CAJ | 학술논문

目的：探讨河南省青少年吸烟行为的影响因素，为有针对性地预防和控制青少年吸烟提供科学依据。方法：采用多阶段分层整群随机抽样方法，全省抽取16个调查点48所初中共7789名学生进行问卷调查。结果：河南省青少年尝试吸烟率和现在吸烟率分别为20．87％和5．87％。单因素分析结果显示青少年的尝试吸烟率和现在吸烟率均为男生高于女生，且随着年龄的增长，每周零花钱的增多，烟草广告暴露程度、父母吸烟和好朋友吸烟比例、看到老师吸烟频率的增高而增高（P＜0．001）。多因素logistic回归分析显示青少年尝试吸烟和现在吸烟行为的危险因素均包括男生、每周零花钱21～元组和＞40元组、好朋友吸烟、看到老师在学校吸烟及认为在社交场合吸烟使人更舒服，好朋友吸烟是最重要的影响因素；保护因素包括认为吸烟能使年轻人减少吸引力及在社交场合吸烟使人更不舒服[OR（95％CI）＝0．762（0．651～0．900）、0．661（0．552～0．798）和0．710（0．527～0．953）、0．421（0．321～0．560）]。结论：青少年吸烟受多方面因素的影响，好朋友吸烟是最重要的影响因素，在开展青少年吸烟防控工作时尤其应注重同伴控烟教育。
목적：탐토하남성청소년흡연행위적영향인소，위유침대성지예방화공제청소년흡연제공과학의거。방법：채용다계단분층정군수궤추양방법，전성추취16개조사점48소초중공7789명학생진행문권조사。결과：하남성청소년상시흡연솔화현재흡연솔분별위20．87％화5．87％。단인소분석결과현시청소년적상시흡연솔화현재흡연솔균위남생고우녀생，차수착년령적증장，매주령화전적증다，연초엄고폭로정도、부모흡연화호붕우흡연비례、간도로사흡연빈솔적증고이증고（P＜0．001）。다인소logistic회귀분석현시청소년상시흡연화현재흡연행위적위험인소균포괄남생、매주령화전21～원조화＞40원조、호붕우흡연、간도로사재학교흡연급인위재사교장합흡연사인경서복，호붕우흡연시최중요적영향인소；보호인소포괄인위흡연능사년경인감소흡인력급재사교장합흡연사인경불서복[OR（95％CI）＝0．762（0．651～0．900）、0．661（0．552～0．798）화0．710（0．527～0．953）、0．421（0．321～0．560）]。결론：청소년흡연수다방면인소적영향，호붕우흡연시최중요적영향인소，재개전청소년흡연방공공작시우기응주중동반공연교육。
Aim:To explore influence factors of adolescents′smoking behavior in Henan Province to Provide scientific basis for preventing and control youth smoking .Methods:A total of 7 789 students in 48 middle schools from 16 districts in Henan Province were chosen by stratified cluster sampling and surveyed with a questionnaire .Results:The rate of attempting smoking and currently smoking were desperately 20.87% and 5.87%.Single factor analysis showed that the smoking rate were higher in boys than in girls, with age, weekly pocket money, the percentage of tobacco advertising exposure , smoking frequencies of parents,and peers ,and the times seeing the teacher smoking (P<0.001).Results of logistic regression analysis showed that the risk factors associated with smoking among youths included being boys , weekly allowance between 21 to 40 RMB and more than 40 RMB, peers′smoking, seeing the teacher smoking at school and considering smoking in social occa -sions to make people more comfortable .Peers′smoking behavior was the strongest factor .The protective factors included con-sidering smoking to reduce attraction and considering smoking in social occasions to make people more uncomfortable [ OR (95%CI)=0.762(0.651-0.900),0.661(0.552-0.798),0.710(0.527-0.953),0.421(0.321-0.560)].Conclu-sion:There are many factors affecting smoking behavior among adolescents , and peers′smoking is the most important risk factor.So more attention should be paid to peers education at the time of tobacco control among adolescents .