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武汉市从不吸烟青少年吸烟易感性

梅欣 钟庆 李俊林 李毅琳

梅欣, 钟庆, 李俊林, 李毅琳. 武汉市从不吸烟青少年吸烟易感性[J]. 中华疾病控制杂志, 2023, 27(9): 1045-1051. doi: 10.16462/j.cnki.zhjbkz.2023.09.011
引用本文: 梅欣, 钟庆, 李俊林, 李毅琳. 武汉市从不吸烟青少年吸烟易感性[J]. 中华疾病控制杂志, 2023, 27(9): 1045-1051. doi: 10.16462/j.cnki.zhjbkz.2023.09.011
MEI Xin, ZHONG Qing, LI Junlin, LI Yilin. Assessing susceptibility to smoking among non-smoking youth in Wuhan City, China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(9): 1045-1051. doi: 10.16462/j.cnki.zhjbkz.2023.09.011
Citation: MEI Xin, ZHONG Qing, LI Junlin, LI Yilin. Assessing susceptibility to smoking among non-smoking youth in Wuhan City, China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(9): 1045-1051. doi: 10.16462/j.cnki.zhjbkz.2023.09.011

武汉市从不吸烟青少年吸烟易感性

doi: 10.16462/j.cnki.zhjbkz.2023.09.011
详细信息
    通讯作者:

    李毅琳,E-mail:liyilin@whcdc.org

    李俊林,E-mail:lijl@whcdc.org

  • 中图分类号: R179

Assessing susceptibility to smoking among non-smoking youth in Wuhan City, China

More Information
  • 摘要:   目的  了解武汉市从不吸烟青少年(年龄范围为11~20岁)吸烟易感性以及主要影响因素。  方法  采用横断面研究设计,运用多阶段分层整群随机抽样方法,于2019年9―11月在武汉市15个行政区所有公立和私立的初中和高中抽取调查对象,对样本数据进行加权处理,采用复杂抽样设计的logistic回归分析模型分析从不吸烟青少年吸烟易感性的影响因素。  结果  武汉市从不吸烟青少年吸烟易感率为6.2%(95% CI:5.324~7.131),其中男性吸烟易感率为6.8%(95% CI:5.460~8.186),女性吸烟易感率为5.6%(95% CI:4.644~6.489)。多因素logistic回归分析模型分析结果显示,从不吸烟青少年吸烟易感性升高的危险因素包括好朋友吸烟(OR=2.981,95% CI:2.269~3.917,P < 0.001)、在学校看到老师吸烟(OR=1.626,95% CI:1.302~2.029,P < 0.001)、看见过烟草广告或促销(OR=1.442,95% CI:1.189~1.750,P < 0.001)和暴露于二手烟(OR=1.267,95% CI:1.021~1.573,P=0.032);保护因素包括在媒体上看过控烟信息(OR=0.722,95% CI:0.602~0.866,P < 0.001)和每周较低可支配收入(1~<20元)(OR=0.690,95% CI:0.487~0.978,P=0.037)。  结论  应加强媒体控烟宣传教育,全面禁止所有形式的烟草广告、促销和赞助; 并在学校实施全面无烟校园政策,开展同伴和教师健康教育以帮助戒烟; 尽快通过全面无烟立法,创造无烟环境,以降低青少年吸烟的易感性。
  • 表  1  武汉市从不吸烟青少年的基本特征

