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目的探讨中国和巴基斯坦大学生吸烟行为及其影响因素,为合理制定大学生控烟计划提供科学依据。方法采用整群抽样的方法,从湖北省荆州市长江大学抽取1 132名中国和巴基斯坦国籍大学生进行问卷调查,并对吸烟行为影响因素进行分析。结果中国和巴基斯坦大学生男性吸烟率(34.94%,32.35%)高于女性(4.74%,0)(χ~2值分别为50.96,60.57,P值均<0.05);中国男性二手烟暴露率(54.21%)高于女性(45.70%)(χ~2=5.03,P<0.05)。中国大学生二手烟暴露率(48.35%)高于巴基斯坦大学生(32.38%)(χ~2=38.31,P<0.05)。二手烟暴露的主要场所为室内公共场所(中国为88.70%,巴基斯坦为67.65%)。中国大学生对吸烟及烟草相关知识正确认知率(53.13%)高于巴基斯坦大学生(41.07%),差异有统计学意义(χ~2=111.19,P<0.05)。饮酒(OR=4.273)、去网吧(OR=2.593)、家庭成员女性吸烟(OR=4.797)、朋友支持吸烟(OR=3.765)是中国大学生吸烟行为的危险因素,女性(OR=0.207)是中国大学生吸烟行为的保护因素;吸烟相关知识正确认知率高(OR=0.668)是巴基斯坦大学生吸烟行为的保护因素,饮酒(OR=11.842)、室友吸烟(OR=5.303)、老师吸烟(OR=6.771)是巴基斯坦大学生吸烟行为的危险因素。结论大学生吸烟及二手烟暴露现象较普遍。应大力开展烟草相关知识健康教育活动,提高大学生吸烟知识认知率。
Objective To explore the smoking behavior of university students in China and Pakistan and its influencing factors, and to provide a scientific basis for the reasonable formulation of tobacco control programs for undergraduates. Methods A cluster sampling method was used to survey 1 132 Chinese and Pakistani college students from Yangtze University in Jingzhou City, Hubei Province, and to analyze the influencing factors of smoking behavior. Results The prevalence rates of smoking among Chinese male and female college students in China (34.94%, 32.35%) were higher than those in female (4.74%, 0) (χ ~ 2 = 50.96 and 60.57, respectively, P < %) Than women (45.70%) (χ ~ 2 = 5.03, P <0.05). The prevalence of secondhand smoke exposure among Chinese college students (48.35%) was higher than that of Pakistani college students (32.38%) (χ ~ 2 = 38.31, P <0.05). The main place exposed to secondhand smoke is indoor public places (88.70% in China and 67.65% in Pakistan). The correct cognition rate of smoking and tobacco-related knowledge among Chinese college students (53.13%) was higher than that of Pakistani college students (41.07%), with a significant difference (χ ~ 2 = 111.19, P <0.05). Smoking (OR = 4.273), Internet cafes (OR = 2.593), smoking among family members (OR = 4.797) and friends supporting smoking (OR = 3.765) were risk factors for smoking among Chinese college students. (OR = 0.668) was the protective factor of smoking behaviors among college students in Pakistan. Alcohol consumption (OR = 11.842), roommate smoking (OR = 5.303), teacher smoking (OR = 6.771 ) Is a risk factor for smoking among college students in Pakistan. Conclusion College students smoking and secondhand smoke exposure are more common. We should vigorously carry out tobacco-related knowledge and health education activities to enhance the awareness of smoking knowledge among college students.