Analysis Of Tobacco Epidemic Surveillance Among Adolescents In Liaoning Province

Objective:To explore the smoking situation of adolescents in Liaoning Province,the possible influencing factors of smoking behavior and the knowledge about tobacco,so as to provide the basis for the prevention and control of smoking among junior high school students and the protection of adolescents' health.At the same time,to provide the basis and relevant suggestions for the government to formulate smoking control strategies and related measures.Method:This survey adopted the method of multi-stage sampling,according to stratified sampling method,12 counties(cities,districts)in 11 cities of Liaoning Province were stratified to select students from the first,second and third grade of junior middle school as the research object to conduct a questionnaire survey.This questionnaire was conducted using the core questionnaire of GYTS Global Uniform Standards.EpiData3.1 was used for data entry and SPSS 22.0 was used for data analysis.This study was a descriptive analysis.The measurements were described by mean ± standard deviation),the counting data were described by component ratio,and the differences between groups were compared by two tests.The variables with statistical significance in univariate analysis(P < 0.05)were included in the logistic model for multivariate regression analysis to understand the possible influencing factors of junior middle school students' attempt to smoke and current smoking behavior in Liaoning Province.Result:1.The current tobacco use rate of junior middle school students in Liaoning Province was 4.8%,the current smoking rate was 4.3%,the current smoking rate was 4.0%,the attempted smoking rate was 13.6%,the attempted smoking rate was 12.8%,and the attempted smoking rate was 12.2%.The results showed that male students were higher than female students,rural students were higher than urban students,and senior students were higher than junior students(P < 0.05).8.4% of students who have never used tobacco products may use tobacco products in the next 12 months.2.The smoking frequency of junior middle school students who smoked cigarettes for 1-2 days was 34.4%,the smoking volume is 25.7%,and the age of first attempt was 26.8% and 25.9% respectively in 12-13 years old and 14-15 years old.Smoking places were mainly distributed in 25.4% schools,12.3% homes and 11.8% Internet bar.3.25.3% of junior middle school students who smoke now had tobacco addition.64.2% had tried to quit smoking in the past 12 months,and 69.0% hoped to quit smoking immediately.4.In the past seven days,73.2% of the junior middle school students had exposure to second-hand smoke in their homes,indoor public places,outdoor public places or public transport.In the past 30 days,48.1% of junior high school students were exposed to second-hand smoke in school(indoor or outdoor),and 12.6% of them were exposed to second-hand smoke in school(indoor or outdoor)almost every day.5.48.8% of current smokers buy cigarettes from shops,shopping malls,street vendors or vending machines.80.4% of current smokers who had purchased machine-made cigarettes had not been refused because of their age when purchasing machine-made cigarettes.6.63.5% of junior middle school students saw smoking control information in the media.45.0% of junior middle school students saw tobacco advertising or promotion,44.5% of junior middle school students saw tobacco advertising or promotion in sales points,television,newspapers and magazines,billboards,etc.7.75.7% of junior middle school students believed that the tobacco smoke from other people's smoking was harmful,72.4% of junior middle school students believed that once smoking was difficult to quit,11.1% of junior middle school students believed that smoking made young people look more energetic,and 5.4% of junior middle school students believed that smoking in social occasions would make people feel more comfortable.63.5% of junior middle school students agreed to ban smoking in indoor public places,63.2% of junior middle school students agreed to ban smoking in outdoor public places.8.The junior middle school students' attempted smoking behavior and smoking behavior were higher in boys than in girls,and higher in rural areas than in cities.With the increase of age,grade,average weekly allowance,the proportion of parents smoking and good friends smoking,and the frequency of teachers smoking increased(P < 0.05).At the same time,there were significant differences in junior middle school students' attempted smoking behavior and smoking behavior in the aspects of second-hand smoking exposure,whether to see someone smoking in school,whether to expose smoking control information,attitude and understanding of tobacco(P < 0.05).9.Factors affecting attempted smoking behavior included gender,region,family exposure to secondhand smoke,exposure to secondhand smoke in outdoor public places,seeing people smoking in school,whether smoking is harmful,friends smoking,thinking that smoking makes young people attractive or on the contrary,and whether it is difficult to quit once smoking.Factors affecting smoking behavior include gender,age,region,exposure to secondhand smoke in outdoor public places,seeing people smoking in school,smoking by friends,attracting or conversely attracting young people to smoking,opinions about smoking in social occasions,and whether it is difficult to quit once smoking.Conclusion:1.The smoking rate of junior middle school students in Liaoning Province was 4.3%,which was in the middle and lower level in China.However,compared with the developed coastal provinces in eastern China,the smoking rate of adolescents was higher,which was not optimistic.2.Male,rural and senior middle school students were the main smoking groups of adolescents in Liaoning Province,but the smoking situation of females still needed attention.3.Junior middle school students in Liaoning Province were still exposed to high levels of second-hand smoke 73.2%,and the situation of second-hand smoke exposure of junior middle school students in schools was not optimistic.4.Gender was male,exposure to secondhand smoke in outdoor public places,seeing people smoking in school,good friends smoking,thinking that smoking makes young people more attractive were all risk factors of attempting to smoke and smoking behavior now;while urban areas,thinking that smoking made young people less attractive,and that the difficulty of quitting smoking was the protective factor of attempting to smoke and smoking behavior now.