京津沪城市中学生香烟来源与可获得性分析

Analysis on youth access and availability to cigarettes in Beijing,Tianjin and Shanghai

目的了解京津沪城市中学生香烟来源与可获得性现状,为评价相关干预政策提供依据。方法根据2008年全国青少年健康危险行为监测数据,描述京津沪城市中学生近期吸烟、香烟来源及香烟可获得性现状。结果京津沪城市男、女中学生近期吸烟率分别达到16.3%和6.1%;吸烟学生的香烟主要来源为"自己购买",男、女生分别为75.9%和61.6%,其中以"从商店买"为首要来源。女生"自己购买"的比例显著低于男生。14岁以上的吸烟学生超过半数"自己购买"香烟,且该比例随年龄增长而快速增长。约98%的近期吸烟学生购烟时从未因年龄太小而被拒售。结论我国京津沪地区近期吸烟的中学生自己购烟的比例处于较高水平,香烟对于未成年人具有高可获得性。禁止向未成年人售烟的法规执行和监督力度有待加强。

Objective To describe the situation of youth access and availability to cigarettes in Beijing, Tianjin and Shanghai. Methods Data of 33 265 urban high school students of Beijing, Tianjin and Shanghai, which were from Chinese National Youth Risk Behaviors Surveillance in 2008, were used for this analysis. Chi-square tests and Fisher＇s exact test were applied to examine the differences. Results Prevalence of current smoking was 16.3% for boys and 6.1% for girls in the 3 cities. About 75, 9% of boys and 61.6% of girls who currently smoked cigarettes usually acquired their cigarettes through purchasing by themselves, and most of them bought cigarettes in stores. The proportion of purchasing by themselves for boys was significantly higher than that for girls. The proportion increased rapidly along with the increasing of age. About 98% of the students confirmed they were not ever refused purchasing cigarettes because of their age. Conclusion The smoking middle school students often buy cigarettes by themselves in Beijing, Tianjin and Shanghai, and the availability to cigarettes for juveniles still high in the 3 cities. The enforcement and supervise of the minimum legal purchase age for tobacco of 18 years should be enhanced.