首页|北京市初中生2019与2023年烟草流行现况及相关因素分析

北京市初中生2019与2023年烟草流行现况及相关因素分析

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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.
Tobacco epidemic and related factors among junior high school students in Beijing in 2019 and 2023
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.

TobaccoSmokingRegression analysisStudents

秦冉、王一凡、赵金辉、李婷、张京舒、郭欣

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北京市疾病预防控制中心学校卫生所,100013

北京大学公共卫生学院/生育健康研究所

烟草 吸烟 回归分析 学生

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

2024

中国学校卫生
中华预防医学会

中国学校卫生

CSTPCD北大核心
影响因子:1.423
ISSN:1000-9817
年,卷(期):2024.45(8)