    Table  1.   Basic characteristics of non-smoking youth in Wuhan, China

    组别Group 类别Category 已加权Weighted 未加权样本量
    Unweighted sample size
    样本量
    Sample size
    占比/%
    Proportion/%
    95% CI
    居住地Residence 农村Country 165 756 46.9 35.0~58.8 5 161
    城市City 187 845 53.1 41.2~65.0 5 237
    性别Sex 女Female 167 457 47.4 45.1~49.6 5 098
    男Male 186 143 52.6 50.4~54.9 5 300
    学校类型School type 初中Junior high school 205 552 58.1 46.6~69.7 5 632
    高中Senior high school 94 241 26.7 17.0~36.3 3 474
    职高Professional high school 53 807 15.2 6.6~23.8 1 292
    学校性质Nature of school 公立学校Public school 315 900 89.3 81.7~97.0 9 044
    私立学校Private school 37 701 10.7 3.0~18.3 1 354
    每周可支配收入/元Weekly disposable income/yuan ≥50 112 749 31.9 26.7~37.1 3 464
    20~<50 84 224 23.8 22.2~25.4 2 504
    1~<20 97 160 27.5 23.1~31.9 2 680
    < 1 59 468 16.8 15.3~18.3 1 750
    暴露于二手烟Exposure to second-hand smoking 否No 159 418 45.1 40.2~50.0 4 442
    是Yes 194 183 54.9 50.0~59.8 5 956
    知晓吸烟烟雾危害Be aware of the dangers of smoking smoke 否No 8 402 2.4 2.0~2.8 236
    是Yes 345 199 97.6 97.2~98.0 10 162
    在媒体上看过控烟信息Have seen tobacco control information in the media 否No 86 900 24.6 22.6~26.6 2 700
    是Yes 266 700 75.4 73.4~77.4 7 698
    看到过烟草广告或促销Have seen tobacco advertisements or promotions 否No 128 057 36.2 33.6~38.8 3 783
    是Yes 173 822 49.2 45.6~52.7 5 208
    父母吸烟Parental smoking 否No 196 251 55.5 52.3~58.7 5 655
    是Yes 157 350 44.5 41.3~47.7 4 743
    好朋友吸烟Good friends smoking 否No 287 489 81.3 77.6~85.0 8 395
    是Yes 66 112 18.7 15.0~22.4 2 003
    在学校看到老师吸烟Observed teachers smoking at school 否No 234 779 66.4 61.9~70.9 6 601
    是Yes 118 822 33.6 29.1~38.1 3 797
    合计Total 353 601 100.0 10 398
    注:由于缺失值,部分百分比加起来<100%。
    Note: Some percentages add up to<100% due to missing values.
    下载: 导出CSV

    表  2  武汉市从不吸烟青少年吸烟易感性的单因素分析

    Table  2.   Univariate of susceptibility to smoking among non-smoking youth in Wuhan, China

    组别Group 类别Category 未加权样本量Unweightedsample size 加权Weighted χ2值value P值value
    率/%Rate /% 95% CI
    居住地Residence 农村Country 326 6.5 5.009~7.895 0.214 0.644
    城市City 304 6.0 4.905~7.154
    性别Sex 女Female 279 5.6 4.644~6.489 2.930 0.087
    男Male 351 6.8 5.460~8.186
    学校类型School type 初中Junior high school 276 5.0 4.079~5.982 20.968 < 0.001
    高中Senior high school 248 7.0 5.794~8.143
    职高Professional high school 106 9.5 6.677~12.329
    学校性质Nature of school 公立学校Public school 555 6.3 5.364~7.303 0.650 0.420
    私立学校Private school 75 5.3 3.204~7.475
    每周可支配收入/元Weekly disposable income/yuan ≥50 284 8.5 7.323~9.652 45.091 < 0.001
    20~<50 137 5.7 4.424~6.928
    1~<20 103 4.0 2.916~5.034
    < 1 106 6.4 4.789~8.020
    暴露于二手烟Exposure to second-hand smoking 否No 183 4.0 3.245~4.664 57.014 < 0.001
    是Yes 447 8.1 6.765~9.423
    知晓吸烟烟雾危害Be aware of the dangers of smoking smoke 否No 20 7.9 3.929~11.938 1.023 0.312
    是Yes 610 6.2 5.292~7.080
    在媒体上看过控烟信息Have seen tobacco control information in the media 否No 210 8.3 6.723~9.918 20.365 < 0.001
    是Yes 420 5.5 4.692~6.399
    看到过烟草广告或促销Have seen tobacco advertisements or promotions 否No 159 4.2 3.433~4.945 136.910 < 0.001
    是Yes 417 8.6 7.340~9.806
    父母吸烟Parental smoking 否No 285 4.8 4.011~5.561 26.537 < 0.001
    是Yes 345 8.0 6.543~9.510
    好朋友吸烟Good friends smoking 否No 323 4.0 3.384~4.604 386.368 < 0.001
    是Yes 307 15.9 14.105~17.778
    在学校看到老师吸烟Observed teachers smoking at school 否No 266 4.2 3.437~4.925 98.036 < 0.001
    是Yes 364 10.3 8.574~11.969
    合计Total 630 6.2 5.324~7.131
    下载: 导出CSV

