文章摘要
刘睿然,曾新颖,祁明新,肖琳.中国青少年电子烟广告暴露与电子烟使用的关联性研究[J].中华流行病学杂志,2026,47(3):410-415
中国青少年电子烟广告暴露与电子烟使用的关联性研究
Association between e-cigarette advertising exposure and e-cigarette use in adolescents in China
收稿日期:2024-07-07  出版日期:2026-03-19
DOI:10.3760/cma.j.cn112338-20250707-00466
中文关键词: 青少年|电子烟|广告|关联性研究
英文关键词: Adolescents|E-cigarette|Advertisement|Association study
基金项目:烟草流行监测和控烟综合干预;全球卫生能力建设与控烟
作者单位E-mail
刘睿然 中国疾病预防控制中心控烟办公室, 北京 100050  
曾新颖 中国疾病预防控制中心控烟办公室, 北京 100050  
祁明新 中国疾病预防控制中心控烟办公室, 北京 100050  
肖琳 中国疾病预防控制中心控烟办公室, 北京 100050 xiaolin201304@126.com 
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中文摘要:
      目的 了解中国青少年电子烟广告暴露现状并探讨电子烟使用与电子烟广告暴露之间的关联性。方法 采用多阶段分层整群随机抽样方法,在东北、华北、华中、华南、西北、西南、华东7个区域抽取14个省(自治区、直辖市)的840所学校,包括初中、普通高中和职业高中。调查采用入校由学生匿名自填问卷的方式进行。Logistic回归模型分析用于探索电子烟广告暴露与电子烟使用之间的关联性。结果 113 133名在校中学生完成调查,应答率为95.7%。过去30 d,电子烟广告加权暴露率为22.6%。其中女生(23.6%)高于男生(21.8%)。职业高中生电子烟广告加权暴露率最高(26.7%),其次是普通高中生(24.8%),最低为初中生(20.6%)(均P<0.001)。中学生看到电子烟广告前3位的途径是电子烟体验店或电子烟零售店(10.3%)、商店/超市/便利店/杂货店(9.9%)和互联网(8.4%)。Logistic回归模型分析表明,过去30 d看过电子烟广告是青少年现在使用电子烟的危险因素(OR=2.58,95%CI:2.17~3.06,P<0.001)。结论 我国青少年可通过多种途径接触到电子烟广告,建议加强相关法律的执行力度,保护青少年远离电子烟。
英文摘要:
      Objective To describe the current status of electronic cigarette advertising exposure in adolescents in China and evaluate the association between e-cigarette use and e-cigarette advertising exposure. Methods Multi-stage cluster random sampling method was used to select 840 schools from 14 provinces in northeastern, northern, central, southern, northwestern, southwestern and eastern China. The schools included junior high schools, senior high schools and vocational senior high schools. In the survey, the students completed the questionnaires anonymously in campus. Logistic regression analysis was conducted to evaluate the association between exposure to e-cigarette advertising and e-cigarette use. Results A total of 113 133 secondary school students completed this survey, the response rate was 95.7%. Within the past 30 days, the weighted exposure rate of e-cigarette advertising was 22.6%, with a higher percentage in girls (23.6%) than in boys (21.8%). The highest weighted exposure rate of e-cigarette advertising was found in vocational senior high school students (26.7%), followed by senior high school students (24.8%) and junior high school students (20.6%) (all P<0.001). The three most common channels through which secondary school students were exposed to e-cigarette advertising were electronic cigarette experience stores or e-cigarette retail stores (10.3%), shops/supermarkets/convenience store/grocery stores (9.9%), and internet (8.4%). The logistic regression analysis indicated that exposure to e-cigarette advertising in the past 30 days was a risk factor for the current use of e-cigarettes in adolescents in China (OR=2.58, 95%CI: 2.17-3.06, P<0.001). Conclusions Adolescents can be exposed to e-cigarette advertising through multiple channels in China. It is necessary to strengthen the implementation of relevant laws to protect adolescents from e-cigarette use.
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