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      Epidemiology and associated factors of smoking behavior among adolescents in Tibet in 2019

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          Abstract

          Objective To understand the current status and associated factors of smoking behavior among adolescents in Tibet.

          Methods From August to October 2019, 4 983 students were selected by PPS and cluster sampling for questionnaire survey. The Chi-square test and unconditional Logistic regression analysis were used to explore associated factors of smoking among adolescents in Tibet.

          Results In 2019, current smoking rate of Tibetan adolescents was 11.3% (563/4 983), attempted smoking rate was 21.8% (1 086/4 983), and the rate of second-hand smoke exposure was 62.4% (3 111/4 983). Among the 563 current smokers, 82.9% reported they wanted to quit smoking, 79.9% had made a quit attempt in the past 12 months, and only 11.7% received help or advice from professionals. Logistic regression analysis showed that city ( OR = 2.38), third grade ( OR = 1.51), high school ( OR = 2.90) or vocational high school ( OR = 3.53), boys ( OR = 16.93), pocket money ≥50 yuan per week ( OR = 1.93), exposure to second-hand smoke ( OR = 16.12), awareness of harm from second-hand smoke ( OR = 1.40), no awareness of harm from second-hand smoke ( OR = 4.89), exposure to tobacco advertising ( OR = 1.83), friend smoking ( OR = 7.47) and observing teacher smoking every day ( OR = 1.79) were associated with more teenagers’ current smoking behaviors. Perceived low attractiveness in smoking behavior ( OR = 0.54) was associated with lower teenagers’ current smoking behavior ( P<0.05).

          Conclusion Smoking and attempted smoking are common among Tibetan adolescents in 2019, and second-hand smoke exposure is serious. Vocational high school students are the key population for tobacco control intervention, and schools are the primary places for tobacco control intervention.

          Abstract

          【摘要】 目的 了解西藏青少年烟草使用现状及影响因素, 为开展有针对性的控烟干预提供技术依据。 方法 于 2019 年 8—10 月, 采用与人口数量规模成比例的整群抽样方法抽取西藏 4 983 名学生进行问卷调査, 采用 χ 2 检验和非条件 Logistic 回归分析探讨西藏青少年现在吸烟率的相关因素。 结果 2019 年西藏青少年现在吸烟率为11.3% (563/4 983), 尝 试吸烟率为 21.8% (1 086/4 983), 二手烟暴露率为 62.4% (3 111/4 983)。82.9% 的吸烟者表示想要戒烟, 79.9% 的吸烟者 在过去 12 个月内有过尝试戒烟行为, 仅有 11.7% 的吸烟者表示受到过专业人员的戒烟帮助或建议。Logistic回归分析结果 显示, 城市 ( OR = 2.38)、三年级 ( OR = 1.51)、学校类型为普通髙中 ( OR = 2.90) 或职业髙中 ( OR = 3.53)、男生 ( OR = 16.93)、每周零花钱 ≥50 元 ( OR = 1.93)、暴露于二手烟 ( OR = 16.12)、认为二手烟可能会 ( OR = 1.40) 或可能不会 ( OR = 4.89) 产生危 害、暴露于烟草广告 ( OR = 1.83)、朋友吸烟 ( OR = 7.47)、几乎每天能看到教师吸烟 ( OR =1.79) 与青少年现在吸烟行为均呈 正相关; 认为吸烟行为能减少吸引力 ( OR = 0.54) 与青少年现在吸烟行为呈负相关 ( P 值均<0.05)。 结论 2019 年西藏青 少年吸烟及尝试吸烟行为较普遍, 二手烟暴露问题较严重, 职业髙中学生是开展控烟干预的重点人群, 学校为控烟干预的 重点场所。

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          Author and article information

          Journal
          CJSH
          Chinese Journal of School Health
          Chinese Journal of School Health (China )
          1000-9817
          01 September 2022
          01 September 2022
          : 43
          : 9
          : 1333-1336
          Affiliations
          [1] 1Institute of Health Education, Center for Disease Control and Prevention of Tibet Autonomous Region, Lhasa (850000), China
          Article
          j.cnki.1000-9817.2022.09.013
          10.16835/j.cnki.1000-9817.2022.09.013
          d6d3ca15-20b4-4fd4-8ee3-72e3d0270755
          © 2022 Chinese Journal of School Health

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

          Product
          Self URI (journal-page): http://www.cjsh.org.cn
          Categories
          Journal Article

          Ophthalmology & Optometry,Pediatrics,Nutrition & Dietetics,Clinical Psychology & Psychiatry,Public health
          Regression analysis,Smoking,Behaivor,Tobacco smoke pollution,Adolescent,Minority groups

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