山东省小学生二手烟暴露与情绪异常关系

Relationship between secondhand smoke exposure and emotional disorder among pupils in Shandong province

目的 了解小学生二手烟暴露与情绪异常关系。方法采用多阶段分层整群随机抽样方法，于2012年对山东省3市13所学校5861名小学生及家长进行问卷调查。结果小学生二手烟暴露2962人，占50．5％，情绪异常为953人，占16．3％；二手烟暴露小学生情绪异常比例（18．6％）高于无二手烟暴露小学生（13．9％）；每周吸烟≥5d家庭小学生情绪异常比例为21．7％，每周家庭吸烟1—4d和不吸烟家庭小学生情绪异常比例分别为17．0％、16．3％；二手烟暴露场所中，小学生家庭暴露情绪异常比例最高，为18．7％。多因素分析显示，二手烟暴露与小学生情绪异常之间存在关联，二手烟暴露引起情绪异常比例是无二手烟暴露的1．364倍。结论小学生二手烟暴露与情绪异常之间存在关系，制定针对父母戒烟干预措施，预防儿童在家庭暴露二手烟。

Objective To examine the association of secondhand smoke （SHS）exposure with emotional disorder among pupils. Methods With multi-stage random cluster sampling,5 861 pupils and their parents from 13 schools in 3 cities in Shandong province were surveyed with a questionnaire in 2012. Results Of the pupils ,50. 5 % （2 962）reported exposure to SHS and 16. 3% （953）reported emotional disorder symptoms（EDS）. The pupils with SHS exposure reported a higher ratio of EDS than those without SHS exposure （ 18.6% % vs. 13.9%, P 〈 0. 05 ）. The reported ratios of EDS were 21.7% ,17. 0% ,and 16. 3% among the pupils with familial SHS exposure of ≥5 days/week,1 -4 day/week,and without the exposure;the reported ratio of EDS was 18.7% among all the pupils with SHS exposure at home and the ratio was higher than among the pupils with SHS exposure in other places. Logistic regression analyses showed that SHS was significantly associated with emotional disorder and the pupils with SHS exposure had a 1. 364 higher risk of EDS compared to those without the exposure. Conclusion Secondhand smoke exposure is positively associated with emotional disorder among pupils in Shandong province and specific interventions should be conducted among the parents of the pupils for the prevention of secondhand smoke exposure at home.