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上海江桥镇小学生家庭二手烟暴露现况及影响因素和自我保护行为分析

Analysis of current status of second-hand smoke exposure in pupil's families and the influence factors and self-protection behavior in Jiangqiao Community,Shanghai

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目的:了解上海江桥镇小学生家庭二手烟暴露现况、影响因素及面对暴露时的自我保护行为,为减少小学生家庭二手烟暴露提供依据.方法:2019 年 4-6 月采用二阶段分层整群随机抽样方法在上海江桥镇7 所小学中随机抽取 2 所学校,每个年级抽一个班,共 10 个班级的学生参加问卷调查.共调查 433 名小学生,回收有效问卷 433 份,问卷有效率 100%.其中男生 227 名(52.4%),女生为 206 名(47.6%).结果:有家庭二手烟暴露的小学生为 210 名,暴露率为 48.49%;男生家庭二手烟暴露率高于女生(59.47%比 36.40%,χ2=22.99,P<0.01);父母吸烟的孩子家庭二手烟暴露率高于父母不吸烟的孩子(67.21%比 24.33%,χ2=78.38,P<0.01);知晓二手烟危害孩子家庭二手烟暴露率低于不知晓的孩子(33.33%比 55.59%,χ2=18.65,P<0.01);二年级家庭二手烟暴露率为 62.92%,高于其他年级家庭二手烟暴露率(χ2=17.18,P<0.01);父亲学历高中及以上孩子的二手烟家庭暴露率低于父亲学历高中以下的孩子(38.46%比 56.72%,χ2=14.31,P<0.01);家庭限制吸烟孩子的家庭二手烟暴露率低于家庭不限制吸烟的孩子(24.24%比 60.45%,χ2=48.59,P<0.01).面对家庭二手烟暴露,94.76%的小学生会采取主动或被动的保护行为;反感家庭二手烟孩子采取主动保护的比例较高(χ2=23.754,P<0.001)有 32.38%和 33.33%吸烟者会对儿童主动保护行为和被动保证行为而即刻避开或停止吸烟.结论:上海江桥镇小学生家庭二手烟暴露率较高,但对二手烟家庭暴露的危害知晓率偏低.家庭限制吸烟是保护小学生免受家庭二手烟暴露危害的有效手段,小学生面对被动吸烟有一定的自我保护能力.学校及家庭都应加强小学生家庭二手烟暴露危害的健康教育.
Objective:To understand the current situation of second-hand smoke exposure in pupil's families and influence factors and self-protection behavior in Jiangqiao Community,Shanghai,so as to provide evidence for reducing the second-hand smoke exposure in pupils'families.Methods:From April to June 2019,a two-stage stratified cluster random sampling method was used to randomly select 2 schools from 7 primary schools in Jiangqiao Community,Shanghai,one class from each grade was selected,and the pupils in ten classes participated in the questionnaire survey.A total of 433 pupils were investigated,433 valid questionnaires were retrieved,and the effective questionnaire recovery rate was 100% .Among the pupils,there were 227 boys(52.4% )and 206 girls(47.6% ).Results:Two hundred and ten pupils'families were exposed to second-hand smoke,and the second-hand smoke exposure rate was 48.49%;the exposure rate of second-hand smoke in boys was higher than that in girls(59.47% vs 36.40%,χ2=22.99,P<0.01).The exposure rate of second-hand smoke in families of children whose parents smoke was 67.21% vs 24.33% (χ2=78.38,P<0.01),which was higher than those in families of children without parents smoking;children who were aware of the harm of second-hand smoke had lower exposure rates to second-hand smoke in their families than those who had not heard of it(33.33% vs 55.59%,χ2=18.65,P<0.01),which was lower than that in the families of children with unknown parent smoking.The second-hand smoke exposure rate of second-grade families was 62.92%,which was higher than that of other grades(χ2=17.18,P<0.01).The exposure rate of second-hand smoke family with father's education in high school and above was lower than that of second-hand smoke family with father's education in high school and below(38.46% vs 56.72%,χ2=14.31,P<0.01).The family exposure rate of second-hand smoke with family restrictions was lower than that without family restrictions(24.24% vs 60.45%,χ2=48.59,P<0.01),in the face of family second-hand smoke exposure,94.76% of pupils took active or passive protection behavior;the proportion of children disliking second-hand smoke and taking active protection was significantly higher(χ2=23.754,P<0.001).32.38% and 33.33% of smokers responded to children's proactive behavior and passive guarantee behavior by avoiding or stopping smoking immediately.Conclusion:The second-hand smoke exposure rate in pupils'family in Jiangqiao Community,Shanghai is relatively high,but the awareness rate of second-hand smoke exposure hazard is low.Family restriction of smoking is an effective means to protect pupils from second-hand smoke exposure hazard,the pupils have certain self-protection ability in the face of passive smoking.Schools and families should strengthen the health education of second-hand smoke exposure hazard of pupils.

second-hand smoking at homeself-protectioninfluencing factorpupil

徐奇、王晓龙

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上海市嘉定区江桥镇社区卫生服务中心预防保健科,上海 201803

家庭二手烟 自我保护 影响因素 小学生

上海市嘉定区科委立项项目

JDKW-2018-W07

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(8)