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| E-cigarette use among middle school students in Hainan Province |
| GAO Ying, SUN Lecheng, WANG Lili, HUANG Yinfeng, WU Yingfeng
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| Department of Health Education, Hainan Provincial Center for Health Publicity and Education,Haikou, Hainan 570226, China |
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Abstract Objective To investigate of e-cigarette use among middle school students in Hainan Province, so as to provide insights into tobacco control among adolescents. Methods Students were randomly sampled using a multistage stratified cluster random sampling method from three junior high schools, two high schools and one vocational high school in Hainan Province from July to October, 2021. Participants' basic features, use of e-cigarettes, e-cigarette advertising exposure were collected using the Questionnaire on Tobacco and Alcohol Prevalence among Chinese Adolescents in 2021 prepared by Chinese Center for Disease Control and Prevention. Following data weighting, students' use of e-cigarettes and exposure to e-cigarette advertisements were descriptively analyzed, and factors affecting current use of e-cigarettes were identified using a multivariable logistic regression model. Results A total of 8 561 questionnaires were allocated, and 8 538 valid questionnaires were recovered, with an effective recovery rate of 99.73%. The respondents included 4 470 boys (52.35%) and 4 068 girls (47.65%), and there 4 367 junior high school students (51.15%), 3 482 high school students (40.78%), and 689 vocational high school students (8.07%). The rate of e-cigarette use was 25.01% and the rate of current e-cigarette use was 4.68%. There were 2 728 respondents with exposure to e-cigarette advertising during the past 30 days, and the number of weighted individuals were 210 932 (32.60%). The route of e-cigarette advertising exposure mainly included point-of-sale (21.59%), stores (13.61%), and shopping websites (9.01%). Multivariable logistic regression analysis identified region (OR=0.610, 95%CI: 0.482-0.772), males (OR=1.332, 95%CI: 1.062-1.669), high school students (OR=0.376, 95%CI: 0.259-0.545), companion smoking (OR=6.645, 95%CI: 4.935-8.948) and advertising exposure (OR=3.229, 95%CI: 2.581-4.040) as factors affecting current use of e-cigarettes. Conclusions The use of e-cigarettes among middle school students is higher in Hainan Province than the national level, and exposure to e-cigarette advertisements may facilitate use of e-cigarettes. It is necessary to strengthen the supervision of e-cigarettes, strictly restrict e-cigarettes advertisements and promotions.
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Received: 24 April 2023
Revised: 27 June 2023
Published: 17 August 2023
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[1] 中国疾病预防控制中心.2019年中国青少年烟草调查报告[M].北京:人民卫生出版社,2022:5,25-29.
[2] 中国疾病预防控制中心控烟办公室. 2021年中国中学生和大学生烟草流行监测结果发布[EB/OL].[2023-06-27].https://www.chinacdc.cn/jkzt/sthd_3844/slhd_12885/202205/t20220529_259439.html.
[3] 廖艳辉. 电子烟使用相关的健康危害[J].国际精神病学杂志,2022,49(3):421-424.
[4] DO V V,NYMAN A L,KIM Y,et al.Association between e-cigarette advertising exposure and use of e-cigarettes among a cohort of U.S.youth and young adults[J/OL].Int J Environ Res Public Health,2022,19(19)[2023-06-27].https://doi.org/10.3390/ijerph191912640.
[5] 彭嗣惠,何思思,李月,等.广州市居民电子烟环境暴露与电子烟使用的关系研究[J].预防医学,2022,34(5):445-449,455.
[6] WULAN W R,KUSUMA D,NURJANAH N,et al.Is exposure to social media advertising and promotion associated with e-cigarette use?Evidence from Indonesia[J].Asian Pac J Cancer Prev,2022,23(4):1257-1262.
[7] 袁利华. 《烟草控制框架公约》研究[D].重庆:西南政法大学,2012:57.
[8] 贺蕾,程蔼隽,郭晓亮,等.河北省初中和高中学生电子烟使用行为现状调查[J].中国健康教育,2022,38(6):503-507.
[9] 詹芳芳,王刚,陈茁.天津市青少年电子烟使用状况及影响因素分析[J].中国慢性病预防与控制,2021,29(12):902-905.
[10] D'ANGELO H,PATEL M,ROSE S W.Convenience store access and e-cigarette advertising exposure is associated with future e-cigarette initiation among tobacco-naïve youth in the PATH study(2013-2016)[J].J Adolesc Health,2021,68(4):794-800.
[11] 沈婷,蔡永环,张静敏,等.西湖区健康促进学校初中学生电子烟使用调查[J].预防医学,2022,34(8):776-781.
[12] 熊依杰,许丽娜,白丽霞,等.海淀区青少年电子烟使用现况调查[J].预防医学,2022,34(5):471-474.
[13] 中华人民共和国卫生部履行《烟草控制框架公约》领导小组办公室.2008年中国控制吸烟报告:禁止烟草广告和促销,确保无烟青春好年华[J].中国健康教育,2009,25(1):61-63,66.
[14] CAMENGA D,GUTIERREZ K M,KONG G,et al.E-cigarette advertising exposure in e-cigarette naïve adolescents and subsequent e-cigarette use:a longitudinal cohort study[J].Addict Behav,2018,81:78-83.
[15] 中华人民共和国国家烟草专卖局,国家市场监督管理总局.关于进一步保护未成年人免受电子烟侵害的通告[EB/OL].[2023-06-27].https://gkml.samr.gov.cn/nsjg/xyjgs/201911/t20191101_308077.html. |
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