摘要
目的了解中国在校青年电子烟使用情况及其风险因素,为落实控烟目标提供实证参考。方法于2022年9月—2023年3月,采用多阶段分层整群抽样方法在华北、长三角、珠三角和西南等4个地区的13个城市抽取≥15岁在校青年2405人进行电子烟使用现状和相关因素分析。结果受访对象使用电子烟人数为153人(6.36%),其中曾经和现在使用电子烟者分别为110人(4.57%)和43人(1.79%);首次使用年龄均值为(15.92±2.03)岁;使用时友伴人数均值为(2.10±1.34)人。多因素非条件logistic回归模型结果显示,男性(OR=4.81,95%CI=3.24~7.15)、心理压力得分较高(OR=1.63,95%CI=1.15~2.33)、半年内遭遇失恋等情感问题(OR=2.82,95%CI=1.89~4.21)、失去朋友等友谊问题(OR=1.67,95%CI=1.17~2.38)和较高的可支配零用钱(OR^(800~1500)=1.90,95%CI=1.23~2.95;OR^(>1500)=2.22,95%CI=1.44~3.41)是受访青年使用电子烟的风险因素,而父母在婚状态(OR=0.44,95%CI=0.29~0.67)则是约束受访青年使用电子烟的保护性因素。结论我国受访青年电子烟使用率较低,性别、心理健康状况、生活负性事件经历、消费能力和家庭关系稳定性是受访青年电子烟使用行为的主要影响因素。
Objective To investigate the prevalence and risk factors of e-cigarette smoking among school youths in China.Methods With stratified multistage cluster sampling,we conducted an online survey among 2405 students aged 15 years and above from 35 high schools/vocational schools/colleges or universities in 13 China cities in 4 regions with different cultural characteristics(the north region,the Yangtze River Delta,the Pearl River Delta,and Southwest region)during September 2022–March 2023.A questionnaire on e-cigarette use and its potential associates was compiled mainly based on Global Youth Tobacco Survey(GYTS),Chinese Perceived Stress Scale(CPSS),and Adolescent Self-Rating Life Events Checklist(ASLEC).Results Among all the students surveyed,6.36%(153)reported e-cigarette use,with 4.57%(110)and 1.79%(43)reporting ever use and current use of e-cigarette.The age at first e-cigarette use for the e-cigarette smokers was 15.92±2.03 years and the number of peers on site of the students′e-cigarette smoking was 2.10±1.34.The results of unconditional multivariate logistic regression analysis revealed following risk factors for e-cigarette use:being male(odds ratio[OR]=4.81,95%confidence interval[95%CI]:3.24–7.15),with higher stress score(OR=1.63,95%CI:1.15–2.33),falling out of love during past six months(OR=2.82,95%CI:1.89–4.21),losing a friend during past six months(OR=1.67,95%CI:1.17–2.38),and having more pocket money(compared to less than 800 Chinese Yuan per month:OR^(800–1500)=1.90,95%CI:1.23–2.95;OR^(>1500)=2.22,95%CI:1.44–3.41);while,living with married parents was a protective factor against e-cigarette use(OR=0.44,95%CI:0.29–0.67).Conclusion The prevalence of e-cigarette use is low and mainly influenced by gender,negative life events,amount of pocket money,and family relationship currently among school youths in China.
作者
梁声远
郭铠文
杨晓照
LIANG Shengyuan;GUO Kaiwen;YANG Xiaozhao(School of Sociology and Anthropology,Sun Yat-sen University,Guangzhou 510275,China)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2023年第11期1419-1423,共5页
Chinese Journal of Public Health
基金
中华医学基金会项目(CMB 21–436)
关键词
电子烟
影响因素
在校青年
e-cigarette
influencing factor
school youth
作者简介
第一作者:梁声远(1993–),博士在读,研究方向:社会医学与健康社会学;通信作者:杨晓照,E-mail:yangxzh27@mail.sysu.edu.cn
