上海市初中生2013年与2019年烟草流行情况比较分析

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

Abstract

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].Chinese journal of Epidemiology,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

Received:October 12, 2021

DOI：10.3760/cma.j.cn112338-20211012-00786

KeyWord: 烟草流行电子烟二手烟暴露青少年

English Key Word: Tobacco epidemic E-cigarettes Secondhand smoking exposure Adolescent

FundProject: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)

Author Name	Affiliation	E-mail
Jia Xiaoxian	Department of Tobacco Control and Behavioral Intervention, Shanghai Municipal Center for Health Promotion, Shanghai 200040, China Shanghai Association of Tobacco Control, Shanghai 200040, China
Xu Kun	Business Promotion Office, Shanghai Municipal Center for Health Promotion, Shanghai 200040, China
Che Beibei	School of Public Health, Fudan University, Shanghai 200032, China
Gao Jingrong	Shanghai Association of Tobacco Control, Shanghai 200040, China Shanghai Aging Development and Promotion Center, Shanghai 200011, China
Huang Zhiyong	Health Promotion Division, Shanghai Municipal Health Commission, Shanghai 200125, China
Wang Jian	Department of Tobacco Control and Behavioral Intervention, Shanghai Municipal Center for Health Promotion, Shanghai 200040, China Shanghai Association of Tobacco Control, Shanghai 200040, China
Wei Xiaoxia	Department of Research and Evaluation, Shanghai Municipal Center for Health Promotion, Shanghai 200040, China
Le Kunlei	Department of Tobacco Control and Behavioral Intervention, Shanghai Municipal Center for Health Promotion, Shanghai 200040, China Shanghai Association of Tobacco Control, Shanghai 200040, China
Gong Zhengyang	Department of Tobacco Control and Behavioral Intervention, Shanghai Municipal Center for Health Promotion, Shanghai 200040, China Shanghai Association of Tobacco Control, Shanghai 200040, China
Sun Yuanqiao	Department of Tobacco Control and Behavioral Intervention, Shanghai Municipal Center for Health Promotion, Shanghai 200040, China Shanghai Association of Tobacco Control, Shanghai 200040, China
Xie Chenchen	Department of Tobacco Control and Behavioral Intervention, Shanghai Municipal Center for Health Promotion, Shanghai 200040, China Shanghai Association of Tobacco Control, Shanghai 200040, China
Xi Jiacheng	Department of Tobacco Control and Behavioral Intervention, Shanghai Municipal Center for Health Promotion, Shanghai 200040, China Shanghai Association of Tobacco Control, Shanghai 200040, China
Cheng Yuzhi	Department of Tobacco Control and Behavioral Intervention, Shanghai Municipal Center for Health Promotion, Shanghai 200040, China Shanghai Association of Tobacco Control, Shanghai 200040, China
Yin Zhuyan	Department of Tobacco Control and Behavioral Intervention, Shanghai Municipal Center for Health Promotion, Shanghai 200040, China Shanghai Association of Tobacco Control, Shanghai 200040, China
Ding Yuan	Shanghai Municipal Center for Health Promotion, Shanghai 200040, China
Chen De	Department of Tobacco Control and Behavioral Intervention, Shanghai Municipal Center for Health Promotion, Shanghai 200040, China Shanghai Association of Tobacco Control, Shanghai 200040, China	chende1288@126.com

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Abstract:

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。

English Abstract:

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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