Smoking among rural and urban young women in China.

Smoking among rural and urban young women in China.
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DOI:
10.1136/tc.2009.030981
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发表时间:
2010-02
期刊:
影响因子:
5.2
通讯作者:
Novotny TE
Novotny TE
中科院分区:
医学2区
文献类型:
--
作者:
Ho MG;Ma S;Chai W;Xia W;Yang G;Novotny TE

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该研究对中国6个省份的11095名14-24岁的城乡高中或大学女生进行了调查。计算曾经吸烟(ES)、目前吸烟、已确定吸烟和意图吸烟频率。进行双变量分析以确定吸烟的可能相关因素,并将那些在p=0.1水平上显著的因素纳入多变量逻辑回归模型,以获得ES相关因素的调整OR。ES患病率为20.1%,其中城市女生(UFS)为22.0%,农村女生(RFS)为19.0% (p<0.01)。UFS组的吸烟率高于RFS组(2.4% vs 0.9%, p<0.01)。同样,UFS组当前吸烟率高于RFS组(4.2% vs 1.9%, p<0.01)。UFS组吸烟倾向患病率高于RFS组(3.5% vs 1.7%, p<0.01)。大多数人知道吸烟有害健康,但不太了解与吸烟有关的具体疾病。ES与对女性香烟的认知(OR, 1.66, 95% CI 1.49至1.86)以及认为其危害小于其他香烟(OR, 1.54, 95% CI 1.33至1.79)有关。与ES相关性最强的是低拒绝自我效能(OR 6.35, 95% CI 5.32 ~ 7.57)。这是第一次有报道称,听说过女性吸烟与中国年轻女性吸烟有关。在过去十年中,中国年轻女性患ES的人数有所增加,因此,需要制定具体的预防策略,以防止烟草流行病在这一弱势群体中蔓延。
A survey of 11 095 urban and rural women attending high school or college, aged 14–24 years, in 6 Chinese provinces was conducted. Ever-smoking (ES), current smoking, established smoking and intention to smoke frequencies were calculated. Bivariate analyses were conducted to identify possible correlates of smoking, and those found to be significant at the p=0.1 level were included in a multivariate logistical regression model to obtain adjusted OR for correlates of ES. ES prevalence was 20.1%, with urban female students (UFS) at 22.0% and rural female students (RFS) at 19.0% (p<0.01). Established smoking prevalence was higher among UFS than RFS (2.4% vs 0.9%, p<0.01). Similarly, current smoking prevalence was higher among UFS than RFS (4.2% vs 1.9%, p<0.01). The intention to smoke prevalence was higher among UFS than RFS (3.5% vs 1.7%, p<0.01). The majority were aware that smoking was harmful to health, but were less aware of specific diseases associated with smoking. ES was associated with awareness of cigarettes made for women (OR, 1.66, 95% CI 1.49 to 1.86) and thinking that they were less harmful than other cigarettes (OR 1.54, 95% CI 1.33 to 1.79). The strongest correlate of ES was low refusal self-efficacy (OR 6.35, 95% CI 5.32 to 7.57). This is the first report that having heard of women's cigarettes is a correlate of smoking among young Chinese women. ES among young Chinese women has increased in the last decade, and thus, specific prevention strategies need to be developed to prevent the tobacco epidemic from spreading among this vulnerable population.
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