2022年浙江省台州市青少年烟草流行状况及影响因素分析

Analysis of tobacco epidemic status and its influencing factors among adolescents in Taizhou City of Zhejiang Province in 2022

目的 分析台州市青少年吸烟现状及影响因素,为制定青少年控烟预防策略提供科学依据。方法采用多阶段分层整群随机抽样方法,抽取台州市3个监测点,初中、普通高中和非普通高中共2927名青少年,采用自填方式填写浙江省青少年健康危险因素监测问卷。采用多因素Logistic回归分析青少年现在吸烟和二手烟暴露烟的影响因素。结果 台州市青少年吸烟率为6.12%,尝试吸烟率为25.61%,二手烟暴露率为56.17%。多因素Logistic回归结果显示,初中(OR=0.360,95%CI:0.234~0.553)、普通高中(OR=0.361,95%CI:0.223~0.585)、男性(OR=2.162,95%CI:1.478~3.162)、一起生活的人有男性吸烟(OR=6.223,95%CI:2.468~15.694)、一起生活的人有女性吸烟(OR=9.953,95%CI:1.517~65.305)、一起生活的人有男性也有女性吸烟(OR=28.875,95%CI:11.433~72.924)为青少年吸烟情况的影响因素;初中(OR=0.784,95%CI:0.623~0.985)、普通高中(OR=0.677,95%CI:0.532~0.863)、一起生活的人有男性吸烟(OR=4.626,95%CI:3.804~5.625)一起生活的人有女性吸烟(OR=3.890,95%CI:1.462~10.354)、一起生活的人有男性也有女性吸烟(OR=7.881,95%CI:5.966~10.410)为青少年吸二手烟的影响因素。结论 台州市在无烟环境创建工作上取得一定成效,但是青少年吸烟率比较高,特别是农村地区非普通高中,仍需要社会、学校和家庭共同参与控烟工作,减少青少年吸烟行为。

Objective To analyze the current situation and its influencing factors of adolescent smoking in Taizhou City of Zhejiang Province in 2022,and to provide scientific basis for formulating adolescent smoking control and prevention strategies.Methods By using multi-stage stratified cluster random sampling method,a total of 2927 adolescents from three monitoring sites in Taizhou City of Zhejiang Province were selected to fill adolescent health risk factors monitoring question-naire.Multivariate logistic regression analysis was used to analyze the influencing factors of adolescent current smoking and second-hand smoke exposure.Results The smoking rate of teenagers in Taizhou was 6.12%,the attempted smoking rate was 25.61%,and the exposure rate of second-hand smoke was 56.17%.The results of multiple logistic regression showed that middle school(OR=0.360,95% CI:0.234-0.553),regular high school(OR=0.361,95% CI:0.223-0.585),male(OR=2.162,95% CI:1.478-3.162),man who living together smoking(OR=6.223,95% CI:2.468-15.694),and women who living together smoking(0R=9.953,95% CI:1.517-65.305),both man and women who living together smoking(OR=28.875,95% CI:11.433-72.924)were contributing factors to adolescent smok-ing.Middle school students(OR=0.784,95% CI:0.623-0.985),regular high school students(OR=0.677,95%CI:0.532-0.863),and man who living together smoking(OR=4.626,95% CI:3.804-5.625),and women who living to-gether smoking(OR=3.890,95%CI:1.462-10.354),both man and women who living together smoking(OR=7.881,95%CI:5.966-10.410)were the influencing factors for adolescent secondhand smoke use.Conclusion The establishment of smoke-free environment in Taizhou City has been made some achievements,but the smoking rate of teenagers is still rela-tively high,especially in non-ordinary high schools in rural areas.It still needs the cooperation of community,schools and families to participate in the work of smoking control to reduce the smoking behavior of teenagers.