文章摘要
贾晓娴,续琨,车贝贝,高晶蓉,黄智勇,王剑,尉晓霞,乐坤蕾,龚正阳,孙源樵,谢臣晨,习佳成,承语芝,殷竹琰,丁园,陈德.上海市初中生2013年与2019年烟草流行情况比较分析[J].中华流行病学杂志,2022,43(9):1408-1414
上海市初中生2013年与2019年烟草流行情况比较分析
Comparative analysis on prevalence of tobacco and e-cigarettes uses in junior middle school students in Shanghai,2013 and 2019
收稿日期:2021-10-12  出版日期:2022-09-09
DOI:10.3760/cma.j.cn112338-20211012-00786
中文关键词: 烟草流行;电子烟;二手烟暴露;青少年
英文关键词: Tobacco epidemic;E-cigarettes;Secondhand smoking exposure;Adolescent
基金项目:2013中央补助地方健康素养促进项目;2019年基本公共卫生服务项目;上海市公共卫生体系建设三年行动计划(2020-2022年)学科人才建设计划-健康教育与健康传播(GWV-10.1-XK14);2022年上海市卫生健康委员会卫生健康政策研究课题-上海市电子烟使用情况调查及应对策略研究(2022HP42)
作者单位E-mail
贾晓娴 上海市健康促进中心控烟与行为干预部, 上海 200040
上海市控制吸烟协会, 上海 200040 
 
续琨 上海市健康促进中心业务推进办公室, 上海 200040  
车贝贝 复旦大学公共卫生学院, 上海 200032  
高晶蓉 上海市控制吸烟协会, 上海 200040
上海市老龄事业发展促进中心, 上海 200011 
 
黄智勇 上海市卫生健康委员会健康促进处, 上海 200125  
王剑 上海市健康促进中心控烟与行为干预部, 上海 200040
上海市控制吸烟协会, 上海 200040 
 
尉晓霞 上海市健康促进中心研究与监测评价部, 上海 200040  
乐坤蕾 上海市健康促进中心控烟与行为干预部, 上海 200040
上海市控制吸烟协会, 上海 200040 
 
