Guo Rui, Chen Guozhen, He Nianshuang, Wang Qiwei, Deng Shusong
School of Public Health and Management, Youjiang Nationality Medical College, Baise 533000, China.
School of Basic Medical Science, Youjiang Nationality Medical College, Baise 533000, China.
Wei Sheng Yan Jiu. 2021 Sep;50(5):763-774. doi: 10.19813/j.cnki.weishengyanjiu.2021.05.010.
The study aimed at association of family life, resilience and bullying on the use of tobacco in preadolescents.
A total of 4792 students from 5 junior schools in Baise City were recruited with cluster-sampling method, filled with questionnaire of family life, resilience, parents' Control, bullying, initiation of tobacco and smoking from Feb. to Nov. 2018.The sample comprised of 52.63% male students and 46.66% female students. The average age was(11.8±0.5). There were 56.78% of students lived in city and 43.22% of students lived in county town; The nationality of the sample was as follows: Zhuang nationality 90.00%, Han nationality 7.62%, other minorities(Yao nationality, Miao nationality, Yi nationality, et al)2.05%. The Logistic regression was used to explore the effect.
There were 9.75% and 6.97% of the sample reported initiation of tobacco and smoking respectively. The initiation of tobacco and smoking of boys were higher than that of girls(initiation of tobacco: χ2=57.230, P<0.001; smoking: χ2=56.013, P<0.001). The multivariate Logistic analysis showed gender was statistically significant factor of initiation of tobacco(OR=0.468, 95%CI 0.377-0.582) and smoking(OR=0.422, 95% CI 0.324-0.551), and age was statistically significant factor of initiation of tobacco(OR=1.609, 95% CI 1.446-1.791) and smoking(OR=2.026, 95%CI 1.776-2.310). Bullying was statistically significant factors of smoking(OR=1.106, 95% CI 1.073-1.140). Three protective factors were associated with a lower likelihood of initiation of tobacco(individual power: OR=0.964, 95% CI 0.951-0.976; family cohesion, OR=0.946, 95% CI 0.892-0.984; family rules, OR=0.949, 95%CI 0.930-0.965) and smoking(individual power: OR=0.962, 95% CI 0.947-0.977; family cohesion, OR=0.937, 95%CI 0.885-0.992; family rules, OR=0.952, 95%CI 0.932-0.973)in the final subscale model.
Bullying increased the risk of smoking, while Individual power, family cohesion and family rules were associated with a lower likelihood of initiation of tobacco and smoking in preadolescents.
本研究旨在探讨家庭生活、心理韧性和欺凌行为与青春期前儿童烟草使用之间的关联。
采用整群抽样法，选取百色市5所初中的4792名学生，于2018年2月至11月填写家庭生活、心理韧性、父母控制、欺凌行为、烟草使用起始情况及吸烟情况的问卷。样本中男生占52.63%，女生占46.66%。平均年龄为（11.8±0.5）岁。56.78%的学生居住在城市，43.22%的学生居住在县城；样本的民族构成如下：壮族90.00%，汉族7.62%，其他少数民族（瑶族、苗族、彝族等）2.05%。采用Logistic回归分析来探究其影响。
样本中分别有9.75%和6.97%的学生报告有烟草使用起始情况和吸烟行为。男生的烟草使用起始率和吸烟率高于女生（烟草使用起始情况：χ²=57.230，P<0.001；吸烟：χ²=56.013，P<0.001）。多因素Logistic分析显示，性别是烟草使用起始情况（OR=0.468，95%CI 0.377-0.582）和吸烟行为（OR=0.422，95%CI 0.324-0.551）的统计学显著因素，年龄是烟草使用起始情况（OR=1.609，95%CI 1.446-1.791）和吸烟行为（OR=2.026，95%CI 1.776-2.310）的统计学显著因素。欺凌行为是吸烟行为的统计学显著因素（OR=1.106，95%CI 1.073-1.140）。在最终的子量表模型中，有三个保护因素与较低的烟草使用起始可能性相关（个人能力：OR=0.964，95%CI 0.951-0.976；家庭凝聚力，OR=0.946，95%CI 0.892-0.984；家庭规则，OR=0.949，95%CI 0.930-0.965）以及吸烟行为（个人能力：OR=0.962，95%CI 0.947-0.977；家庭凝聚力，OR=0.937，95%CI 0.885-0.992；家庭规则，OR=0.952，95%CI 0.932-0.973）。
欺凌行为增加了吸烟风险，而个人能力、家庭凝聚力和家庭规则与青春期前儿童较低的烟草使用起始可能性和吸烟可能性相关。
