文章摘要
陈仁友,孙桐,李凤霞,李先威,范正,周培静,冷艳,魏霞,康殿民.山东省小学生吸烟行为与健康素养的相关性分析[J].中华流行病学杂志,2019,40(8):971-975
山东省小学生吸烟行为与健康素养的相关性分析
Study on the relationship between smoking behavior and health literacy among grade 4-6 primary students in Shandong province
投稿时间:2019-01-07  
DOI:10.3760/cma.j.issn.0254-6450.2019.08.018
中文关键词: 吸烟行为;健康素养;相关性
英文关键词: Smoking behavior;Health literacy;Correlation
基金项目:
作者单位E-mail
陈仁友 山东省疾病预防控制中心, 济南 250014  
孙桐 山东省疾病预防控制中心, 济南 250014  
李凤霞 山东省疾病预防控制中心, 济南 250014  
李先威 山东省疾病预防控制中心, 济南 250014  
范正 山东省疾病预防控制中心, 济南 250014  
周培静 山东省疾病预防控制中心, 济南 250014  
冷艳 山东省疾病预防控制中心, 济南 250014  
魏霞 山东省疾病预防控制中心, 济南 250014  
康殿民 山东省疾病预防控制中心, 济南 250014 dmkang66@163.com 
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中文摘要:
      目的 探讨4~6年级小学生吸烟行为与健康素养的相关性。方法 采用多阶段分层整群抽样方法,以问卷形式调查2017年山东省4~6年级小学生健康素养水平及烟草使用情况,收集调查对象一般人口学资料、健康素养水平、吸烟情况,采用二分类logistic回归分析烟草使用与健康素养的相关性。结果 共发放9 240份调查问卷,合格问卷9 210份,调查对象应答率为99.7%。4~6年级小学生现在吸烟率为2.6%,男生现在吸烟率(3.1%)高于女生(2.0%);总体健康素养水平为60.8%,其中男生为56.7%,女生为64.9%。吸烟者健康素养水平为14.4%,非吸烟者为62.0%。logistic回归分析显示,影响吸烟的自变量有年级、父亲文化程度、经济发展水平、自我评价学习成绩和健康素养水平(P<0.01)。控制了混杂因素影响后,不具有健康素养水平小学生吸烟率是具有健康素养水平的8.62倍(1/0.116)。结论 山东省4~6年级小学生吸烟行为与健康素养水平存在相关性。
英文摘要:
      Objective To investigate the associations between smoking and literacy on health among 4-6 grade primary school students. Methods A questionnaire survey was conducted to research on health literacy and smoking among 4-6 grade pupils in Shandong province, through a multi-stage stratified cluster random sampling method. Sociodemographic characteristics, health literacy level and smoking rate were collected from respondents. Binary logistic regression analysis was used to evaluate the association of smoking and health literacy. Results A total of 9 240 questionnaires were distributed, with the rate of valid response as 99.7%. The current smoking rate of the students was 2.6%, on higher in boys (3.1%) than in girls (2.0%). 60.8% of 4-6 grade students were found to have adequate health literacy level. Levels of literacy health in both boy and girl school students appeared 56.7% and 64.9%, respectively. Results indicated that health literacy in smokers (14.4%) was lower than that in non-smokers (62.0%). Results from the binary logistic regression analysis showed that the independent influencing factors would include grade, father's education level, economic situation of the family, self-assessment on the school record and literacy on health (P<0.01). After controlling the other independent variables, the smoking rate was 8.62 (1/0.116) times in students with low literacy level on health, than those with high literacy level. Conclusions Literacy on health was significantly associated with smoking in the 4-6 grade pupils of Shandong province.
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