文章摘要
陶芳标,黄锟,高茗,苏普玉.合肥地区中学生吸烟行为与主观生活质量评价[J].中华流行病学杂志,2006,27(2):132-136
合肥地区中学生吸烟行为与主观生活质量评价
Smoking and subjective life qualities in middle school students
投稿时间:2005-03-28  
DOI:
中文关键词: 吸烟;主观生活质量;中学生
英文关键词: Smoking;Subjective life qualities;Middle school students
基金项目:
作者单位
陶芳标 230032 合肥, 安徽医科大学公共卫生学院 
黄锟 230032 合肥, 安徽医科大学公共卫生学院 
高茗 合肥市卫生监督所 
苏普玉 230032 合肥, 安徽医科大学公共卫生学院 
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中文摘要:
      目的探讨中学生不同吸烟行为与主观生活质量的关系并分析吸烟行为的影响因素。方法1998年、2003年分别对合肥市城乡6所中学初一至高三年级学生曾经吸烟、13岁前吸烟、最近吸烟、规律吸烟、吸烟成瘾、尝试戒烟等6种吸烟行为进行监测,选用情绪症状、学校生活满意度、总体生活满意度等指标对主观生活质量进行评定,分析中学生吸烟行为的5年变化以及主观生活质量与吸烟行为的相关性。结果中学生13岁前吸烟、最近吸烟、规律吸烟和吸烟成瘾的发生率2003年(分别为8.8%、12.0%、5.6%和1.7%)比1998年(分别为3.1%、3.0%、1.7%和0.6%)增高,差异具有统计学意义。曾经吸烟、13岁前吸烟、最近吸烟、规律吸烟、未尝试戒烟和吸烟成瘾者抑郁、焦虑情绪症状检出率高,学校生活满意度低,对生活或自己的总体评价低。学校生活满意度高(OR=0.657)、对生活的总体评价高(OR=0.766)是近期吸烟的保护因素,抑郁合并焦虑是危险因素(OR=2.181);学校生活满意度高是吸烟成瘾的保护因素(OR=0.388),抑郁症状是吸烟成瘾(OR=2.753)和规律吸烟的危险因素(OR=1.676)。结论中学生吸烟行为非常普遍,并受到多种与认知、情绪相关的主观生活质量指标的影响。
英文摘要:
      Objective To understand the tendency of smoking in middle school students during the last 5 years and to identify the relationship between subjective life qualities and different smoking behaviors in order to determine the possible effects on tobacco use. Methods Six middle schools were chosen in the city and rural areas of Hefei in 1998 and 2003, respectively. Smoking behaviors such as ever smoking, smoking before 13 years old, current smoking, regular smoking and addictive smoking were surveyed.Emotional symptoms, satisfaction on school life and on general life were chosen to estimate subjective life qualities. Relationship between subjective life qualities and smoking behaviors was analyzed. Results Prevalence rates of smoking before 13 years old, current smoking, regular smoking and addictive smoking in 2003 (8. 8 %, 12. 0 %, 5. 6 % and 1. 7 %, respectively) were higher in 1998 (3. 1 %, 3. 0 %, 1. 7 % and 0.6 %, respectively). The prevalence rates of depression and anxiety were high among students with ever smoking, current smoking, regular smoking, addictive smoking, smoking before 13 years old and no attempt to quit cigarette smoking. Lower school life satisfaction and general estimation of life were found among these students. Higher satisfaction on school life (OR =0.657) and on ordinary life (OR =0.766) were protecting factors of current smoking but comorbid depression and anxiety were risk factors (OR =2. 181). Higher school life satisfaction (OR =0.388) seemed to be protecting factor of addictive smoking while depression was risk factor of addictive smoking (OR =2. 753) and regular smoking (OR =1.