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尼玛曲措, 李亚杰. 西藏初中学生尝试吸烟现状及影响因素分析[J]. 中国公共卫生, 2018, 34(4): 501-504. DOI: 10.11847/zgggws1116872
引用本文: 尼玛曲措, 李亚杰. 西藏初中学生尝试吸烟现状及影响因素分析[J]. 中国公共卫生, 2018, 34(4): 501-504. DOI: 10.11847/zgggws1116872
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Nimaqucuo,, Ya-jie LI. Current situation and influencing factors of smoking attempt among junior high school students in Tibet[J]. Chinese Journal of Public Health, 2018, 34(4): 501-504. DOI: 10.11847/zgggws1116872
Citation: Nimaqucuo,, Ya-jie LI. Current situation and influencing factors of smoking attempt among junior high school students in Tibet[J]. Chinese Journal of Public Health, 2018, 34(4): 501-504. DOI: 10.11847/zgggws1116872
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西藏初中学生尝试吸烟现状及影响因素分析

Current situation and influencing factors of smoking attempt among junior high school students in Tibet

    摘要
  • 摘要:
      目的  了解西藏初中学生尝试吸烟现状及其影响因素，为制定学生控烟干预措施提供依据。
      方法  于2013年10 — 12月采取多阶段分层整群随机抽样方法，抽取西藏8个监测点24所学校的3 652名初中学生进行问卷调查。
      结果  西藏初中学生尝试吸烟率为27.60 %，男生尝试吸烟率（46.43 %）高于女生（8.85 %）（χ2 = 645.242，P < 0.001）；城镇学生尝试吸烟率（36.42 %）高于农村（26.18 %）（χ2 = 22.951，P < 0.001）；家中二手烟暴露组学生尝试吸烟率（38.89 %）高于未暴露组（21.34 %）（χ2 = 140.255，P < 0.001）；烟草广告促销暴露组学生尝试吸烟率（30.51 %）高于未暴露组（12.81 %）（χ2 = 78.741，P < 0.001）；学校附近能买到卷烟的学生尝试吸烟率（53.47 %）高于不能买到的学生（23.34%）（χ2 = 400.824，P < 0.001）；看到有人在校园吸烟的学生尝试吸烟率（35.42 %）高于未看到的学生（16.19%）（χ2 = 162.123，P < 0.001）；随年级增高（χ2 = 31.612，P < 0.001）和零花钱增多（χ2 = 29.635，P < 0.001），学生尝试吸烟率升高；随着对烟雾危害认识（χ2 = 13.692，P = 0.003）和吸烟危害认识（χ2 = 7.316，P = 0.026）的提高，学生尝试吸烟率下降；朋友中吸烟人数越多的学生尝试吸烟率越高（χ2 = 645.498，P < 0.001）。多因素分析结果显示，男性、高年级、零花钱多、家中二手烟暴露、烟草广告和促销暴露、学校附近能买到烟、城市、看到教师吸烟、看到有人在校园吸烟、朋友中有人吸烟是西藏初中学生尝试吸烟行为的危险因素。
      结论  西藏初中学生尝试吸烟率较高，尝试吸烟行为受个体因素、家庭因素、社会因素、学校因素、同伴因素综合影响，控烟需个人、同伴、家庭、学校、社会各方面共同努力。

     

    Abstract:
      Objective  To examine current situation and influencing factors of smoking attempt among junior high school students in Tibet and to provide evidences for developing tobacco control measures for the students.
      Methods  We conducted a questionnaire survey among 3 652 students selected with stratified multistage random cluster sampling from 28 junior high schools in 8 counties/districts in Tibet between October and December 2013.
      Results  The rate of smoking attempt was 27.60% for all the students; the smoking attempt rate of the boy students was significantly higher than that of the girl students (46.43% vs. 8.85%, χ2 = 645.242; P < 0.001) and the rate of urban students was significantly higher than that of the rural students (36.42% vs. 26.18%, χ2 = 22.951; P < 0.001). Significantly higher rates of smoking attempt were observed among the students exposed to second-hand smoke at home (38.89% vs. 21.34%, χ2 = 140.255) and to tobacco advertising/promotion (30.51% vs. 12.81%, χ2 = 78.741) compared to those among the students without the exposures (both P < 0.001); significantly higher rates of smoking attempt were also observed among the students being able to buy cigarettes in retail outlets nearby the school (53.47% vs. 23.34%, χ2 = 400.824) and among the students having seen peers’ smoking on campus (35.42% vs. 16.19%, χ2 = 162.123) than among the students being unable to do and not having seen (both P<0.001). The results of multivariate analysis demonstrated that male gender, high grade of study, with large amount of pocket money, exposed to second-hand smoke at home, exposed to tobacco advertising/promotion, being able to buy cigarettes in retail outlets nearby the school, being a urban student, having seen smoking behavior of a teacher, having seen someone smoking on campus, and with smokers in peers were risk factors for smoking attempt among junior high school students in Tibet.
      Conclusion  Smoking attempt rate is high and influenced by individual, familial, social, school, and peer factors among junior high school students in Tibet. The results suggest that comprehensive intervention should be adopted in tobacco control among the students.

     

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