摘要
目的近年来我国青少年吸烟行为的发生呈上升趋势,不同类型学校中,高职院校学生吸烟率较高。家庭是人生的“第一课堂”,对青少年行为习惯的养成发挥着重要的作用。本研究通过调查湘西地区高职院校学生吸烟行为现状,分析不同家庭因素对学生吸烟行为的影响,为相关部门制定湘西地区高职院校学生控烟政策提供科学依据。方法于2017-10采用分层整群抽样调查方法,选取湘西地区3所高职院校共1241名学生进行健康相关行为问卷调查,内容包括学生基本信息、父母职业、父母文化程度和家庭类型等。学生吸烟行为发生组间比较采用χ^2检验,学生吸烟行为的影响因素分析采用非条件Logistic回归分析。结果湘西地区高职院校学生尝试过吸烟、目前吸烟、经常吸烟的比例分别为51.81%、36.66%和26.59%,其中男生各项比例均高于女生,均P<0.05。少数民族学生的尝试过吸烟的比例高于汉族学生,城镇学生经常吸烟的比例高于农村学生,差异均有统计学意义,均P<0.05。Logistic回归分析显示,男生(OR=2.215,95%CI为1.736~2.828,P<0.001)、留守学生(OR=1.438,95%CI为1.127~1.835,P=0.004)是学生目前吸烟的危险因素,母亲管教严格(OR=0.478,95%CI为0.255~0.898,P=0.022)、母亲职业固定职业或经商(OR=0.706,95%CI为0.517~0.964,P=0.028)、核心家庭(OR=0.677,95%CI为0.501~0.914,P=0.011)是学生目前吸烟的保护因素。结论湘西地区高职院校学生吸烟行为比例较高,家庭因素对学生吸烟有一定影响,相关部门应尽快对学生开展控烟健康教育工作。
OBJECTIVE In recent years,the incidence of smoking among adolescents in China is on the rise.Among different types of schools,the smoking rate of students in higher vocational colleges is higher.The family is the "first class" of life and plays an important role in the development of adolescent behavioral habits.This study investigates the current situation of smoking behavior among students in higher vocational colleges in Xiangxi area,analyzes the influence of different family factors on students′smoking behavior,and provides scientific basis for relevant departments to formulate tobacco control policies for students in higher vocational colleges in Xiangxi area.METHODS In October of 2017,a stratified random cluster sampling survey method was used to select 1241 students from 3 vocational colleges in Xiangxi area for questionnaires on health-related behaviors.The basic information of students included parental occupation,parental education level and family type.The incidence of smoking behavior among students was compared by χ^2 test.The influencing factors of smoking behavior of students were analyzed by unconditional logistic regression analysis.RESULTS The proportion of students who tried to smoke,smoked and often smoked in vocational colleges in Xiangxi area was 51.81%,36.66% and 26.59%,respectively.The all proportions of male students were higher than those of female students,all P<0.05.The proportion of ethnic minority students who tried to smoke was higher than that of Han students,and the proportion of urban students who often smoked was higher than that of rural students.The difference was statistically significant(P<0.05).Logistic regression analysis showed that boys(OR=2.215,95%CI:1.736-2.828,P<0.001),left-behind students(OR=1.438,95%CI:1.127-1.835,P=0.004)were the risk factors of smoking.Strict motherhood(OR=0.478,95%CI:0.255-0.898,P=0.022),fixed occupation or business of mothers(OR=0.706,95%CI:0.517-0.964,P=0.028),core family(OR=0.677,95%CI:0.501-0.914,P=0.011)were the protective factors for students′smoking at present.CONCLUSIONS The incidence of smoking behavior among students in higher vocational colleges in Xiangxi area is high.Family factors have a certain impact on students′smoking.Relevant departments should carry out tobacco health education for students as soon as possible.
作者
曾直
张天成
张福兰
ZENG Zhi;ZHANG Tian-cheng;ZHANG Fu-lan(Department of Physical Education,Section of Basic Courses,Xiangxi National Vocational and Technical College,Jishou 416000,P.R.China;School of Physical Education,Jishou University,Jishou 416000,P.R.China)
出处
《社区医学杂志》
2019年第14期815-818,共4页
Journal Of Community Medicine
基金
湖南省教育科学“十三五”规划课题（XJK18BTW012）
关键词
吸烟
高职生
家庭因素
湘西地区
smoking
higher vocational students
family factors
Xiangxi area
