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中国国内流动育龄妇女二手烟暴露的患病率及相关因素:来自中国劳动力动态调查的证据

Prevalence and Associated Factors of Secondhand Smoke Exposure among Internal Chinese Migrant Women of Reproductive Age: Evidence from China's Labor-Force Dynamic Survey.

作者信息

Gong Xiao, Luo Xiaofeng, Ling Li

机构信息

Faculty of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China.

Sun Yat-sen Center for Migrant Health Policy, Sun Yat-sen University, Guangzhou 510080, China.

出版信息

Int J Environ Res Public Health. 2016 Apr 1;13(4):371. doi: 10.3390/ijerph13040371.

Abstract

Secondhand smoke (SHS) is a major risk factor for poor health outcomes among women in China, where proportionately few women smoke. This is especially the case as it pertains to women's reproductive health, specifically migrant women who are exposed to SHS more than the population at large. There are several factors which may increase migrant women's risk of SHS exposure. This paper aims to investigate the prevalence and associated factors of SHS exposure among internal Chinese migrant women of reproductive age. The data used were derived from the 2014 Chinese Labor Dynamic Survey, a national representative panel survey. The age-adjusted rate of SHS exposure of women of reproductive age with migration experience was of 43.46% (95% CI: 40.73%-46.40%), higher than those without migration experience (35.28% (95% CI: 33.66%-36.97%)). Multivariate analysis showed that participants with a marital status of "Widowed" had statistically lower exposure rates, while those with a status of "Cohabitation" had statistically higher exposure. Those with an undergraduate degree or above had statistically lower SHS exposure. Those with increasing levels of social support, and those who currently smoke or drink alcohol, had statistically higher SHS exposure. Participants' different work-places had an effect on their SHS exposure, with outdoor workers statistically more exposed. Our findings suggest that urgent tobacco control measures should be taken to reduce smoking prevalence and SHS exposure. Specific attention should be paid to protecting migrant women of reproductive age from SHS.

摘要

在中国,二手烟(SHS)是导致女性健康状况不佳的主要风险因素,而吸烟的女性比例相对较少。在女性生殖健康方面尤其如此,特别是流动妇女,她们比普通人群更容易接触二手烟。有几个因素可能会增加流动妇女接触二手烟的风险。本文旨在调查中国国内育龄流动妇女二手烟暴露的患病率及其相关因素。所使用的数据来自2014年中国劳动力动态调查,这是一项具有全国代表性的面板调查。有迁移经历的育龄妇女二手烟暴露的年龄调整率为43.46%(95%置信区间:40.73%-46.40%),高于没有迁移经历的妇女(35.28%(95%置信区间:33.66%-36.97%))。多变量分析表明,婚姻状况为“丧偶”的参与者二手烟暴露率在统计学上较低,而“同居”状况的参与者二手烟暴露率在统计学上较高。拥有本科及以上学历的参与者二手烟暴露率在统计学上较低。社会支持水平较高的参与者,以及目前吸烟或饮酒的参与者,二手烟暴露率在统计学上较高。参与者不同的工作场所对其二手烟暴露有影响,户外工作者在统计学上更容易暴露。我们的研究结果表明,应采取紧急控烟措施以降低吸烟率和二手烟暴露率。应特别关注保护育龄流动妇女免受二手烟危害。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d161/4847033/5fb49941e6db/ijerph-13-00371-g001.jpg

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