湖南省2020—2021年中学生传统卷烟和电子烟使用现况及影响因素

Current status and influencing factors of traditional cigarette and e-cigarette use among middle school students in Hunan Province from 2020 to 2021

目的探讨湖南省中学生使用传统卷烟和电子烟现况及其影响因素,为科学开展控烟干预提供依据。方法采用便利取样法,于2020年12月抽取湖南省4所普通中学3693名中学生进行问卷调查(时间1,T1),并在2021年12月(时间2,T2)对其中1760名中学生再次进行调查。结果T1时,参加调查的中学生传统卷烟吸烟率为6.1%,其中男生9.1%,女生3.0%;电子烟使用率为8.4%,知晓率为77.6%;同时使用传统卷烟和电子烟的中学生占调查总数的3.5%。T2时,中学生传统卷烟吸烟率为7.8%,其中男生11.8%,女生3.5%;电子烟使用率为13.3%,知晓率为80.6%;同时使用传统卷烟和电子烟的中学生占调查总数的6.3%。从T1到T2,传统卷烟和电子烟的使用呈上升趋势且差异具有统计学意义(均P<0.05)。Logistics回归分析表明,T1时,男性、高年级、家庭所在地为农村和乡镇、父亲文化程度低是影响青少年使用传统卷烟的危险因素(OR值分别为3.54、1.33、1.49、1.94、2.76,均P<0.05),男性、高年级、家庭所在地为农村和乡镇是影响青少年使用电子烟的危险因素(OR值分别为5.96、1.70、1.51、1.74,均P<0.05);T2时,男性、家庭所在地为农村和乡镇是中学生使用传统卷烟/电子烟的危险因素(OR值分别为4.12/4.19、2.18/1.63、2.70/2.06,均P<0.05)。结论随着年级的增高,中学生传统卷烟和电子烟的使用率显著增加,性别、家庭所在地、父母亲文化程度是影响中学生使用传统卷烟和电子烟的重要因素。

Objective To investigate the current status and its influencing factors about using traditional cigarettes and e-cigarettes among middle school students in Hunan province,so as to provide scientific evidence for intervention of smoking cessation and tobacco control.Methods The convenience sampling method was adopted to conduct a questionnaire survey among 3693 students from 4 ordinary middle schools in Hunan Province in December 2020(time 1,T1),and 1760 middle school students were surveyed again in December 2021(time 2,T2).Results At T1,6.1%of the middle school students participated in the survey used traditional cigarettes,including 9.1%for boys and 3.0%for girls;E-cigarette using rate was 8.4%,and the awareness rate was 77.6%;Students who used both traditional cigarettes and e-cigarettes accounted for 3.5%.At T2,the proportion of middle school students used traditional cigarettes was 7.8%,including 11.8%for boys and 3.5%for girls.E-cigarette using rate was 13.3%,and the awareness rate was 80.6%;Students who used both traditional cigarettes and e-cigarettes accounted for 6.3%.From T1 to T2,the use of traditional cigarettes and e-cigarettes increased and the difference was statistically significant(P<0.05).Logistic regression showed that at T1,male,senior grades,family location in rural and township areas,and low educational level of father were the risk factors affecting adolescents′use of traditional cigarettes(OR=3.54,1.33,1.49,1.94and 2.76 respectively,P<0.05).Similarly,at T1,male,senior grades,and family location in rural and township areas were the risk factors affecting adolescents′use of electronic cigarettes(OR values were 5.96,1.70,1.51 and 1.74,respectively,P<0.05).At T2,the risk factors for middle school students to use traditional cigarettes or electronic cigarettes(OR values were 4.12 or 4.19,2.18 or 1.63,2.70 or 2.06,respectively,P<0.05)were men and families in rural and township areas.Conclusion With the increased of grade,the use rate of traditional cigarettes and e-cigarettes in middle school students increases significantly.Gender,family location and parental education are important factors.