    表  3  武汉市从不吸烟青少年吸烟易感性多因素分析(加权后)

    Table  3.   Multivariable logistic regression analysis on smoking susceptibility of non-smoking youth in Wuhan, China (Weighted)

    影响因素Influence factor 类别Category β s Wald
    value
    OR值value
    (95% CI)
    P
    value
    居住地Residence 农村Country 1.000
    城市City -0.080 0.110 0.529 0.923 (0.745~1.145) 0.467
    性别Sex 女Female 1.000
    男Male -0.017 0.145 0.014 0.983 (0.741~1.305) 0.907
    学校类型School type 初中Junior high school 1.000
    高中Senior high school -0.148 0.126 1.381 0.863 (0.675~1.104) 0.240
    职高Professional high school 0.126 0.185 0.465 1.134 (0.790~1.629) 0.495
    学校性质Nature of school 公立学校Public school 1.000
    私立学校Private school -0.134 0.118 1.293 0.875 (0.694~1.102) 0.255
    每周可支配收入/元Weekly disposable income/yuan ≥50 1.000
    20~<50 -0.186 0.129 2.070 0.830 (0.645~1.070) 0.150
    1~<20 -0.371 0.178 4.352 0.690 (0.487~0.978) 0.037
    < 1 0.032 0.142 0.051 1.033 (0.782~1.364) 0.822
    暴露于二手烟Exposure to second-hand smoking 否No 1.000
    是Yes 0.237 0.110 4.614 1.267 (1.021~1.573) 0.032
    知晓吸烟烟雾危害Be aware of the dangers of smoking smoke 否No 1.000
    是Yes -0.277 0.352 0.620 0.758 (0.380~1.511) 0.431
    在媒体上看过控烟信息Have seen tobacco control information in the media 否No 1.000
    是Yes -0.325 0.093 12.332 0.722 (0.602~0.866) < 0.001
    看到过烟草广告或促销Have seen tobacco advertisements or promotions 否No 1.000
    是Yes 0.366 0.099 13.790 1.442 (1.189~1.750) < 0.001
    父母吸烟Parental smoking 否No 1.000
    是Yes 0.178 0.113 2.487 1.195 (0.958~1.490) 0.115
    好朋友吸烟Good friends smoking 否No 1.000
    是Yes 1.092 0.139 61.442 2.981 (2.269~3.917) < 0.001
    在学校看到老师吸烟Observed teachers smoking at school 否No 1.000
    是Yes 0.486 0.113 18.442 1.626 (1.302~2.029) < 0.001
    下载: 导出CSV
  • [1] GBD 2019 Tobacco Collaborators. Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and attributable disease burden in 204 countries and territories, 1990- 2019: a systematic analysis from the Global Burden of Disease Study 2019[J]. Lancet, 2021, 397(10292): 2337-2360. DOI: 10.1016/S0140-6736(21)01169-7.
    [2] CDC. Preventing tobacco use among youth and young adults: a report of the surgeon general[EB/OL]. (2012-01-01)[2021-12-30]. https://www.cdc.gov/tobacco/data_statistics/sgr/2012/index.htm.
    [3] Creamer MR, Wang TW, Babb S, et al. Tobacco product use and cessation indicators among adults - united states, 2018[J]. MMWR Morb Mortal Wkly Rep, 2019, 68(45): 1013-1019. DOI: 10.15585/mmwr.mm6845a2.
    [4] Xi B, Liang Y, Liu Y, et al. Tobacco use and second-hand smoke exposure in young adolescents aged 12-15 years: data from 68 low-income and middle-income countries[J]. Lancet Glob Health, 2016, 4(11): e795-e805. DOI: 10.1016/S2214-109X(16)30187-5.
