西安市中学生吸烟行为与其生活事件关系

Relationships between stress and smoking behavior among adolescents in Xi'an city

目的了解中学生吸烟状况,探讨陕西省西安市中学生吸烟行为与其生活事件的关系,为预防青少年吸烟提供依据。方法从西安市6个区随机抽取8所中学的初二、高一和高三学生1028名,调查中学生日常的人际关系、学习、受惩罚、丧失、健康与适应等压力感受与其吸烟行为的关系。结果西安市中学生吸烟率为34.1%,其中男生为50.8%,女生为1.0%;初二年级学生在人际关系、亲友与财产丧失、健康与适应问题和其他压力得分分别为(8.72±3.78)、(4.04±3.08)、(4.37±4.90)、(5.05±3.70)分,明显高于总体平均值(8.08±3.74)、(3.71±3.00)、(3.43±3.12)、(4.31±3.23)分;多因素Logistic回归分析结果表明,男性(OR=9.351)、初二年级(OR=2.356)、人际关系(OR=1.430)、学习压力(OR=1.778)、受惩罚(OR=2.518)、亲友与财产丧失(OR=1.693)、健康与适应问题(OR=2.152)及其他压力(OR=4.368)是吸烟的危险因素。结论西安市中学生所经历的各种负性应激事件与其吸烟行为关系密切。

Objective To understand smoking status and the relationships between stress and smoking behavior among adolescents in Xi＇an city and to provide the basis for prevention of adolescent smoking.Methods Totally 1 028 students from 8 middle or high schools in 6 districts of Xi＇an city were randomly selected for a questionnaire survey.The information collected included interpersonal relationship,study achievement,punishment,loss of property and family members,health status,and adaptation.Single-factor χ2 test,independent sample t test and multivariate logistic regression were adopted in data analysis.Results The ever smoking rate was 34.1%（50.8% for boys and 1.0% for girls）.The scores of middle school students for interpersonal relationship（8.72±3.78）,loss of property or family members（4.04±3.08）,health status（4.37±4.90）,and adaptation（5.05±3.70） were significantly higher than the average scores of other students.The results of multivariate logistic regression showed that male（adds ratio=9.351）,in the second year of middle school（OR=2.356）,interpersonal relationship（OR=1.430）,study burden（OR=1.778）,punishment（OR=2.518）,loss of family member or property（OR=1.693）,health and adaptation,and other stress（OR=4.368） were risk factors of smoking behavior among the students.Conclusion Smoking behavior and stress is closely related among the adolescents in middle and hight schools.