中国澳门中一至中四青少年尝试电子烟现状及影响因素

Attempts to e-cigarettes use and associated factors among junior middle school students from grade 1 to 4 in china Macao

目的了解中国澳门青少年尝试电子烟的现状及影响因素,为制定防制青少年使用电子烟的干预策略提供依据。方法数据来源于项目“中国澳门青少年烟草使用调查2021”收集的有效问卷2683份,进行样本加权后代表中国澳门19480名中一至中四青少年。采用多因素Logistic回归分析对问卷中可能影响青少年尝试电子烟的因素进行分析。结果调查对象尝试电子烟报告率为11.3%(95%CI=10.2%~12.6%),男生(12.1%)高于女生(10.5%),差异有统计学意义(χ^(2)=11.01,P<0.01)。年龄大(14~16岁,≥17岁)、每周可支配零用钱多、肯定认为电子烟比卷烟危害少、12个月内在课堂中被教过电子烟危害知识、肯定认为电子烟使年轻人更有吸引力、7 d内曾在家暴露于二手烟、30 d内曾在互联网看到烟草广告、父母任意一方吸烟、最好朋友中有人吸烟与尝试电子烟行为呈正相关(OR值分别为1.48,3.01,1.79,1.34,1.67,1.27,1.33,1.34,1.58,3.53,P值均<0.01)。结论中国澳门青少年尝试电子烟的情况较普遍,影响因素多而复杂。应加强社会多方合作,通过针对性的综合措施推进防制青少年使用电子烟。

Objective To understand the current status and influencing factors of attempts to e-cigarettes use among china Macao teenager and to provide evidence for strategies to prevent and control the use of e-cigarettes among teenager.Methods Research data was 2683 valid questionnaires collected from the"china Macao Youth Tobacco Use Survey 2021"representing 19480 teenagers from grade 1 to 4 in junior middle schools in china Macao after sample weighting.Multivariate Logistic regression analysis was used to analyze the factors that may influencing attempts to e-cigarettes use.Results The total percent of attempt using e-cigarettes was 11.3%95%CI=10.2%-12.6%and male 12.1%was higher than female 10.5%the difference was statistically significantχ^(2)=11.01 P<0.01.Older adolescents 14-16≥17 years old having more pocket money per week believing e-cigarettes to be less harmful having been taught about the hazards of e-cigarettes within 12 months definitely believing that e-cigarettes maked teenager more attractive having been exposed to secondhand smoke at home within 7 days having seen tobacco advertisements on the Internet within 30 days smoking by either parent smoking among best friends were positively associated with attempts to e-cigarettes use OR=1.483.011.791.341.671.271.331.341.583.53 P<0.01.Conclusion Attempts to e-cigarettes use is common among china Macao teenagers and there are many complex influencing factors.It is recommended to strengthen whole society cooperation and promote the prevention and control of teenager􀆳s use of e-cigarettes through more targeted comprehensive measures.