    [5] Wang M, Luo X, Xu S, et al. Trends in smoking prevalence and implication for chronic diseases in China: serial national cross-sectional surveys from 2003 to 2013[J]. Lancet Respir Med, 2019, 7(1): 35-45. DOI: 10.1016/S2213-2600(18)30432-6.
    [6] WHO. WHO report on the global tobacco epidemic 2019: offer help to quit tobacco use[EB/OL]. (2019-07-25)[2021-12-30]. https://www.who.int/publications/i/item/9789241516204.
    [7] Stern RA, Prochaska JO, Velicer WF, et al. Stages of adolescent cigarette smoking acquisition: measurement and sample profiles[J]. Addic Behav, 1987, 12(4): 319-329. DOI: 10.1016/0306-4603(87)90046-3.
    [8] Veeranki SP, Mamudu HM, Anderson JL, et al. Worldwide Never-Smoking Youth Susceptibility to Smoking[J]. J Adolesc Health, 2014, 54(2): 144-150. DOI: 10.1016/j.jadohealth.2013.07.036.
    [9] Elders MJ, Perry CL, Eriksen MP, et al. The report of the Surgeon General: preventing tobacco use among young people[J]. Am J Public Health, 1994, 84(4): 543-547. DOI: 10.2105/ajph.84.4.543.
    [10] Altman DG, Levine DW, Coeytaux R, et al. Tobacco promotion and susceptibility to tobacco use among adolescents aged 12 through 17 years in a nationally representative sample[J]. Am J Public Health, 1996, 86(11): 1590-1593. DOI: 10.2105/ajph.86.11.1590.
    [11] Pierce JP, Choi WS, Gilpin EA, et al. Validation of susceptibility as a predictor of which adolescents take up smoking in the United States[J]. Health Psychol, 1996, 15(5): 355. DOI: 10.1037//0278-6133.15.5.355.
    [12] Morello P, Pérez A, Braun SN, et al. Smoking susceptibility as a predictive measure of cigarette and e-cigarette use among early adolescents[J]. Salud Publica Mex, 2018, 60(4): 423-431. DOI: 10.21149/9193.
    [13] Peng S, Yu L, Yang T, et al. Susceptibility to smoking and determinants among medical students: a representative nationwide study in China[J]. Tob Induc Dis, 2019, 17: 36. DOI: 10.18332/tid/106188.
    [14] CDC and Penvention. Global Youth Tobacco Survey (GYTS) — Overview[EB/OL]. (2013-02-01)[2022-08-10]. https://nccd.cdc.gov/GTSSDataSurveyResources/Ancillary/Documentation.aspx?SUID=1&DOCT=1.
    [15] 陈晨, 王刚, 高皓宇, 等. 天津市初中生烟草使用情况调查[J]. 中国慢性病预防与控制, 2017, 25(6): 414-418. DOI: 10.16386/j.cjpccd.issn.1004-6194.2017.06.004.

    Chen C, Wang G, Gao HY, et al. The investigation and analysis on tobacco usage of junior school students in Tianjin[J]. Chin J Prev Contr Chron Dis, 2017, 25(6): 414-418. DOI: 10.16386/j.cjpccd.issn.1004-6194.2017.06.004.
    [16] 肖琳, 王聪晓, 姜垣, 等. 中国青少年二手烟暴露现况调查[J]. 中国慢性病预防与控制, 2015, 23(3): 164-167. DOI: 10.16386/j.cjpccd.issn.1004-6194.2015.03.006.

