Suzuki Jinichi, Saruta Kimiko
Fujisawa Health Center, Kanagawa, Japan.
Nihon Koshu Eisei Zasshi. 2011 Mar;58(3):159-67.
The purpose of this study was to identify socio-environmental and personal variables associated with high school students smoking behavior by applying multilevel analyses.
A cross-sectional survey of the first-year students of five public senior high schools in western Kanagawa Prefecture, Japan was conducted using multilevel logistic regression analyses with students at level 1 and schools at level 2. Self-administered questionnaires were returned by 517 out of 597 enrolled students, and information was collected regarding the prevalence of previous and current smoking and socio-environmental, educational and personal variables.
The rates of past and current smoking were found to be 25.2% and 12.6% in males and 16.9% and 5.2% in females, respectively. Maternal smoking, having friends or older school-mates who smoked and lower probabilities of high school academic achievement potential were significantly associated with both past (adjusted ORs of 2.37, 4.28 and 2.98, respectively) and current (adjusted ORs 2.46, 5.57 and 3.02) smoking.
It is recommended that health professionals in charge of school-based educational programs should tailor the teaching methods to fit the students' backgrounds and specific vulnerabilities. Educational programs for smoking prevention focusing on the students' mothers and classmates or students in high schools with reduced academic achievement potential should be developed.
本研究旨在通过应用多层次分析来确定与高中生吸烟行为相关的社会环境和个人变量。
对日本神奈川县西部五所公立高中的一年级学生进行了横断面调查，采用一级为学生、二级为学校的多层次逻辑回归分析。597名入学学生中有517名返回了自填式问卷，并收集了有关既往和当前吸烟率以及社会环境、教育和个人变量的信息。
发现男性过去和当前的吸烟率分别为25.2%和12.6%，女性分别为16.9%和5.2%。母亲吸烟、有吸烟的朋友或高年级同学以及高中学习成绩潜力较低的可能性与过去（调整后的比值比分别为2.37、4.28和2.98）和当前（调整后的比值比为2.46、5.57和3.02）吸烟均显著相关。
建议负责校本教育项目的卫生专业人员应根据学生的背景和特定弱点调整教学方法。应制定针对学生母亲和同学或学习成绩潜力较低的高中学生的预防吸烟教育项目。
