2004 年至 2011 年中国青少年烟草和酒精消费的社会人口因素变化。
Changes in the Sociodemographic Factors of Tobacco and Alcohol Consumption in Chinese Adolescents from 2004 to 2011.
机构信息
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.
出版信息
Int J Environ Res Public Health. 2018 Jun 8;15(6):1211. doi: 10.3390/ijerph15061211.
Finding ways to reduce tobacco and alcohol consumption among adolescents has been a major public health challenge in China. In relation to this issue, the current study evaluated the changes in the sociodemographic factors of tobacco and alcohol consumption among Chinese adolescents who are 12⁻18 years old. Trends in sociodemographic factors associated with tobacco and alcohol consumption were investigated based on the 2004⁻2011 China Health and Nutrition Survey data. Questionnaires that extracted data on tobacco and alcohol consumption (i.e., prior experience of smoking cigarettes and drinking alcoholic beverages) were distributed. Additional variables (e.g., age, residence, gender, etc.) were used in the analyses. Firth penalized logistic regression was conducted with drinking and smoking status variables as the dependent variables. Male adolescents were more inclined to smoke in 2004, 2006, 2009, and 2011 ( < 0.05 for all). Adolescents aged 15⁻16 years were more inclined to smoke compared with those aged 12⁻14 years in 2004, 2006, and 2011 ( < 0.05 for all). Among adolescents aged 15⁻18 years, older ones were more inclined to not smoke in 2004 (odds ratio (OR) = 0.531, 95% confidence interval (CI) 0.343⁻0.821). Adolescents who did not attend school were more inclined to smoke in 2004, 2006, 2009, and 2011 ( < 0.05 for all). Adolescents who were drinkers were more inclined to smoke in 2004, 2006, 2009, and 2011 ( < 0.05 for all). Male adolescents were more likely to drink in 2004, 2006, and 2009 ( < 0.05 for all). In 2006 and 2009, adolescents aged 15⁻16 years were more inclined to drink compared with those aged 12⁻14 years ( < 0.05 for all). Among adolescents aged 15⁻18 years, older ones were less inclined to drink in 2004 (OR = 0.719, 95% CI 0.527⁻0.980) and 2006 (OR = 0.716, 95% CI 0.527⁻0.972). Adolescents who smoked were more likely to drink in 2004, 2006, 2009, and 2011 ( < 0.05 for all). The prevalence of tobacco and alcohol consumption among adolescents has not changed significantly. The current study identified adolescent high-risk groups for tobacco and alcohol consumption.
在中国，寻找减少青少年烟草和酒精消费的方法一直是一项重大的公共卫生挑战。关于这个问题，本研究评估了中国 12-18 岁青少年的烟草和酒精消费的社会人口因素的变化。基于 2004-2011 年中国健康与营养调查数据，调查了与烟草和酒精消费相关的社会人口因素的趋势。分发了提取烟草和酒精消费数据的问卷（即，吸烟和饮酒的先前经历）。分析中使用了其他变量（例如，年龄、居住地、性别等）。以饮酒和吸烟状况变量为因变量进行 Firth 惩罚逻辑回归。2004 年、2006 年、2009 年和 2011 年，男性青少年吸烟的可能性更高（所有<0.05）。与 12-14 岁青少年相比，2004 年、2006 年和 2011 年 15-16 岁青少年吸烟的可能性更高（所有<0.05）。在 15-18 岁的青少年中，2004 年年龄较大的青少年不吸烟的可能性更高（优势比（OR）=0.531，95%置信区间（CI）0.343-0.821）。2004 年、2006 年、2009 年和 2011 年，未上学的青少年吸烟的可能性更高（所有<0.05）。2004 年、2006 年、2009 年和 2011 年，饮酒的青少年吸烟的可能性更高（所有<0.05）。2004 年、2006 年和 2009 年，男性青少年饮酒的可能性更高（所有<0.05）。与 12-14 岁青少年相比，2006 年和 2009 年 15-16 岁青少年饮酒的可能性更高（所有<0.05）。在 15-18 岁的青少年中，2004 年和 2006 年年龄较大的青少年饮酒的可能性较低（OR=0.719，95%CI 0.527-0.980）和 2006 年（OR=0.716，95%CI 0.527-0.972）。2004 年、2006 年、2009 年和 2011 年，吸烟的青少年饮酒的可能性更高（所有<0.05）。青少年的烟草和酒精消费的流行率没有明显变化。本研究确定了青少年烟草和酒精消费的高危人群。
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