中国青少年学生电子烟使用影响因素的Meta分析

Influencing factors for electronic cigarette use among Chinese adolescent students:a Meta-analysis

目的探索中国青少年学生电子烟使用的影响因素。方法检索中国知网、万方数据知识服务平台、维普数据库、PubMed、Web of Science、ScienceDirect数据库,纳入包含中国青少年学生电子烟使用影响因素的相关研究。检索时限均从建库至2023年3月20日,对纳入的文献采用R软件的Metagen程序包进行Meta分析。结果共纳入文献19篇,样本量共5 336 017名。结果显示,中国青少年学生电子烟使用行为与性别(OR=2.41,95%CI:2.03~2.86)、朋友卷烟使用(OR=3.02,95%CI:2.08~4.39)、个人卷烟使用(OR=11.26,95%CI:4.35~29.18)、朋友电子烟使用(OR=5.19,95%CI:2.01~13.38)、认为吸烟使年轻人看起来更有吸引力(OR=2.00,95%CI:1.35~2.97)、学校类型(OR=2.10,95%CI:1.59~2.78)、认为吸烟使人们在社交场所感觉更舒服(OR=3.58,95%CI:2.99~4.28)、其他烟草制品使用(OR=5.53,95%CI:3.33~9.20)和尝试过吸烟(OR=9.32,95%CI:4.38~19.80)有关。结论性别、朋友卷烟使用、个人卷烟使用、朋友电子烟使用、认为吸烟使年轻人看起来更有吸引力、学校类型、认为吸烟使人们在社交场所感觉更舒服、其他烟草制品使用和尝试过吸烟是中国青少年学生电子烟使用行为的影响因素。

Objective To explore the influencing factors of electronic cigarette use among adolescent students in China.Methods We searched CNKI,Database of Chinese sci-tech periodicals(VIP),Wan-fang database,PubMed,Web of Science and ScienceDirect for potentially relevant articles published from the inception to March 20th,2023.The Metagen package in R was used for Meta-analysis.Results A total of 19 publications with a sample size of 5336017 were identified.The results showed that electronic cigarette use among Chinese adolescent students was associated with gender(OR=2.41,95%CI:2.03-2.86),close friends smoking(OR=3.02,95%CI:2.08-4.39),current smoking(OR=11.26,95%CI:4.35-29.18),friends using electronic cigarettes(OR=5.19,95%CI:2.01-13.38),thinking smoking makes young people look more attractive(OR=2.00,95%CI:1.35-2.97),type of school(OR=2.10,95%CI:1.59-2.78),thinking smoking makes people feel more comfortable in social situations(OR=3.58,95%CI:2.99-4.28),other tobacco use(OR=5.53,95%CI:3.33-9.20),and ever experimented with cigarette use(OR=9.32,95%CI:4.38-19.80).Conclusion The influencing factors for electronic cigarette use among adolescent students in China include gender,close friends smoking,current smoking,friends using electronic cigarettes,thinking smoking makes young people look more attractive,type of school,thinking smoking makes people feel more comfortable in social situations,other tobacco use,and ever experimented with cigarette use.