摘要
目的 了解浙江省绍兴市居民吸烟情况及影响因素,为指导控烟工作提供依据.方法 于2022年6-12月采用多阶段分层随机抽样方法抽取绍兴市15~69岁常住居民为调查对象,采用《全国居民健康素养监测调查问卷》调查居民的吸烟情况和健康素养水平;采用多因素logistic回归模型分析居民吸烟的影响因素.结果 发放问卷4 156份,回收有效问卷4 055份,问卷有效率为97.57%.调查男性1 899人,占46.83%;农村2 073人,占51.12%;在婚3 256人,占80.30%.吸烟805人,吸烟率为19.85%.多因素logistic回归分析结果显示,男性(OR=169.861,95%CI:92.335~312.481)、年龄(25~<35岁,OR=8.768,95%CI:2.964~25.937;35~<45岁,OR=9.271,95%CI:3.077~27.933;45~<55 岁,OR=10.467,95%CI:3.498~31.327;55~<65 岁,OR=8.880,95%CI:2.964~26.608;65~69 岁,OR=6.115,95%CI:1.992~18.774)、婚姻状况(离异,OR=2.035,95%CI:1.260~3.287;丧偶,OR=2.317,95%CI:1.337~4.016)、文化程度(文盲/半文盲,OR=2.724,95%CI:1.515~4.898;小学,OR=2.734,95%CI:1.823~4.100;初中,OR=2.003,95%CI:1.423~2.820;高中/职高/中专,OR=1.625,95%CI:1.148~2.299)、自评健康状况(一般,OR=0.788,95%CI:0.623~0.996;较差,OR=0.343,95%CI:0.191~0.617)和不具备基本技能健康素养(OR=1.290,95%CI:1.007~1.653)与吸烟有统计学关联.结论 绍兴市居民吸烟率较低,吸烟受性别、年龄、婚姻状况、文化程度、自评健康状况和基本技能健康素养等因素影响.
Abstract
Objective To investigate the status and identify the influencing factors of smoking among residents in Shaox-ing City,Zhejiang Province,so as to provide insights into tobacco control.Methods Permanent residents aged 15 to 69 years in Shaoxing City were recruited using the stratified multistage random sampling method from June to Decem-ber 2022,and smoking behaviors and health literacy were collected using the National Questionnaire for Surveillance on Healthy Literacy in Chinese Residents.Factors affecting smoking were identified using a multivariable logistic regression model.Results Totally 4 156 questionnaires were allocated,and 4 055 valid questionnaires were recovered,with an ef-fective recovery rate of 97.57%.There were 1 899 men(46.83%),2 073 residents in rural areas(51.12%),and 3 256 married residents(80.30%).There were 805 smokers,and the rate of smoking was 19.85%.Multivariable logistic regres-sion analysis showed that male(OR=169.861,95%CI:92.335-312.481),age(25-<35 years,OR=8.768,95%CI:2.964-25.937;35-<45 years,OR=9.271,95%CI:3.077-27.933;45-<55 years,OR=10.467,95%CI:3.498-31.327;55-<65 years,OR=8.880,95%CI:2.964-26.608;65-69 years,OR=6.115,95%CI:1.992-18.774),marital status(divorced,OR=2.035,95%CI:1.260-3.287;widowed,OR=2.317,95%CI:1.337-4.016),educational level(illiterate or semi-literate,OR=2.724,95%CI:1.515-4.898;primary school,OR=2.734,95%CI:1.823-4.100;junior high school,OR=2.003,95%CI:1.423-2.820;high school/vocational high school/technical secondary school,OR=1.625,95%CI:1.148-2.299),self-rated health status(general,OR=0.788,95%CI:0.623-0.996;relatively poor,OR=0.343,95%CI:0.191-0.617)and lack of ba-sic health skills(OR=1.290,95%CI:1.007-1.653)were associated with smoking.Conclusion The smoking rate among residents in Shaoxing City is relatively low,and might be influenced by gender,age,marital status,educational level,self-rated health status,and basic health skills.