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Prevalence and Determinants of Current Smoking and Intention to Smoke among Secondary School Students: A Cross-Sectional Survey among Han and Tujia Nationalities in China

机译:中学生当前吸烟状况和吸烟倾向的决定因素:中国汉族和土家族的横断面调查

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摘要

Objectives: 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. Methods: 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. Results: Of the total subjects (n = 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 (n = 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), p = 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. Conclusions: 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.
机译:目的:本研究调查了中国汉族和土家族的中学生当前吸烟和吸烟意愿的模式和决定因素。方法:2015年在中国重庆,聊城和天津这三个地区进行了横断面调查。采用结构化的自我管理问卷进行数据收集。结果:在全部受试者(n = 1805)中,汉族占78.9%,土家族占21.1%。总体而言,9.4%(汉族:7.7%;土家族:15.5%)的中学生是吸烟者,而37.28%的学生每天吸烟超过一次。在不吸烟的学生中(n = 1636),有17.4%的人有吸烟意愿。据报告,总共有81.1%的学生从未在整个学校接受过有关吸烟或预防烟草的教育。与在学校教过吸烟或预防烟草的学生(18.90%)相比,从未教过的学生吸烟的可能性更大(OR = 2.39; 95%CI = 1.14–5.01)。与来自土家族的汉族学生相比,吸烟的可能性更高(OR = 2.76; 95%CI = 1.88–4.04),吸烟的可能性更高(95%CI(0.88,0.88), p = 0.010)。非吸烟者,高中生(OR = 4.29; 95%CI = 2.12–8.66),其学习成绩排在最后25%(OR = 2.23; 95%CI = 1.48–3.34)且低于50% (OR = 1.50; 95%CI = 1.02–2.20)更容易吸烟。结论:大约十分之一的中学生是吸烟者,三分之一的吸烟者每天吸烟超过一次,而四分之一的非吸烟者有吸烟的意图。土家族学生的吸烟率高于汉族。这项研究为今后在少数民族自治地区的中学生和一个多民族国家的少数民族聚居区提供了一些重要的信息。

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