Objective To know about the distribution and trend of current smoking among middle and high school students in Haidian district,in order to provide reference for making effective interventions.Methods Using multi-stage cluster random sampling method,a total of 20 938 students had been surveyed with standard questionnaires,and the sample was 4 259,4 016,3 975,3 869 and 4 819 students in 2008,2010,2012,2014 and 2016,respectively. And 12 school doctors and one health inspector were interviewed about smoking policies of the schools,the interviewers observed and recorded the on-site information about cigarette stores and advertisements around the campus. Results The current smoking rate for middle and high schoolers in Haidian was 7.14%,with 3.11% for middle schoolers and 9.99% for high schoolers. The variance coefficients for middle schools and high schools were 82.18% and 106.56%,respectively.Vocational schools had higher rate of the smoking than common high schools(χ2=724.955,P<0.001). Common high schools and middle schools held greater smoking rates than corresponding middle schools and high schools(χ2=27.738,61.812,P<0.001). Among students in higher grade,the smoking rate was much higher (χ2=301.324,P<0.001). Male students were more likely to smoke than female students (χ2=415.147,P=0.001). Current smoking prevalence has declined in any of the three school types for male or female students. Current smoking rate for middle schoolers had decreased from 5.24% in 2008 to 1.05% in 2016(χ2=53.071,P<0.001),while it was from 13.53% to 5.74% for high schoolers (χ2=79.157,P<0.001). In the wake of the enforcement of No Smoking Campus policy in 2010,current smoking rate began to drop. But in 2012,the rate rebounded. Likewise,after the implementation of Controlling Smoking Act in 2015,the smoking rate fell again. Conclusions The smoking rate for middle and high schoolers in Haidian district has been decreasing. No Smoking Campus policy implemented in 2010 and Controlling Smoking Act in Beijing approved in 2014 might have contributed to the decrease
Key words
smoking /
middle schoolers /
trend /
Controlling Smoking Act applied in 2015
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Laura K,Tim M,William AH.Youth Risk Behavior Surveillance-United States 2017[J].MMWR,2018,67(8):1-114.
[2] 中国疾病预防控制中心.2014中国青少年烟草调查报告[M].北京:人民卫生出版社,2014.
[3] 段佳丽,吕若然,赵海等.北京市2008-2014年大中学生烟草使用行为[J].中国学校卫生,2016,37(7):968-972.
[4] 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.
[5] 魏霞,周培静,孟春玲等.山东省城市中学生烟草使用情况及相关因素分析[J].中国学校卫生,2012,33(9):1059-1061.
[6] Martin L,Maria R.Daily tobacco smoking,heavy alcohol use,and hashish use among adolescents in southern Sweden:a population-based multilevel study[J].Addicti Behav Rep,2015,2:6-12.
[7] de Moor C,Cookson K,Elder JP.The association between teacher attitudes,behavioral intentions and smoking and the prevalence or smoking among seventh-grade students[J].Adolescence,1992,27(107):565-578.
[8] Forrester K,Biglan A,Severson HH,et al.Predictors of smoking onset over two years[J].Nicotine Tob Res,2007,9(12):1259-1267.
[9] Leatherdale ST,Manskes S.The Relationship between student smoking in the school environment and smoking onset in elementary school students[J].Cancer Epidemiol Biomarkers Prev,2005,14(7):1762-1765.
[10] Almutairi KM.Smoking among Saudi students:a review of risk factors and early intentions of smoking[J].J Community Health,2014,39(5):901-907.
[11] Filice GA,Hannan PJ,Lando HA,et al.A period of increased susceptibility to cigarette smoking among high school students[J].J Sch Health,2003,73(7):272-278.
[12] 谢尉,熊静帆,余卫业,等.深圳市居民禁烟态度及影响因素分析[J].中国公共卫生,2018,34(5):629-632
PDF(980 KB)
