摘要
目的了解杭州市西湖区健康促进学校初中学生电子烟使用情况并分析影响因素,为开展学校控烟工作提供依据。方法于2021年9—12月,采用多阶段分层整群抽样方法,抽取西湖区健康促进学校初中一~三年级学生为调查对象,采用全球青少年烟草调查(中国)问卷收集调查对象的基本情况、电子烟使用和烟草广告暴露情况等。采用多因素logistic回归模型分析电子烟尝试使用的影响因素。结果调查初中学生1677人,其中男生875人,占52.18%;女生802人,占47.82%。初一、初二和初三年级分别占33.93%、35.00%和31.07%。听说过电子烟1461人,占87.12%。电子烟尝试使用101人,尝试使用率为6.02%。电子烟现在使用24人,现在使用率为1.43%。多因素logistic回归分析结果显示,农村(OR=2.364,95%CI:1.442~3.875),好朋友吸烟(OR=5.614,95%CI:3.404~9.258),过去30 d在电视、视频、电影中看到吸烟画面(OR=2.106,95%CI:1.259~3.523),收到过免费烟草产品(OR=3.887,95%CI:1.172~12.894),认为电子烟不含尼古丁(OR=208.442,95%CI:55.713~779.856)和认为聚会场合吸烟令人感到舒服(OR=4.534,95%CI:1.853~11.090)是电子烟尝试使用的促进因素。38.04%的初中学生过去30 d看到过电子烟及相关产品广告,商店、超市、便利店和杂货店以及电子烟体验店或零售店为主要广告暴露途径。结论西湖区健康促进学校初中学生电子烟尝试使用率较低,其是否尝试使用电子烟主要受好朋友吸烟等环境因素及个人认知影响。
Objective To investigate electronic cigarette(e-cigarette)use and its influencing factors among junior high school students of health promotion schools in Xihu District,Hangzhou City,so as to provide insights into school-based tobacco control.Methods Grade 1 to 3 junior high school students of health promotion schools in Xihu District were recruited using a multi-stage stratified cluster sampling method from September to December,2021.The participants'de⁃mographic features,e-cigarette use and exposure to tobacco advertising were collected using the Chinese version of the Global Youth Tobacco Survey,and the factors affecting the intention to use e-cigarettes were identified using a multi⁃variable logistic regression model.Results The 1677 respondents included 875 boys(52.18%)and 802 girls(47.82%),and grade 1 to 3 junior high school students consisted of 33.93%,35.00%and 31.07%of all respondents,respectively.There were 1461 students that had heard of e-cigarettes(87.12%),101 students with intention to use e-cigarettes(6.02%),and 24 current users(1.43%).Multivariable logistic regression analysis identified living in rural areas(OR=2.364,95%CI:1.442-3.875),having close friends that were smokers(OR=5.614,95%CI:3.404-9.258),having seen smoking via TV,video or movie in the past 30 days(OR=2.106,95%CI:1.259-3.523),having received free tobacco products(OR=3.887,95%CI:1.172-12.894),considering e-cigarettes as nicotine-free(OR=208.442,95%CI:55.713-779.856),and considering smoking making comfortable at party(OR=4.534,95%CI:1.853-11.090)as factors affecting in⁃tention to use e-cigarettes.There were 38.04%(638/1677)of junior high school students with exposure to advertise⁃ments for e-cigarettes and related products,and stores,supermarkets,convenience stores,grocery,e-cigarette experience stores or offline retail stores were the primary places to contact e-cigarettes and related products.Conclusions The percentage of intention to use e-cigarettes was low among junior high school students of health promotion schools in Xi⁃hu District in 2021,and their intention to use e-cigarettes was mainly affected by close friends'smoking status and per⁃sonal recognition.
作者
沈婷
蔡永环
张静敏
胡艺俨
靳颖
许俊
SHEN Ting;CAI Yonghuan;ZHANG Jingmin;HU Yiyan;JIN Ying;XU Jun(Department of Health Education and Chronic Disease Control and Prevention,Xihu Center for Disease Control and Prevention,Hangzhou,Zhejiang 310030,China;Xihu District Bureau of Education,Hangzhou,Zhejiang 310012,China;Hangzhou Normal University,Hangzhou,Zhejiang 31112,China)
出处
《预防医学》
2022年第8期776-781,共6页
CHINA PREVENTIVE MEDICINE JOURNAL
基金
杭州市西湖区社会科学研究项目(XH21SKL05)。
关键词
电子烟
初中学生
尝试使用电子烟
影响因素
electronic cigarette
junior high school student
intention to use e-cigarettes
influencing factor