龚正阳 上海市健康促进中心控烟与行为干预部, 上海 200040
上海市控制吸烟协会, 上海 200040 
 
孙源樵 上海市健康促进中心控烟与行为干预部, 上海 200040
上海市控制吸烟协会, 上海 200040 
 
谢臣晨 上海市健康促进中心控烟与行为干预部, 上海 200040
上海市控制吸烟协会, 上海 200040 
 
习佳成 上海市健康促进中心控烟与行为干预部, 上海 200040
上海市控制吸烟协会, 上海 200040 
 
承语芝 上海市健康促进中心控烟与行为干预部, 上海 200040
上海市控制吸烟协会, 上海 200040 
 
殷竹琰 上海市健康促进中心控烟与行为干预部, 上海 200040
上海市控制吸烟协会, 上海 200040 
 
丁园 上海市健康促进中心, 上海 200040  
陈德 上海市健康促进中心控烟与行为干预部, 上海 200040
上海市控制吸烟协会, 上海 200040 
chende1288@126.com 
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中文摘要:
      目的 了解上海市初中生烟草流行情况和变化趋势,探索初中生吸烟行为的影响因素,为制定青少年控烟干预策略提供数据支持和科学依据。方法 采用多阶段分层整群随机抽样的方法,分别于2013年抽取8个区,2019年抽取10个区,调查上海市初中在校学生的烟草流行情况。采用χ2检验比较2次调查的烟草流行率,多因素logistic回归分析相关影响因素。结果 2019年上海市初中生现在吸烟率为0.6%,尝试吸烟率为2.9%,均低于2013年水平(分别为0.7%和6.9%);2019年现在电子烟使用率(0.6%)较2013年无明显变化(0.6%);2019年听说过电子烟的比例(78.4%)显著高于2013年水平(47.2%);2019年初中生在家中、室内公共场所、室外公共场所、公共交通工具二手烟暴露率为72.5%,略低于2013年水平(73.0%),以上比较均差异有统计学意义(P<0.05)。多因素logistic回归分析结果显示,2019年,好朋友吸烟(OR=27.381,95%CI:12.037~62.287)、校内看到有人吸烟(OR=2.477,95%CI:1.155~5.312)、认为二手烟可能没有危害(与认为二手烟肯定有危害相比,OR=8.471,95%CI:1.464~49.005)的初中生现在吸烟率更高。≥15岁(与≤12岁相比,OR=8.688,95%CI:1.922~39.266)、室外二手烟暴露(OR=8.608,95%CI:1.048~70.692)、好朋友吸烟(OR=8.115,95%CI:1.754~37.545)的初中生现在电子烟使用率更高,认为吸烟使社交更不舒服[与认为吸烟使社交更舒服相比(OR=0.105,95%CI:0.018~0.615)]的初中生现在电子烟使用率更低,以上均差异有统计学意义(P<0.05)。结论 上海市初中生烟草流行情况在近年保持较低水平,但二手烟暴露情况不容乐观。初中生吸烟行为与个人对烟草的态度认知、二手烟暴露、同伴吸烟及学校控烟状况密切相关,应从多维度开展预防和干预,切实保护青少年远离烟草危害。
英文摘要:
      Objective To examine the prevalence and trend of tobacco and e-cigarettes uses and identify the influencing factors for smoking behavior in junior middle school students in Shanghai,and provide data support and scientific basis for the development of tobacco control intervention strategy in adolescents.Methods Multi-stage stratified random sampling method was used to select junior middle school students in 8 districts and 10 districts in Shanghai in 2013 and in 2019 respectively.Information about tobacco and e-cigarettes uses in the students were collected by using self-administrated questionnaire.The prevalence of tobacco and e-cigarettes uses were calculated,the difference between two years was compared with χ2 test.The influencing factors were identified by multivariate logistic regression analysis.Results In 2019,the current smoking rate was 0.6% in junior middle school students in Shanghai,and the smoking attempt rate was 2.9%,both were lower than the levels in 2013(0.7% and 6.9%).The current use rate of e-cigarettes was 0.6% in 2019,with no significant change compared with 2013(0.6%).The proportion of the students who had heard of e-cigarettes in 2019(78.4%) was higher than that in 2013(47.2%).In 2019,the second-hand smoke (SHS) exposure rate at home,in both indoor and outdoor public places and on public transportations was 72.5%,which was slightly lower than the level in 2013(73.0%),the differences were all significant (P<0.05).In 2019,the students seeing close friend smoking (OR=27.381,95%CI:12.037-62.287),seeing someone smoking in school (OR=2.477,95%CI:1.155-5.312),believing that SHS may not be harmful (OR=8.471,95%CI:1.464-49.005) had higher possibility of smoking.Being aged ≥ 15 years (compared with being aged ≤ 12 years,OR=8.688,95%CI:1.922-39.266),exposure to SHS in outdoor public place (OR=8.608,95%CI:1.048-70.692),close friend smoking (OR=8.115,95%CI:1.754-37.545) were positively associated with e-cigarettes use,and believing that smoking results in uncomfortable social contact[compared with believing that smoking results in comfortable social contact(OR=0.105,95%CI:0.018-0.615)]were negatively associated with e-cigarettes use,the difference was significant (P<0.05).Conclusion The prevalence of tobacco and e-cigarette uses in junior middle school students in Shanghai remained at a low level in recent years.The SHS exposure rate in junior middle school students is high.Smoking behavior of junior middle school students is closely related to personal attitude and awareness of tobacco,exposure to SHS,peer smoking and the situation of tobacco control in schools.Prevention and intervention should be carried out from multi-dimensions to effectively protect teenagers from tobacco hazards.
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