目的了解岳阳地区大学生吸烟行为的现状。方法采用整群随机抽样的方法以班为单位抽取岳阳地区两所大学的男大学生,进行问卷调查获得一般情况及吸烟现状。结果共回收问卷857份,回收率85.70%。调查中有73.10%的学生认识到吸烟有害健康,医学生和吸烟率和偶尔吸烟率分别为18.57%(52/280),51.79%(145/280),在师范生中为19.28%(111/577),47.49%(274/577),两者差异无统计学意义。吸烟者中有69.94%大学入学前就开始吸烟。吸烟者中每日吸5支烟以上者占60.12%,其主要心理动机为交际需要。结论大学男生吸烟率及偶尔吸烟率随年级升高而呈上升趋势,应在小学阶段即开始注意加强对吸烟有害健康的教育,并使大学生的业余生活活跃起来,以减少和控制吸烟活动。 Objective To understand the current situation of smoking behavior among college students in Yueyang area. Methods A cluster random sampling method was used to take male college students from two universities in Yueyang as a unit, and the questionnaires were used to get the general situation and smoking status. Results A total of 857 questionnaires were collected, the recovery rate was 85.70%. Among the surveyed students, 73.10% of the students realized that smoking was harmful to health. The rates of smoking and smoking among medical students were 18.57% (52/280) and 51.79% (145/280), respectively, and 19.28% (111 / 577), 47.49% (274/577), the difference was not statistically significant. 69.94% of smokers began smoking before entering university. Smokers, smoking more than 5 cigarettes a day accounted for 60.12%, the main psychological motivation for communication needs. Conclusions The prevalence of smoking and the prevalence of smoking among boys in universities are on the rise with the increase of grade. At the elementary school stage, attention should be paid to strengthening the education on the harmfulness of smoking and to arousing the leisure life of college students so as to reduce and control the smoking activities.