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目的了解衢州市中学生吸烟状况及其影响因素,为烟草控制和健康教育工作提供依据。方法采用多阶段分层整群抽样的方法,抽取衢州市18所学校中学生1 454名,使用浙江省青少年健康相关行为调查问卷进行调查。结果中学生尝试吸烟率为31.36%,吸过一整支烟率为17.81%,现在吸烟率为8.73%,被动吸烟率为22.35%。多因素非条件Logistic回归分析显示,男生、父母离异/丧偶/分居、年龄15～17岁、失眠、学习成绩靠后、醉酒、网络成瘾、打架、非普通高中学生是现在吸烟的危险因素(P值均<0.05)。结论衢州市中学生吸烟现象普遍,应尽早采取积极有效的控烟措施,对中学生吸烟行为的影响因素进行重点干预。
Objective To understand the smoking status of secondary school students in Quzhou and its influencing factors, and to provide basis for tobacco control and health education. Methods A total of 1 454 middle school students from 18 schools in Quzhou City were collected by multistage stratified cluster sampling method and were surveyed by the Zhejiang Provincial Youth Health Related Behavior Questionnaire. Results High school students attempted smoking rate of 31.36%, smoking a whole cigarette smoking rate of 17.81%, now smoking rate was 8.73%, passive smoking rate was 22.35%. Multivariate non-conditional logistic regression analysis showed that boys, parents divorced / widowed / separated, aged 15-17, insomnia, poor academic performance, drunkenness, internet addiction, fighting, non-average high school students were risk factors for smoking nowadays P <0.05). Conclusions Smoking prevalence among middle school students in Quzhou City is widespread. Positive and effective tobacco control measures should be adopted as early as possible to intervene the influencing factors of smoking behavior among middle school students.