摘要
目的 了解2019和2023年北京市初中学生烟草流行情况和相关因素,为有效开展北京市初中生控烟活动提供参考依据.方法 于2019和2023年4-6月,采用按容量比例概率抽样法(PPS)进行抽样,两年分别有6 489和6 898名初中生接受问卷调查,共计13 387人.采用自填方式完成北京市中学生烟草监测调查问卷,内容包括人口学特征、二手烟暴露、烟草制品的使用、对烟草的态度和认识等.采用x2检验进行率的比较、多因素Logistic回归模型分析现在吸烟的影响因素.结果 2019年北京市在校初中生现在吸传统卷烟率和现在吸电子烟率分别为1.34％,1.88％,2023年分别下降至0.81％,1.06％(x2值分别为8.36,15.17,P值均＜0.01);2019年北京市在校初中生尝试吸传统卷烟率和尝试吸电子烟率分别为6.67％,6.47％,2023年分别下降至3.93％,4.16％(x2值分别为49.99,35.26,P值均＜0.01).2019年在家中、室内公共场所、室外公共场所的初中生二手烟暴露率分别为31.04％,44.94％和49.88％,2023年下降至22.59％,30.23％和36.14％(x2值分别为 121.63,308.60,257.41,P值均＜0.01).2023 年男生(OR=2.88)、高年级(初二、初三)(OR值分别为 4.37,4.92)、可支配零花钱＞20元/周(OR=2.01)、家中(OR=2.74)和室内公共场所(OR=2.64)二手烟暴露、认为吸烟使年轻人看起来更具吸引力(OR=6.29)以及认为电子烟能够帮助戒烟(OR=4.31)的初中生使用烟草的风险更高(P值均＜0.05).结论 北京市初中生烟草使用、二手烟暴露等情况整体下降.应继续对初中生进行控烟干预、重点关注电子烟的使用,促使学生身心健康发展.
Abstract
Objective To understand the prevalence and related factors of tobacco use among junior high school students in Bei-jing,so as to provide evidence to effectively conduct tobacco control intervention strategy.Methods From April to June in 2019 and 2023,6 489 and 6 898 junior high school students were selected by the probability proportion to size(PPS)method,and a total of 13 387 questionnaires were completed.Questionnaire on tobacco monitoring among junior high school students in Beijing was completed by self-filling.The monitoring content included demographic information,second-hand smoke exposure,tobacco product use,tobacco awareness,etc.Chi-square test was used to compare the difference of various indicators in different groups,and multi-variate Logistic regression analysis was adopted to analysis the influencing factors related to the current smoking among junior high school students.Results In 2019,the current traditional cigarettes and e-cigarette smoking rates among junior high school students in Beijing were 1.34％,1.88％,respectively,and decreased to 0.81％,1.06％in 2023(x2=8.36,15.17,P＜0.01).The attemp-ted traditional cigarettes and e-cigarette smoking rates among junior high school students in Beijing decreased from 6.67％,6.47％in 2019 to 3.93％,4.16％in 2023(x2=49.99,35.26,P＜0.01).In 2019,the second-hand smoke exposure rates of junior high school students at homes,indoor public places,and outdoor public places were 31.04％,44.94％,and 49.88％respectively which decreased to 22.59％,30.23％,and 36.14％in 2023(x2=121.63,308.60,257.41,P＜0.01).In 2023,male students(OR=2.88),senior students(grade 2 and 3)(OR=4.37,4.92),disposable pocket money＞20 yuan/week(OR=2.01),second-hand smoke exposure at home(OR=2.74),indoor public places(OR=2.64),perception that smoking makes young people more attrac-tive(OR=6.29),and perception that e-cigarettes help quit smoking(OR=4.31)were associated with higher tobacco use(P＜0.05).Conclusions Tobacco use and second-hand smoke among junior high school students in Beijing decrease significantly.To-bacco control interventions should be provided for junior high school students continuously with a focus on e-cigarettes use to pro-mote physical and mental health development among students.
基金项目
北京市卫生健康委员会高层次公共卫生技术人才建设项目(领军人才-01-09)
维普
万方数据