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目的 分析武汉市中学生初次吸烟行为与日常生活事件的关系以及压力对青少年初次吸烟的影响。方法 采用分层整群随机抽样法,对武汉市城区和郊区22所学校的6994名在校初中生进行问卷调查,选择报告过去一年内开始吸烟和从未吸过烟的学生共5536人作为本次分析对象。结果 武汉市中学生在调查的前一年内开始吸整支烟的吸烟率为8.2％,男生高于女生,初二学生高于初一学生,初三学生略有下降。控制性别、年龄、城乡和年级的影响,多因素logistic回归分析结果显示,武汉市青少年初次吸烟行为与家庭、学校的负性生活事件呈正性相关(P<0.05),而与学校方面的正性生活事件呈负性相关(P<0.05)。结论 青少年学生初次吸烟行为与应激性生活事件有密切的联系,特别是学校和家庭方面的生活事件。
Objective To analyze the relationship between primary smoking behavior and daily life events among middle school students in Wuhan and the effect of stress on the initial smoking among adolescents. Methods A stratified cluster random sampling method was used to survey 6994 junior high school students in 22 schools in urban and suburban areas in Wuhan. A total of 5536 students who reported to have smoked and never smoked in the past year were selected as the present Sub-analysis of the object. Results The prevalence of smoking among middle school students in Wuhan during the year prior to the survey was 8.2%. There was a higher prevalence of smoking in boys than girls in the first year and a slight decrease in grade two students in the second year. The results of multivariate logistic regression analysis showed that the first-time smoking behaviors of adolescents in Wuhan were positively correlated with negative life events of family and school (P <0.05), but positively correlated with the positive of school Life events were negatively correlated (P <0.05). Conclusions The first-time smoking behavior among young students is closely related to stressful life events, especially those in school and family.