Smoking and its influential factors of among middle school students in Chang’an district,Xi’an city

Objective To explore the status and risk factors of smoking among middle school students in Chang'an district of Xi'an city. Methods By stratified cluster sampling,1 299 middle school students from 6 middle schools in Chang'an district were chosen and surveyed with a questionnaire. Results The total smoking rate was 16.7%(30.88%in the boys, 1.93%in the girls)with a statistical difference in gender(χ²=191.29,P<0.01).There were 45.32%of the respondents reporting an attempt to smoke because of the influence of their friends,family and classmates,and 70.43%reporting smoking when being depressed.The ratio of the respondents with negative attitude toward smoking behavior was 80%.Logistic regression showed that male,regarding smoking as an enjoyment were the risk factors of smoking,whereas regarding smoking as a bad habit could prevent the students from smoking. Conclusion Comprehensive smoking intervention program should be carried out in class,family and school,and the attitude toward smoking and the hazard of smoking are key points in health education.