Objective To understand the prevalence and changing trends of tobacco use among middle school students in Bao'an District of Shenzhen City,and to provide a scientific basis for relevant departments to formulate targeted tobacco control interventions for adolescents.Methods A multi-stage stratified random sampling method was used to select 13 schools in 2018 and 12 schools in 2023.The questionnaire of the Global Youth Tobacco Survey(GYTS)China Program was used to investigate the prevalence of tobacco uses among middle school students in Bao'an District of Shenzhen City.Chi-square test was employed to compare the prevalence rates of tobacco use between the two surveys.Results The overall current smoking rate among middle school students in Bao'an District of Shenzhen City decreased from 4.26%in 2018 to 1.92%in 2023,and the smoking attempt rate decreased from 11.76%in 2018 to 5.69%in 2023.The current use rate of e-cigarettes in middle school students in Bao'an District of Shenzhen City fell from 3.70%in 2018 to 2.50%,and the e-cigarette attempt rate decreased from 8.02%in 2018 to 3.80%in 2023(P<0.05).Middle school students' secondhand smoke(SHS)exposure rate in different types of venues like home,inside enclosed public places,outdoor public places and schools(inside or outside buildings)decreased from 41.28%,60.47%,65.78%and 43.38%in 2018 to 36.92%,53.53%,59.21%and 33.21%in 2023 respectively(P<0.05).Middle school students' cognition and attitudes towards tobacco use and tobacco control behaviors showed improvements,but the awareness rates of tobacco addiction and tobacco control complaint hotlines were still relatively low,only remaining at 34.74%and 30.32%in 2023 respectively.The willingness to quit smoking among middle school students with smoking was still relatively low,with only 37.29%in 2023.Conclusion The prevalence of tobacco use among middle school students in Bao'an District of Shenzhen City has remained at a low level in recent years,with insufficient cognition of tobacco addiction and low willingness to quit smoking.SHS exposure and e-cigarette use still require attention.
tobacco prevalencee-cigarettesecondhand smoke exposure ratecomparative analysismiddle school student