR0. 699), smoking in social situations made people more uncomfortable (OR0.372) and tobacco control messages were seen in the media (OR0. 773). The risk factors of secondhand smoke exposure of junior high school students in Henan province were male students (OR1.332), fathers smoking (OR2.261), mothers smoking (OR2.049), good friends smoking (OR2.466) and seeing teachers smoking in school (OR2.525), and the protective factors were rural areas (OR0.595) and the belief that "secondhand smoke" was harmful to health (OR0.770). Conclusion (1) the prevalence of smoking in junior high school students in Henan Province is higher than that in Henan Province, which is higher than that in the whole country. 2. There are many factors that affect smoking behavior and secondhand smoke exposure of junior high school students in Henan Province. Among them, smoking by good friends is the most important risk factor. Correct knowledge of smoking behavior and tobacco hazards is an important protective factor.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：G635.5;R193.3

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