| 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].Chinese journal of Epidemiology,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 |
| Received:January 07, 2019 |
| DOI：10.3760/cma.j.issn.0254-6450.2019.08.018 |
| KeyWord: 吸烟行为 健康素养 相关性 |
| English Key Word: Smoking behavior Health literacy Correlation |
| FundProject: |
| Author Name | Affiliation | E-mail | | Chen Renyou | Shandong Provincial Center for Disease Control and Prevention, Ji'nan 250014, China | | | Sun Tong | Shandong Provincial Center for Disease Control and Prevention, Ji'nan 250014, China | | | Li Fengxia | Shandong Provincial Center for Disease Control and Prevention, Ji'nan 250014, China | | | Li Xianwei | Shandong Provincial Center for Disease Control and Prevention, Ji'nan 250014, China | | | Fan Zheng | Shandong Provincial Center for Disease Control and Prevention, Ji'nan 250014, China | | | Zhou Peijing | Shandong Provincial Center for Disease Control and Prevention, Ji'nan 250014, China | | | Leng Yan | Shandong Provincial Center for Disease Control and Prevention, Ji'nan 250014, China | | | Wei Xia | Shandong Provincial Center for Disease Control and Prevention, Ji'nan 250014, China | | | Kang Dianmin | Shandong Provincial Center for Disease Control and Prevention, Ji'nan 250014, China | dmkang66@163.com |
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| Abstract: |
| 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。 |
| English Abstract: |
| 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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