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| Investigation on tobacco use among middle school students in Ningbo City |
| XU Qianqian, ZHU Yingying, DING Shige, JIN Qiuyan, DONG Ying
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| Department of Health Education, Ningbo Center for Disease Control and Prevention, Ningbo, Zhejiang 315010, China |
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Abstract Objective To investigate the prevalence of intention to smoke and current smoking and identify its influencing factors among middle school students in Ningbo City, so as to provide insights into the development and implementation of tobacco control among adolescents. Methods The epidemiological data of tobacco use among adolescents in Ningbo City in 2021 were collected, including demographics, tobacco use, parents' and close friends' smoking status, secondhand smoke exposure and tobacco advertisement exposure. The intention to smoke, current smoking, secondhand smoke exposure and tobacco advertisement exposure were descriptively analyzed among middle school students, and the factors affecting intention to smoke, current smoking were identified using a multivariable logistic regression analysis. Results Totally 1 591 questionnaires were allocated to middle school students, and 1 574 valid questionnaires were recovered, with an effective recovery rate of 98.93%. The respondents included 787 junior high school students, 535 high school students and 252 vocational high school students, and the prevalence was intention to smoke and current smoking was 6.73% and 1.78% among the respondents, respectively. Multivariable logistic regression analysis identified boys (OR=2.398, 95%CI: 1.466-3.922), high school students (OR=2.051, 95%CI: 1.212-3.470), vocational high school students (OR=2.011, 95%CI: 1.108-3.650), more than 100 yuan disposable pocket money per week (OR=2.534, 95%CI: 1.301-4.935) and close friends' smoking (OR=4.310, 95% CI: 2.755-6.757) as risk factors of intention to smoke, and boys (OR=12.420, 95%CI: 1.645-93.753), close friends' smoking (OR=11.628, 95%CI: 4.348-31.250) and parents' smoking (OR=2.667, 95%CI: 1.029-6.897) as risk factors of current smoking among middle school students. The prevalence of secondhand smoke exposure and tobacco advertisement exposure was 76.43% and 51.65%, and television/video/cinema was the most likely route of tobacco advertisement exposure (42.06%). Conclusions The prevalence of intention to smoke and current smoking is low among middle school students in Ningbo City; however, the proportions of exposure to secondhand smoke and tobacco advertisement are relatively high. Tobacco control interventions are recommended to be intensified targeting high-risk populations, such as vocational high school students.
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Received: 10 June 2022
Revised: 19 July 2022
Published: 30 September 2022
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[1] 王辰,肖丹,池慧.《中国吸烟危害健康报告2020》概要[J].中国循环杂志,2021,36(10):937-952.
WANG C,XIAO D,CHI H.2020 Report on health hazards of smoking in China:an updated summary[J].Chin Circ J,2021,36(10):937-952.
[2] PAN X B,CAO Y J,ZHANG W H,et al.Trends in age of smoking initiation among the Chinese population born between 1950 and 1997[J].Public Health,2020,187:127-133.
[3] 肖琳,冯国泽,姜垣,等.中国初中学生烟草使用及其影响因素研究[J].中华流行病学杂志,2017,38(5):567-571.
XIAO L,FENG G Z,JIANG Y,et al.Tobacco use rate and associated factors in middle school students in China[J].Chin J Epidemiol,2017,38(5):567-571.
[4] 中国疾病预防控制中心.2019年中国中学生烟草调查报告[R].北京:中国疾病预防控制中心,2020.
Chinese Center for Disease Control and Prevention.2019 tobacco survey report of Chinese middle school students[R].Beijing:Chinese Center for Disease Control and Prevention,2020.
[5] 浙江省疾病预防控制中心.2019年浙江省中学生烟草调查报告[R].杭州:浙江省疾病预防控制中心,2020.
Zhejiang Provincial Center for Disease Control and Prevention.Tobacco survey report of middle school students in Zhejiang Province in 2019[R].Hangzhou:Zhejiang Provincial Center for Disease Control and Prevention,2020.
[6] BANZER R,HARING C,BUCHHEIM A,et al.Factors associated with different smoking status in European adolescents:results of the SEYLE study[J].Eur Child Adolesc Psychiatry,2017,26(11):1319-1329.