    Xiao L, Wang CX, Jiang Y, et al. A cross-sectional investigation on exposure of youth to second-hand smoking in China[J]. Chin J Prev Contr Chron Dis, 2015, 23(3): 164-167. DOI: 10.16386/j.cjpccd.issn.1004-6194.2015.03.006.
    [17] 梅欣, 李毅琳, 黄远霞, 等. 2015年与2017年武汉市卷烟包装的健康警示有效性比较分析[J]. 中国健康教育, 2020, 36(11): 1000-1005, 1010. DOI: 10.16168/j.cnki.issn.1002-9982.2020.11.008.

    Mei X, Li YL, Huang YX, et al. Comparative analysis on the effectiveness of health warning label on cigarette package in Wuhan between 2015 and 2017[J]. Chin J Health Education, 2020, 36(11): 1000-1005, 1010. DOI: 10.16168/j.cnki.issn.1002-9982.2020.11.008.
    [18] 崔岚, 覃玉, 苏健, 等. 江苏省青少年烟草广告暴露情况与吸烟易感性分析[J]. 中国学校卫生, 2018, 39(1): 42-44, 49. DOI: 10.16835/j.cnki.1000-9817.2018.01.013.

    Cui L, Tan Y, Su J, et al. Exposure to tobacco advertising and smoking susceptibility among teenagers of Jiangsu Province in 2013[J]. Chin J Sch Health, 2018, 39(1): 42-44, 49. DOI: 10.16835/j.cnki.1000-9817.2018.01.013.
    [19] Bobo FT, Thanasekaran P, Joice A, et al. Susceptibility to cigarette smoking and associated factors among high school students in western Ethiopia[J]. BMC Res Notes, 2018, 11(1): 626. DOI: 10.1186/s13104-018-3734-6.
    [20] Babatunde LS, Babatunde OT, Oladeji SM, et al. Prevalence and determinants of susceptibility to cigarette smoking among non-smoking senior secondary school students in Ilorin, North Central Nigeria[J]. Int J Adolesc Med Health, 2017, 30(5): 1-10. DOI: 10.1515/ijamh-2016-0099.
    [21] Huang HW, Lu CC, Yang YH, et al. Smoking behaviours of adolescents, influenced by smoking of teachers, family and friends[J]. Int Nurs Rev, 2014, 61(2): 220-227. DOI: 10.1111/inr.12084.
    [22] Scherrer JF, Xian H, Pan H, et al. Parent, sibling and peer influences on smoking initiation, regular smoking and nicotine dependence, Results from a genetically informative design[J]. Addict Behav, 2012, 37(3): 240-247. DOI: 10.1016/j.addbeh.2011.10.005.
    [23] Coreas SI, Rodriquez EJ, Rahman SG, et al. Smoking susceptibility and tobacco media engagement among youth never smokers[J]. Pediatrics, 2021, 147(6). DOI: 10.1542/peds.2020-017921.
    [24] Straub DM, Hills NK, Thompson PJ, et al. Effects of pro- and anti-tobacco advertising on nonsmoking adolescents' intentions to smoke[J]. J Adolesc Health, 2003, 32(1): 36-43. DOI: 10.1016/s1054-139x(02)00451-2.
    [25] CDC. Ventilation does not effectively protect people who don't smoke from secondhand smoke[EB/OL]. (2021-11-30)[2021-12-30]. https://www.cdc.gov/tobacco/data_statistics/fact_sheets/secondhand_smoke/protection/ventilation/.
    [26] Tate C, Kumar R, Murray JM, et al. Socio-environmental and psychosocial predictors of smoking susceptibility among adolescents with contrasting socio-cultural characteristics: a comparative analysis[J]. BMC Public Health, 2021, 21(1): 2240. DOI: 10.1186/s12889-021-12351-x.
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出版历程
  • 收稿日期:  2022-01-11
  • 修回日期:  2022-09-28
  • 网络出版日期:  2023-10-12
  • 刊出日期:  2023-09-10

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