A cross-sectional investigation on exposure to tobacco advertisement/promotion and smoking scenes from television/movie/video among middle school students and influence on their knowledge and behavior in Zhejiang Province in 2021 Years
Objective To investigate the exposure to tobacco advertisement/promotion and smoking scenes from television/movie/video among middle school students in Zhejiang Province in 2021,and the influence on the knowledge and behavior about smoking of the students.Methods Total 7 692 students were selected from 60 middle schools with the proportional probability sampling(PPS)method in Zhejiang Province.The investigation was performed with self-administered questionnaire survey which consisted of tobacco use,exposure to tobacco advertisement/promotion,et.The collected data was weighted and analyzed using the complex survey module of SPSS 21.0 software.Results The prevalence of exposure to tobacco advertisement/promotion and smoking scenes from television/movie/video among the middle school students were 24.8%and 63.8%respectively.In recent 30 d,among those who had been exposed to the tobacco retail point,the proportion of those exposed to tobacco advertisement/promotion was 46.1%,and among those who surfed the internet,the proportion of those exposed to tobacco advertisement/video was 23.4%.Among the whole students,the proportion of those exposed to free tobacco product was 2.4%.The junior middle school students,regular high school students,and vocational school students who had been exposed to tobacco advertisement/promotion were more likely to feel smoking more comfortable in social occasions(5.6%,6.7%,8.8%),to feel smoking attractive for the young(9.1%,8.4%,8.8%),and also had higher rate of attempted smoking(12.5%,16.9%,20.5%)than non-exposed ones(junior middle school students:2.3%,5.5%,4.8%;regular high school students:2.9%,2.9%,9.8%;vocational school students:4.0%,4.0%,15.3%)(all P<0.05).Among the students who had seen television/movie/video within 30 days,the junior middle school students,regular high school students,and vocational school students who had been exposed to smoking-related scenes had higher rate of attempted smoking(8.1%,14.7%,20.0%)than non-exposed ones(5.4%,8.0%,10.6%)(all P<0.05).Conclusion The prevalence of exposure to tobacco advertisement/promotion and smoking scenes from television/movie/video are relatively high among the middle school students in Zhejiang province,which make exposed students more likely to report positive attitude to tobacco use,and more likely to smoke,to attempt to smoke.
SmokingMiddle school studentsAdvertisementsSmoking scenesCognitionBehaviorCross-sectional investigationQuestionnaires