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首页> 外文期刊>International Journal of Environmental Research and Public Health >Social, Psychological, and Environmental-Structural Factors Associated with Tobacco Experimentation among Adolescents in Shanghai, China
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Social, Psychological, and Environmental-Structural Factors Associated with Tobacco Experimentation among Adolescents in Shanghai, China

机译：中国上海市青少年与烟草实验相关的社会，心理和环境结构因素

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Objective: To estimate the prevalence and social, psychological and environmental-structural determinants of tobacco experimentation among adolescents in Shanghai, China. Methods: We conducted a cross-sectional study based on a two-stage cluster sample design by using the Chinese version of the Global Youth Tobacco Survey (GYTS) to investigate smoking behavior among 19,117 students from 41 junior and senior high schools in Shanghai, China. The association between potential factors and tobacco experimentation were assessed using complex samples procedure logistic regression. Results: Of the 19,117 respondents, 10.5% (15.3% boys and 6.2% girls) reported the tobacco experimentation. The main social, psychological, and environmental-structural factors associated with tobacco experimentation were having close friends who smoke (AOR = 8.21; 95% CI: 6.49–10.39); one or both parents smoking (AOR 1.57; CI: 1.39–1.77); a poor school tobacco control environment (AOR 1.53; CI: 1.37–1.83); a high acceptance level of tobacco use (AOR 1.44; CI: 1.28–1.82); and a high level of media tobacco exposure (AOR 1.23; CI: 1.10–1.37). Peer smoking might contribute to smoking experimentation among girls (AOR 8.93; CI: 5.84–13.66) more so than among boys (AOR 7.79; CI: 5.97–9.94) and media tobacco exposure had no association with tobacco experimentation among female students. Conclusions: Social, psychological, and environmental factors are closely associated with tobacco experimentation among adolescents. Prevention programs aimed at reducing teen tobacco experimentation should be conducted at home and school with support by parents, peers and teachers. Our findings should prove useful for future development of intervention strategies among adolescents in Shanghai, China.
机译：目的：评估上海青少年烟草实验的流行情况以及社会，心理和环境结构的决定因素。方法：我们使用中文版的全球青年烟草调查（GYTS），基于两阶段整群样本设计进行了横断面研究，以调查中国上海41所初中和高中19,117名学生的吸烟行为。潜在因素与烟草实验之间的关联使用复杂样本程序逻辑回归进行评估。结果：在19117名受访者中，有10.5％（男生为15.3％，女生为6.2％）报告了烟草试验。与烟草实验相关的主要社会，心理和环境结构因素是有吸烟的密友（AOR = 8.21; 95％CI：6.49–10.39）;吸烟的亲密朋友。一个或两个父母吸烟（AOR 1.57; CI：1.39–1.77）;学校的烟草控制环境恶劣（AOR 1.53; CI：1.37-1.83）;烟草使用的接受度很高（AOR 1.44; CI：1.28-1.82）;以及高水平的媒介烟草暴露（AOR 1.23; CI：1.10-1.37）。同伴吸烟可能对女孩（AOR 8.93; CI：5.84–13.66）的吸烟实验贡献大于男孩（AOR 7.79; CI：5.97–9.94），而媒介烟草暴露与女学生的烟草实验无关。结论：社会，心理和环境因素与青少年烟草实验密切相关。在父母，同伴和老师的支持下，应在家庭和学校开展旨在减少青少年烟草实验的预防计划。我们的发现应被证明对中国上海青少年干预策略的未来发展很有用。

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