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海口市青少年电子烟与卷烟使用现况及影响因素分析

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目的 了解海口市青少年卷烟及电子烟暴露现状,分析不同烟草使用行为间的联系,为当地制定青少年控烟策略、开展控烟教育提供参考依据.方法 2019年5-7月期间,采用多阶段分层整群随机抽样方法,使用全球青少年烟草调查(Global Youth Tobacco Survey,GYTS)核心问卷,对海南省海口市的初、高中及职高在校学生进行调查,使用多因素logistic回归分析电子烟使用和使用倾向的影响因素.结果 本次发放问卷3 343份,回收有效问卷3 273份,应答率97.91%.受访青少年平均年龄(14.60±1.78)岁,其中男生1 637人(50.02%),女生1 636人(49.98%).86.22%的青少年听说过电子烟,13.29%使用过电子烟,电子烟的现在使用率为2.96%,卷烟现在吸烟率为3.27%.22.49%的青少年存在电子烟广告暴露,有该暴露经历的青少年中,表示"好友给则会使用电子烟"及"未来12个月会使用电子烟"的风险显著增加,OR分别为1.65(95%CI:1.33~2.03)和1.68(95%CI:1.31~2.15).在对性别、年龄和零花钱数额进行调整后,卷烟的尝试使用、现在使用及经常使用均会显著增加电子烟的使用及使用倾向的风险(P<0.05).结论 2019年海口市青少年电子烟使用率略高于同期全国平均水平.青少年暴露于电子烟广告会增加其电子烟使用倾向,同时传统卷烟使用也会增加电子烟使用及使用倾向.
Current status and influencing factors of electronic cigarette and cigarette use among adolescents in Haikou City
Objective To survey the current situation of exposure to cigarette and electronic cigarette(e-cigarette)among adolescents in Haikou City,and to analyze the correlations among different tobacco use behaviors so as to provide a reference basis for formulating tobacco control strategies and carrying out tobacco control education for local adolescents.Methods From May to July 2019,a multi-stage stratified cluster random sampling method and the core questionnaire on Global Youth Tobacco Survey(GYTS)were used to investigate students from middle schools,high schools and vocational high schools in Haikou City,Hainan Province.Multivariate logistic regression was used to analyze the factors influencing e-cigarette use and propensity to use.Results A total of 3,343 respondents were surveyed,and 3,273 valid questionnaires were collected,with a response rate of 97.91%.The average age of the surveyed adolescents was(14.60±1.78)years old,among which 1,637(50.02%)were males and 1,636(49.98%)females.86.22%of teenagers had ever heard of e-cigarettes,and 13.29%had ever used e-cigarettes.The current use rate of e-cigarettes was 2.96%,and the current cigarette smoking rate 3.27%.22.49%of the adolescents were exposed to e-cigarette advertisement,and the risks of e-cigarette use by friends'giving(OR=1.65,95%CI:1.33-2.03)and e-cigarette use in the next 12 months(OR=1.68,95%CI:1.31-2.15)significantly increased among adolescents with this exposure experience.After adjusting for gender,age and amount of pocket money,attempted,current and regular cigarette use could significantly increase the risks of e-cigarette use and propensity to use(P<0.05).Conclusion The use rate of e-cigarettes among teenagers in Haikou City in 2019 was slightly higher than the national average in the same period.Youth exposure to e-cigarette advertising can increase their tendency to use e-cigarettes;meanwhile,traditional cigarette use can also increase their e-cigarette consumption and propensity to use.

teenagerelectronic cigarettecigaretteinfluencing factor

胡阳、胡真真、陈仕学

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湖南师范大学医学院预防医学系,湖南 长沙 410013

南昌大学第一附属医院,江西 南昌 330006

海口市健康教育所健康促进办/海口市卫生健康服务中心,海南 海口 570203

青少年 电子烟 卷烟 影响因素

湖南师范大学医学院开放项目海南省卫生健康委卫生健康行业科研项目

KF202200419A200147

2024

实用预防医学
中华预防医学会 湖南省预防医学会

实用预防医学

CSTPCD
影响因子:1.391
ISSN:1006-3110
年,卷(期):2024.31(2)
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