摘要
目的了解武汉市从不吸烟中学生二手烟暴露水平,分析相关影响因素,为制订控烟政策提供科学依据。方法采用横断面研究设计、多阶段分层整群随机抽样方法,对武汉市在校从不吸烟中学生进行自填纸质问卷调查。采用多因素logistic回归模型分析二手烟暴露的影响因素。结果武汉市从不吸烟中学生共10398人,在家中、学校和公共场所二手烟暴露率分别为26.28%、36.94%和51.08%。多因素logistic回归分析显示,父母吸烟的从不吸烟中学生在家中暴露于二手烟的可能性是父母不吸烟者的13.95倍(OR=13.95,95%CI:11.91~16.33);在学校看到过老师吸烟的从不吸烟中学生在学校暴露于二手烟的可能性是未见过者的7.15倍(OR=7.15,95%CI:5.89~8.68);在学校看到过老师吸烟的从不吸烟中学生在公共场所暴露于二手烟的可能性是未见过者的2.69倍(OR=2.69,95%CI:2.28~3.17)。结论武汉市从不吸烟中学生二手烟暴露水平较高。在公共场所制定无烟法律、在公共场所和互联网全面禁止烟草广告、加强无烟学校政策的实施和监督、推广无烟家庭规则、加强父母和学生吸烟和二手烟危害的健康教育等措施有助于减少中学生二手烟暴露。
Objective To understand the second-hand smoke(SHS)exposure of never-smoking middle school students in Wuhan and to discuss the influencing factors,in order to provide a scientific basis for formulating tobacco control policies.Methods Using a cross-sectional design and a multi-stage stratified cluster random sampling method,a self-filled paper questionnaire survey was conducted among 10398 never-smoking middle school students in Wuhan.Multivariate logistic regression model was used to analyze the influencing factors of SHS exposure.Results The prevalence of SHS exposure of never-smoking middle school students in Wuhan at home,in school and public areas were 26.28%,36.94%,and 51.08%,respectively.Multivariable logistic regression analysis indicated that parent smoking at home and teacher smoking in school were closely related to SHS exposure.Compared with never-smoking middle school students whose parents did not smoke,those whose parents did smoke had 13.95 times(OR=13.95,95%CI:11.91-16.33)higher odds of SHS exposure at home.Compared with never-smoking middle school students who had never seen their teacher smoking in school,those who had had 7.15times(OR=7.15,95%CI:5.89-8.68)and three times(OR=2.69,95%CI:2.28-3.17)higher odds of SHS exposure in school and in public places,respectively.Conclusions The prevalence of SHS exposure of neversmoking middle school students in Wuhan is relatively high.Adopting smoke-free legislation and banning tobacco advertising in public places,strengthening the implementation and supervision of smoke-free school policies,promoting smoke-free family rules,and strengthening health education for parents and students on the harm of smoking and second-hand smoke will help reduce the exposure to SHS of middle school students.
作者
梅欣
李俊林
钟庆
李毅琳
王亮
MEI Xin;LI Junlin;ZHONG Qing;LI Yilin;WANG Liang(Institute of Health Education,Wuhan Center for Disease Control and Prevention,Wuhan,Hubei 430024,China;不详)
出处
《中国预防医学杂志》
CAS
CSCD
北大核心
2023年第9期949-954,共6页
Chinese Preventive Medicine
关键词
二手烟暴露
中学生
控烟政策
Second-hand smoke exposure
Middle school students
Smoke-free policy