Wang Y, Jiang L L, Di X B
Health Education Institute, Heilongjiang Provincial Center for Disease Control and Prevention, Harbin 150030, China.
Tobacco Control Office, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2024 Apr 10;45(4):553-558. doi: 10.3760/cma.j.cn112338-20230707-00419.
To describe the current situation and influencing factors of e-cigarette use among secondary school students in Heilongjiang Province to provide evidence for formulating provincial youth e-cigarette prevention and control strategies. A multi-stage stratified cluster probability sampling method was adopted in 2021, with 8 340 students in 180 classes from 56 primary and high schools in 10 monitoring districts and counties in Heilongjiang Province. The students in the selected classes filled out a unified questionnaire by themselves. SAS 9.4 software was used for data cleansing, sample weighting, and analysis. Chi-squared tests were used to compare the differences between groups, and a two-level logistic regression model was used to analyze the influencing factors of e-cigarette use among secondary school students. A total of 8 329 survey questionnaires were included in the analysis. The prevalence rates of ever and current e-cigarette use among secondary school students in Heilongjiang Province were 18.27% and 5.46%, respectively. In terms of ever e-cigarette use, the rate of boys (23.94%) was higher than that of girls (12.35%). The rate of vocational high school students (39.18%) was higher than that of general high school students (24.11%) and than that of junior school students (11.27%). In terms of current e-cigarette use, the rate of boys (7.08%) was higher than that of girls (3.76%). The rate of vocational high school students (14.56%) was higher than that of general high school students (7.70%) and than that of junior school students (2.67%). The rates of ever and current e-cigarette use were relatively higher in each subgroup, including "weekly allowance more than 40 Yuan" "one of the student's parents, friends or teachers was smoker" "smoked cigarettes now" and "saw e-cigarette advertisements". A two-level logistic regression model showed that the following factors were the influencing factors of current use of e-cigarettes among secondary school students, including gender, whether they were current cigarette smokers, the smoking status of their close friends, if they saw teachers smoked in the school, noticed e-cigarette advertisements, and e-cigarette addictive cognition. The prevalence rates of ever and current e-cigarette use among secondary school students in Heilongjiang Province were high. E-cigarette advertisements, the smoking status of their close friends, and whether they saw teachers smoking in the school were the main factors affecting e-cigarette use among secondary school students in Heilongjiang Province. It is necessary to focus on constructing smoke-free environments and increase health education related to e-cigarette knowledge on risk in developing a smoke-free campus in the whole province.
描述黑龙江省中学生电子烟使用现状及影响因素，为制定省级青少年电子烟防控策略提供依据。2021年采用多阶段分层整群概率抽样方法，抽取黑龙江省10个监测区县56所中小学180个班级的8340名学生。入选班级的学生自行填写统一问卷。采用SAS 9.4软件进行数据清理、样本加权和分析。采用卡方检验比较组间差异，运用二水平logistic回归模型分析中学生电子烟使用的影响因素。共纳入8329份调查问卷进行分析。黑龙江省中学生曾经使用和现在使用电子烟的患病率分别为18.27%和5.46%。在曾经使用电子烟方面，男生使用率（23.94%）高于女生（12.35%）。职高学生使用率（39.18%）高于普通高中学生（24.11%）和初中生（11.27%）。在现在使用电子烟方面，男生使用率（7.08%）高于女生（3.76%）。职高学生使用率（14.56%）高于普通高中学生（7.70%）和初中生（2.67%）。在各亚组中，曾经使用和现在使用电子烟的比例相对较高，包括“每周零花钱超过40元”“学生的父母、朋友或老师中有吸烟者”“现在吸烟”以及“看到过电子烟广告”。二水平logistic回归模型显示，以下因素是中学生现在使用电子烟的影响因素，包括性别、是否现在吸烟、亲密朋友的吸烟状况、是否看到老师在学校吸烟、是否注意到电子烟广告以及对电子烟成瘾的认知。黑龙江省中学生曾经使用和现在使用电子烟的患病率较高。电子烟广告、亲密朋友的吸烟状况以及是否看到老师在学校吸烟是影响黑龙江省中学生电子烟使用的主要因素。在全省开展无烟校园建设中，有必要重点构建无烟环境并加强与电子烟风险知识相关的健康教育。