[7] 李娟娟,章荣华,邹艳,等.浙江省青少年抑郁症状的影响因素分析[J].预防医学,2021,33(2):139-142.
LI J J,ZHANG R H,ZOU Y,et al.Influencing factors of depressive symptoms in Zhejiang adolescents[J].Prev Med,2021,33(2):139-142.
[8] 林竹,陈梅兰,陈锦辉.2019年福建省青少年学生吸烟行为的调查分析[J].中国健康教育,2021,37(11):975-978.
LIN Z,CHEN M L,CHEN J H.Investigation and analysis on smoking behaviors of teenagers in Fujian Province in 2019[J].Chin J Health Educ,2021,37(11):975-978.
[9] 王志颖,秦京宁,高仙,等.西城区中小学生吸烟及影响因素分析[J].预防医学,2019,31(5):526-529,533.
WANG Z Y,QIN J N,GAO X,et al.Smoking status and influencing factors among primary and secondary school students in Xicheng District[J].Prev Med,2019,31(5):526-529,533.
[10] 杨桂丽,王伟光,孙洁群,等.瑞安市中学生尝试吸烟和二手烟暴露调查[J].预防医学,2020,32(9):914-916.
YANG G L,WANG W G,SUN J Q,et al.Attempt smoking and passive smoking among middle school students in Rui'an[J].Prev Med,2020,32(9):914-916.
[11] 贺蕾,郭晓亮,张海容,等.2019年河北省中学生烟草使用及二手烟暴露状况调查[J].预防医学情报杂志,2021,37(8):1082-1089.
HE L,GUO X L,ZHANG H R,et al.Status of current tobacco use and its influencing factors among adolescents in Hebei Province in 2019[J].J Prev Med Inf,2021,37(8):1082-1089.
[12] 邹睿,吴瑞龙.上海市普陀区中学生烟草使用情况分析[J].健康教育与健康促进,2021,16(6):561-563,606.
ZOU R,WU R L.Analysis of tobacco use among middle school students in Putuo district of Shanghai[J].Health Educ Health Promot,2021,16(6):561-563,606.
[13] 张舒娴,朱静芬,沈秋明,等.上海职业学校学生吸烟倾向影响因素[J].中国学校卫生,2018,39(12):1791-1793,1797.
ZHANG S X,ZHU J F,SHEN Q M,et al.Determinants of smoking intention among Shanghai vocational school students[J].Chin J Sch Health,2018,39(12):1791-1793,1797.
[14] 刘国良,刘建涛,李艳,等.网络社区支持下的大学生同伴健康教育研究[J].中国医学教育技术,2019,33(5):587-590.
LIU G L,LIU J T,LI Y,et al.Research on peer health education among college students supported by online community[J].China Med Educ Technol,2019,33(5):587-590.
[15] 陈海德,卫婷婷,高崚峰,等.二手烟暴露对非吸烟者吸烟外显态度与内隐态度及其关系的影响[J].中国临床心理学杂志,2018,26(6):1152-1157.
CHEN H D,WEI T T,GAO L F,et al.The effects of second-hand smoke exposure on explicit and implicit attitudes toward smoking[J].Chin J Clin Psychol,2018,26(6):1152-1157.
[16] 倪妮,杨慧敏,高爱钰,等.学校与家庭控烟对中学生家庭二手烟暴露的联合作用[J].中国学校卫生,2020,41(3):345-347.
NI N,YANG H M,GAO A Y,et al.Joint effect of school and family on domestic second-hand smoke exposure in middle school students[J].Chin J Sch Health,2020,41(3): 345-347.
[17] 崔岚,覃玉,苏健,等.江苏省青少年烟草广告暴露情况与吸烟易感性分析[J].中国学校卫生,2018,39(1):42-44,49.
CUI L,QIN Y,SU J,et al.Exposure to tobacco advertising and smoking susceptibility among teenagers of Jiangsu Province in 2013[J].Chin J Sch Health,2018,39(1):42-44,49.
[18] 肖琳,姜垣,张岩波,等.中国三城市青少年烟草广告暴露研究[J].中国慢性病预防与控制,2011,19(2):131-133,137.
XIAO L,JIANG Y,ZHANG Y B,et al.Tobacco advertisement exposure of adolescent among three cities in China[J].Chin J Prev Contr Chron Dis,2011,19(2):131-133,137. |
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