Objective The aim of this paper is to understand the prevalence of smoking behavior among middle school students and to analyze the impact of childhood abuse experience on smoking behavior of middle school students.
Methods Stratified cluster sampling method was used to select 14 500 middle school students from Shenzhen, Zhengzhou, Nanchang and Guiyang as participants. A multivariate logistic regression model was established to analyze the effects of childhood abuse on smoking behavior among middle school students.
Results The rate of smoking behavior among middle school students was 3.6%, male students (5.8%) were higher than female students (1.4%), senior high school (5.0%) was higher than junior high school (2.3%), and rural (6.0%) was higher than urban (2.8%). The differences were statistically significant ( P<0.01). Those exposed to high-level of various types of childhood abuse had a higher rate of smoking behavior than those with low levels. Multivariate Logistic regression models showed that emotional abuse ( OR = 1.69, 95%CI = 1.38-2.07), physical abuse ( OR = 2.17, 95%CI = 1.78-2.64), sexual abuse ( OR = 2.56, 95% CI =2.10-3.12), emotional neglect ( OR = 2.27, 95% CI =1.89-2.74), physical neglect ( OR = 2.21, 95% CI =1.83-2.67) and childhood abuse experience ( OR = 2.66, 95%CI = 2.21-3.21) increased the risk of smoking among middle school students independently ( P<0.01).
Conclusion Childhood abuse is closely assoliated with smoking behavior among middle school students. Strengthening the importance and intervention of childhood abuse is beneficial to the prevention and control of smoking behavior among middle school students.
【摘要】目的了解童年期虐待经历对中学生吸烟行为的影响，为中学生吸烟行为的防控提供参考。 方法采用分 层整群抽样的方法，选取深圳、郑州、南昌和贵阳4个地区14 500名在校中学生为研究对象，采用儿童期虐待问卷、青少年 亚健康多维评定问卷进行问卷调査，并自我报告吸烟行为。 结果中学生吸烟行为报告率为3.6%，男生（5.8%)髙于女生 (1.4%)，髙中生 (5.0%)髙于初中生（2.3%)，农村学生（6.0%)髙于城市学生（2.8%)，差异均有统计学意义（ P值均< 0.01)。髙水平各种类型童年期虐待经历中学生吸烟行为报告率均髙于虐待低水平者。多因素Logistic回归模型显示，情 感虐待（ OR =1.69，95%CI =1.38~2.07)、躯体虐待（ OR = 2.11,95%CI =1.78~2.64)、性虐待（ OR = 2. 56，95%CI =2.10~3.12)、 情感忽视（ OR = 2.27，95%CI = 1.89~2.74)、躯体忽视（ OR = 2.21，95%CI = 1.83~2.67)、童年期虐待经历（ OR = 2.66，95%CI = 2.21~3.21)与中学生吸烟行为均呈正性相关 (P值均<0.01)。 结论童年期虐待与中学生吸烟行为呈正相关，加强对童年 期虐待的重视和干预有益于中学生吸烟行为的防控。