Font-Mayolas Sílvia, Sullman Mark J M, Hughes Jiawei D, Gras Maria-Eugenia, Lucena Jurado Valentina, Calvo Fran
Quality of Life Research Institute, Universitat de Girona, Girona, Spain.
Department of Social Sciences, University of Nicosia, Nicosia, Cyprus.
Tob Induc Dis. 2023 Feb 22;21:30. doi: 10.18332/tid/159171. eCollection 2023.
There is currently little research on polytobacco use in China. The present study examined cognitions that predicted the use of cigarettes, e-cigarettes and waterpipes in a Chinese sample of students.
A convenience sample of 281 university students, obtained using snowball sampling, completed an online survey during the 2019-2020 academic year in Guangzhou, China.
Men more strongly agreed, than women, with the possible advantages of using alternative nicotine and tobacco products, including: young people who smoke have more friends, smoking makes young people look cool, smoking makes young people feel more comfortable, smoking helps relieve stress, and it would be easy to quit. Factors significantly associated with regular cigarette use were the cognitions: 'I would smoke if my best friend offered', 'Young people who use these products have more friends', and 'It would be easy to quit these products' (global good classifications= 80.1%). In the case of waterpipes, agreement with the cognition: 'The product helps people relieve stress' was significantly associated with its use (global good classifications=80.1%). In the case of e-cigarettes, agreement with the cognitions: 'I would smoke if my best friend offered' and 'It would be easy to quit using these products' were significantly associated with the use of e-cigarettes (global good classifications=74.7%).
The results highlight the need to develop prevention programs that prepare young Chinese people to resist social pressure from friends to use tobacco products. There is also evidence of the need to facilitate and disseminate rigorous scientific information among young people about the possible negative health effects of alternative tobacco products. There were also gender differences in the use of these products and in the cognitions towards their use, so it is important to take the gender perspective into account in the analysis of the results and when writing future questionnaire items.
目前中国关于多种烟草使用的研究较少。本研究调查了在中国学生样本中预测香烟、电子烟和水烟使用情况的认知因素。
采用滚雪球抽样法选取了281名大学生作为便利样本，于2019 - 2020学年在中国广州完成了一项在线调查。
与女性相比，男性更认同使用替代尼古丁和烟草产品可能具有的优势，包括：吸烟的年轻人有更多朋友、吸烟让年轻人看起来很酷、吸烟让年轻人感觉更舒服、吸烟有助于缓解压力以及戒烟很容易。与经常吸烟显著相关的认知因素有：“如果我最好的朋友提供香烟，我会吸”、“使用这些产品的年轻人有更多朋友”以及“戒掉这些产品很容易”（总体正确分类率 = 80.1%）。对于水烟，认同“该产品有助于缓解压力”这一认知与水烟使用显著相关（总体正确分类率 = 80.1%）。对于电子烟，认同“如果我最好的朋友提供电子烟，我会吸”和“戒掉使用这些产品很容易”这两种认知与电子烟使用显著相关（总体正确分类率 = 74.7%）。
研究结果凸显了制定预防计划的必要性，该计划应帮助中国年轻人抵御来自朋友使用烟草产品的社会压力。还有证据表明需要在年轻人中推广和传播关于替代烟草产品可能对健康产生的负面影响的严谨科学信息。在这些产品的使用情况以及对其使用的认知方面也存在性别差异，因此在分析结果以及编写未来调查问卷项目时考虑性别视角很重要。
