Wen Xiaozhong, Chen Weiqing, Muscat Joshua E, Qian Zhengmin, Lu Ciyong, Zhang Caixia, Luo Yijuan, Liang Caihua, Han Ke, Deng Xueqing, Ou Yongjun, Ling Wenhua
Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China.
Prev Med. 2007 Aug-Sep;45(2-3):189-97. doi: 10.1016/j.ypmed.2007.02.009. Epub 2007 Feb 15.
To identify modifiable family and school environmental factors associated with Chinese adolescent smoking behaviors including never-smoking, experimental smoking, regular smoking, and attempting to quit.
A cross-sectional survey using self-reported questionnaires was conducted in Huangpu, Guangzhou in December of 2004. A total of 3957 pupils agreed to complete the questionnaires. The prevalence odds ratio (risk) of experimental smoking was compared to never-smoking, adjusting for gender and age in unconditional logistic regression analysis. The risk of regular smoking was compared to experimental smoking, and the risk of attempting quitting was analyzed in regular smokers.
The cigarette smoking of peers, mothers, fathers, brothers, and supervising teachers, passive smoking, and seeing someone smoking on campus increased the risk of experimental smoking vs. nonsmoking, while no-smoking signs, perceived anti-tobacco atmosphere in school, and being taught smoking-related health knowledge decreased the risk. The factors associated with regular smoking compared to experimental smoking included the smoking of peers, brothers, fathers and supervising teachers, teacher's tolerance, and passive smoking. Being taught smoking-related knowledge, perceived anti-tobacco atmosphere and no-smoking signs in school were positively associated with regular smoker's attempt to quit, while supervising teacher's smoking, parents' and teachers' tolerance could delay it.
These modifiable family and school environmental factors as well as their interaction with gender and age should be highly considered in adolescent smoking prevention in China.
确定与中国青少年吸烟行为（包括从不吸烟、尝试吸烟、经常吸烟和试图戒烟）相关的可改变的家庭和学校环境因素。
2004年12月在广州黄埔进行了一项使用自填问卷的横断面调查。共有3957名学生同意完成问卷。在无条件逻辑回归分析中，将尝试吸烟的患病率比值比（风险）与从不吸烟进行比较，并对性别和年龄进行调整。将经常吸烟的风险与尝试吸烟进行比较，并对经常吸烟者试图戒烟的风险进行分析。
与从不吸烟相比，同伴、母亲、父亲、兄弟和督导教师吸烟、被动吸烟以及在校园内看到有人吸烟会增加尝试吸烟的风险，而禁烟标志、学校中感知到的反烟草氛围以及接受吸烟相关健康知识教育则会降低风险。与尝试吸烟相比，与经常吸烟相关的因素包括同伴、兄弟、父亲和督导教师吸烟、教师的容忍度以及被动吸烟。接受吸烟相关知识教育、学校中感知到的反烟草氛围和禁烟标志与经常吸烟者试图戒烟呈正相关，而督导教师吸烟、家长和教师的容忍度则会延迟戒烟。
在中国青少年吸烟预防中，应高度考虑这些可改变的家庭和学校环境因素及其与性别和年龄的相互作用。
