目的 了解北京市高中生吸烟行为及家庭因素与吸烟关联的性别差异,为相关干预提供理论依据。 方法 于2014年4-5月,采取分层整群随机抽样的方法,对北京市16 669名高中生进行问卷调查。分性别采用χ2检验和多因素Logistic回归法分析家庭因素与吸烟行为的关联。 结果 北京市高中男女生尝试吸烟率分别为40.7%和20.6%,13岁前吸烟率分别为16.1%和4.6%,现在吸烟率分别为24.3%和6.2%,重度吸烟率分别7.2%和1.0%,吸烟行为在性别间差异有统计学意义(χ2=799.71、601.33、1 078.60、423.79, P<0.05)。父亲职业与尝试吸烟、13岁前吸烟的关联以及母亲文化程度与13岁前吸烟的关联在男生中更强;而母亲文化程度与重度吸烟的关联以及家庭类型与尝试吸烟、现在吸烟和重度吸烟的关联在女生中更强。 结论 北京市高中生吸烟行为性别差异较大,其中父亲职业与男生吸烟行为的关联程度较强,而家庭类型与女生吸烟行为的关联程度较强。应及早开展预防吸烟的健康教育。
Abstract
Objective To describe the prevalence of smoking behavior and compare the gender difference in the association between family factors and smoking behavior among high school students in Beijing, in order to provide reference for interventions. Methods A stratified cluster random sampling method was used to conduct a questionnaire survey among 16 669 high school students from April to May in 2014.Chi-square and Logistic regression were used to analyze the association between family factors and smoking behavior. Results Totally 40.7% of boys and 20.6% of girls tried smoking, 16.1% of boys and 4.6% of girls started smoking before 13 years old, 24.3% of boys and 6.2% of girls had smoked at least one day within 30 days before the survey, 7.2% of boys and 1.0% of girls had smoked more than 5 cigarettes each day within 30 days before the survey, and the gender difference was significant(χ2=799.71, 601.33, 1 078.60, 423.79, P<0.05).The associations between father's job and trying cigarettes smoking, father's job and smoking before 13 years old, maternal education and smoking before 13 years old were stronger in boys.While the associations between maternal education and smoking more than 5 cigarettes each day within 30 days before the survey, family structure and trying cigarettes smoking, family structure and smoking cigarettes at least one day within 30 days before the survey, family structure and smoking more than 5 cigarettes each day within 30 days were stronger in girls. Conclusions There are gender differences in smoking behaviors among high school students in Beijing.Father's job has stronger association with boys' smoking behavior in than that girls', while family structure had stronger association with girl's smoking than boys'.It is supposed to provide early health education of tobacco control to boys and girls.
关键词
吸烟 /
家庭因素 /
性别差异 /
高中生
Key words
smoking /
family factors /
gender differences /
high school students
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参考文献
[1] WHO.Tobacco[EB/OL].[2020-03-30].https://www.who.int/news-room/fact-sheets/detail/tobacco.
[2] WHO.WHO global report:mortality attributable to tobacco.[EB/OL].[2020-03-30].http://whqlibdoc.who.int/publications/2012/9789241564434_eng.pdf.
[3] 中华人民共和国.中国吸烟危害健康报告[R/OL].[2020-03-30].http://wenku.baidu.com/view/0d05ae3367ec102de2 bd8965.html.
[4] 中国疾病预防控制中心.2010全球成人烟草调查报告[R].北京:中国三峡出版社,2011:8-13.
[5] WHO.Adolescents:health risks and solutions[EB/OL].[2020-03-30].https://www.who.int/news-room/fact-sheets/detail/adolescents-health-risks-and-solutions.
[6] 中国疾病预防控制中心.2014年中国青少年烟草调查报告[R].北京:人民卫生出版社,2014:1-2.
[7] Brener ND, Kann L, Kinchen SA, et al.Methodology of the youth risk behavior surveillance system[J].MMWR Recomm Rep,2004,53(RR-12):1-13.
[8] Prevention CFDCA.Global school-based student health survey[EB/OL].[2020-03-30].http://www.cdc.gov.qshs /index.htm.
[9] 季成叶.中国青少年健康相关/危险行为调查综合报告2005[M].北京.北京大学医学出版社,2007,49-51.
[10] Greaves L, World Health Organization.Gender and tobacco control:a policy brief[M].World Health Organization, 2007.
[11] 范晓光.城市中年人非正式养老准备问题初探--对南京市白下区的调查[J].人口与发展,2007,13(5):57-65.
[12] 孙果, 钱玉燕.西安市青少年尝试吸烟行为与家庭因素的关系[J].中国学校卫生, 2010, 31(8):912-913.
[13] 星一, 季成叶, 陈天骄, 等.中国城市青少年学生吸烟流行现状[J].中国生育健康杂志, 2008, 19(3):154-158.
[14] 山建国, 陈心广, 龚洁, 等.家庭因素与青少年吸烟关系调查[J].中国公共卫生, 2005, 21(8):904-906.
[15] Paulus D, Saint-Remy A, Jeanjean M.Smoking during adolescence-Association with other cardiovascular risk factors in Belgian adolescents[J].Eur J Public Health, 2000, 10(1):39-44.
[16] Hedman L, Bjerg-Bäcklund A, Perzanowski M, et al.Factors related to tobacco use among teenagers[J].Respir Med, 2007, 101(3):496-502.
[17] 胡宓, 罗丹, 肖水源.中国社会文化对吸烟行为的影响[J].中国科技成果, 2017, 18(21):6-9.
[18] 孙婷.济南市中学生吸烟行为及其影响因素研究[D].济南:山东大学,2010.
[19] Bank TW.Curbing the epidemic:governments and the economics of tobacco control[J].Tobacco Control, 8(2):196-201.
[20] Miller P.Family structure, personality, drinking, smoking and illicit drug use:A study of UK teenagers[J].Drug Alcohol Depend,1997, 45(1-2):121-129.
[21] Hoffman BR, Monge PR, Chou CP, et al.Perceived peer influence and peer selection on adolescent smoking[J].Addict Behav, 2007, 32(8):1546-1554.
[22] 唐雯, 李晓松, 潘杰.我国青少年吸烟行为的代际传递研究[J].四川大学学报(医学版), 2014, 45(2):262-265.
[23] 宁时涛, 王智勇, 苑旸, 等.13~ 22 岁学生现在吸烟与家庭类型, 母亲文化程度, 父亲职业的关系[J].慢性病学杂志, 2015,17(2):185-188.
[24] 健康中国行动推进委员会.健康中国行动(2019-2030年)[EB/OL].[2020-06-21].http://www.gov.cn/xinwen/2019-07/15/content_5409694.htm.
基金
教育部人文社会科学研究规划基金(19YJA890022)