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目的分析广州市黄埔区初中生尝试吸烟行为的影响因素。方法用自填式调查问卷对广州市黄埔区全区初中生进行调查,问卷内容主要包括初中生的基本情况和校内环境,校内环境包括学校类型、教师和同学吸烟以及学校禁烟情况等,采用单因素2检验和多因素logistic回归分析对初中生基本情况及校内环境与尝试吸烟行为关系进行研究。结果共调查18所学校,调查学生8 131人,其中1 316人尝试过吸烟,尝试吸烟率为16.18%(1 316/8 131)。多因素分析结果示,年龄>15岁相对于<12岁(OR=3.12),成绩较差初中生相对于优秀的(OR=1.95),月零花钱有1~49、50~100、>100元相对于无零花钱(OR=1.41、1.55、2.34),任课教师吸烟相对于不吸烟(OR=1.73)、有同班同学吸烟相对于无同班同学吸烟(OR=2.02)、经常见到校内有人吸烟相对于没见过校内有人吸烟(OR=2.07)的初中生尝试吸烟的可能性更高;女同学相对于男同学(OR=0.20)、区级学校相对于省市级学校(OR=0.67)、有教师在校禁烟规定相对于无老师在校禁烟规定(OR=0.74)的初中生尝试吸烟的可能性更低。结论影响初中生尝试吸烟的因素来自各方面,学校控烟工作应注重方法而非强制规定。
Objective To analyze the influencing factors of junior high school students’ smoking behavior in Huangpu District of Guangzhou City. Methods Self-administered questionnaires were used to investigate junior high school students in Huangpu district of Guangzhou. The contents of the questionnaire mainly include the basic conditions of junior high school students and the school environment, the school environment including the type of school, smoking among teachers and students, and the non-smoking school. Factors 2 test and multivariate logistic regression analysis of the basic situation of junior high school students and the environment and try to study the relationship between smoking behavior. Results A total of 18 schools were surveyed. A total of 8 131 students were investigated. Among them, 1 316 people had tried smoking and the attempted smoking rate was 16.18% (1 316/8 131). Multivariate analysis showed poor grades in junior high school students relative to excellent (OR = 1.95), ages> 15 years vs. <12 years (OR = 3.12), monthly odds of 1 to 49, 50 to 100, and> 100 (OR = 1.41, 1.55, 2.34). Compared with non-smoking teachers (OR = 1.73), there were smoking in classmates compared with non-classmates (OR = 2.02) Compared with male students (OR = 0.20), district-based schools were more likely to smoke than junior-high-school students who had never smoked (OR = 2.07) ), There is a teacher’s ban on smoking in school, which stipulates that junior high school students are less likely to try smoking than those without a school-based smoking ban (OR = 0.74). Conclusion The factors that influence junior high school students’ attempt to smoke come from all aspects. School-based tobacco control should focus on methods rather than mandatory regulations.