Xu Xianglong, Liu Dengyuan, Sharma Manoj, Zhao Yong
School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China.
Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China.
Int J Environ Res Public Health. 2017 Oct 30;14(11):1323. doi: 10.3390/ijerph14111323.
This study examined the patterns and determinants of current smoking and intention to smoke among secondary school students of Han and Tujia nationalities in China. A cross-sectional survey was conducted in three regions, namely, Chongqing, Liaocheng, and Tianjin, of China in 2015. A structured self-administered questionnaire was used for data collection. Of the total subjects ( = 1805), 78.9% were ethnic Han and 21.1% were ethnic Tujia. Overall 9.4% (Han: 7.7%; Tujia: 15.5%) secondary school students were smokers and 37.28% smoked more than once per day. Of the non-smoker students ( = 1636), 17.4% have an intention to smoke. A total of 81.1% of students reportedly had never been taught throughout school about smoking or tobacco prevention. When compared to the students who were taught in the school about smoking or tobacco prevention (18.90%) students who were never taught were more likely to smoke (OR = 2.39; 95% CI = 1.14-5.01). As compared to Han nationality students who were from Tujia nationality were more likely to smoke (OR = 2.76; 95% CI = 1.88-4.04) and were more likely to have a higher frequency of smoking (95% CI (0.88, 0.88), = 0.010). Non-smokers who were high school students (OR = 4.29; 95% CI = 2.12-8.66), whose academic performance were situated in the last 25% (OR = 2.23; 95% CI = 1.48-3.34) and lower than 50% (OR = 1.50; 95% CI = 1.02-2.20) were more likely to have an intention of smoking. About one in ten secondary school students was a smoker, one in three smokers smoked more than one time per day, and a quarter of non-smokers had an intention of smoking in China. Smoking rate was higher among students from Tujia than the Han nationality. This study provided some important information for future tobacco control programs among secondary school students in the ethnic minority autonomous region and minority settlements in a multi-ethnic country.
本研究调查了中国汉族和土家族中学生当前的吸烟模式、吸烟因素以及吸烟意愿。2015年在中国的重庆、聊城和天津三个地区开展了一项横断面调查。采用结构化自填问卷收集数据。在全部1805名受试者中，78.9%为汉族，21.1%为土家族。总体而言，9.4%的中学生吸烟（汉族：7.7%；土家族：15.5%），37.28%的学生每天吸烟超过一次。在1636名不吸烟的学生中，17.4%有吸烟意愿。据报告，共有81.1%的学生在整个求学过程中从未接受过关于吸烟或烟草预防的教育。与在学校接受过吸烟或烟草预防教育的学生（18.90%）相比，从未接受过此类教育的学生更有可能吸烟（比值比=2.39；95%置信区间=1.14 - 5.01）。与汉族学生相比，土家族学生更有可能吸烟（比值比=2.76；95%置信区间=1.88 - 4.04），且吸烟频率更高的可能性更大（95%置信区间（0.88, 0.88），P = 0.010）。高中生（比值比=4.29；95%置信区间=2.12 - 8.66）、学业成绩处于后25%（比值比=2.23；95%置信区间=1.48 - 3.34）以及低于中位数（比值比=1.50；95%置信区间=1.02 - 2.20）的非吸烟学生更有可能有吸烟意愿。在中国，约十分之一的中学生吸烟，三分之一的吸烟者每天吸烟超过一次，四分之一的非吸烟者有吸烟意愿。土家族学生的吸烟率高于汉族学生。本研究为多民族国家少数民族自治区和少数民族聚居地未来针对中学生的烟草控制项目提供了一些重要信息。
