CAJ | 학술논문

目的：探讨广东省居民现在吸烟行为与家庭环境因素的关系，为以家庭为靶点的烟草防控措施制定提供科学依据。方法于2010年9-11月采用4阶段分层整群抽样方法，在广东省5个城市的10个县区使用统一设计的调查表进行入户调查，调查对象为15～69岁常住居民，调查内容包括人口学特征、吸烟行为、与烟草可能相关的家庭环境因素等。采用χ2检验和非条件logistic回归分析，探索家庭环境因素与居民现在吸烟行为的关系。结果本次共调查2150人，纳入分析2121人。单因素分析显示：家庭人均月收入＜1000元、家里有≥3人吸烟、家庭室内允许吸烟、家里曾以烟待客者，其现在吸烟率较高，差异均具有统计学意义（P＜0.01）。在logistic回归分析控制性别、年龄、文化程度、就业情况、个人月平均工资、城乡6个变量后，家庭吸烟人数、家庭室内吸烟规定、是否以烟待客与研究对象现在吸烟行为有显著关联（P＜0.01），家庭人均月收入与现在吸烟行为无显著关联（P＝0.567）。结论家庭是实施健康教育和烟草防控的重要场所。应重视无烟家庭创建，鼓励戒烟，积极倡导“不以烟待客”，以有效降低烟草的使用。
목적：탐토광동성거민현재흡연행위여가정배경인소적관계，위이가정위파점적연초방공조시제정제공과학의거。방법우2010년9-11월채용4계단분층정군추양방법，재광동성5개성시적10개현구사용통일설계적조사표진행입호조사，조사대상위15～69세상주거민，조사내용포괄인구학특정、흡연행위、여연초가능상관적가정배경인소등。채용χ2검험화비조건logistic회귀분석，탐색가정배경인소여거민현재흡연행위적관계。결과본차공조사2150인，납입분석2121인。단인소분석현시：가정인균월수입＜1000원、가리유≥3인흡연、가정실내윤허흡연、가리증이연대객자，기현재흡연솔교고，차이균구유통계학의의（P＜0.01）。재logistic회귀분석공제성별、년령、문화정도、취업정황、개인월평균공자、성향6개변량후，가정흡연인수、가정실내흡연규정、시부이연대객여연구대상현재흡연행위유현저관련（P＜0.01），가정인균월수입여현재흡연행위무현저관련（P＝0.567）。결론가정시실시건강교육화연초방공적중요장소。응중시무연가정창건，고려계연，적겁창도“불이연대객”，이유효강저연초적사용。
Objective To disclose the relationship between current smoking behaviors and household characteristics among adults in Guangdong,in order to provide scientific evidence for household tobacco control strategy. Methods A questionnaire survey was conducted among the adults sampled by four-stage randomized cluster sampling in ten districts of five cities in Guangdong from September to November,2010. The questionnaire included demographic characteristics,smoking behaviors and smoking-related household characteristics. Chi-square test and unconditional logistic regression analysis were employed to explore the relationship between current smoking behaviors and household characteristics. Results This study included 2 150 respondents,with data from 2 121 eligible questionnaires used for analysis. The current smoking rates for respondents with household characteristics including per capita household income below 1 000 Yuan,three or more smokers in the family,no ban of smoking at home and treating visitors with cigarettes were 28.7%,56.5%,34.2%and 43.5%,respectively,and were significantly higher than those for respondents with household characteristics at other levels(P<0.01 for all). After controlling for factors such as gender,age, personal income,education,employment status and residential location,we found that the number of family smokers,smoking restrictions at home and treating visitors with cigarettes had significant association with current smoking behaviors(P<0.01 for all),except for per capita household income (P=0.567). Conclusion Household is one of the effective places in carrying out health education and tobacco control intervention. In order to reduce tobacco use,much effort should be made to create smoke-free homes,encourage smoking cessation and treat visitors with no cigarettes.