Tobacco use and associated factors among high school students in Shannan City,Tibet in 2023
Objective To understand the current situation and related factors of tobacco use among high school students in Shannan City,so as to provide reference for tobacco control strategies for high school students.Methods A self-administered ques-tionnaire survey was conducted among 10 052 high school students from 6 high schools in Shannan City,Tibetan Autonomous Re-gion by census methods from April to July in 2023.The comparison of rates was conducted by using Chi-square test,and the influ-encing factors of tobacco use among high school students were analyzed using binomial classification Logistic regression.Results The rate of high school students in Shannan City trying cigarettes was 17.63%,and the current smoking rate was 10.07%,both of which were higher in boys than girls,and higher in urban areas than in rural areas(x2ender=1 262.35,869.79;x2area=35.90,29.16,P<0.01).The smoking rate of students with parents and good friends smoking was higher than that of students with parents and good friends not smoking(x2=190.50,1 741.44),and the current smoking rate showed an upward trend with age and age(x2rend=74.87,122.86)(P<0.01).The tobacco dependence rate was 41.80%;75.30%wanted to quit smoking,83.99%had received smoking ces-sation assistance,but had received less professional smoking cessation assistance(13.41%).Logistic regression analysis showed that vocational high school students,senior students(second and third grade),parents'smoking(both smoking,mother smoking),and good friends smoking(some smoking,most smoking,all smoking)were positively correlated with smoking cigarettes among high school students(OR=1.51,1.54,2.17,2.22,1.69,5.30,13.28,8.59,P<0.05).Conclusions The smoking rate of high school students in Shannan City is high and second-hand smoke exposure is common.Vocational high schools are the key to preven-tion and control.Effective cooperation between families,schools,and society should be strengthened to create a smoke-free environ-ment and protect students from tobacco hazards.