职业高中学生吸烟行为优势与执行功能对吸烟行为的影响研究
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摘要
目的了解职业高中学生吸烟行为现状,探讨吸烟行为优势与执行功能对吸烟行为的影响,为开展针对职业高中学生吸烟行为的预防干预提供科学依据。方法采用方便抽样与整群抽样相结合的方法,抽取四川省2个地区共954名职业高中学生为调查对象,使用吸烟行为优势与执行功能问卷进行调查。结果职业高中学生的吸烟率为27.2%,其中男生吸烟率高于女生(χ~2=115.04,P<0.01),高三学生的吸烟率最高(31.6%),农村学生的吸烟率高于城镇学生的吸烟率(χ~2=8.42,P<0.05)。吸烟学生中,初始吸烟平均年龄为15.9岁,平均烟龄为2.9年,有戒烟打算的占29.7%,二手烟暴露率为24.8%。职业高中学生吸烟线索出现可能性是吸烟行为的保护因素(OR=0.67),吸烟行为发生可能性是吸烟行为的危险因素(OR=4.36)。结论职业高中学生吸烟情况不容乐观,吸烟行为出现可能性对职业高中学生的吸烟行为有影响,净化职业高中学生的环境和减少吸烟行为优势有利于降低吸烟行为。
OBJECTIVE To understand the current situation of smoking behavior of students in vocational high school,discuss the influence of smoking behavior advantage and executive function on smoking behavior,and provide scientific basis for the prevention intervention of smoking behavior of students in vocational high schools.METHODS By adopting the combination of convenience sampling and cluster sampling method,extraction of two regions of Sichuan province,a total of 954 vocational high school students were selected as the research object,using the advantages and executive function smoking behavior questionnaire investigation.RESULTS Vocational high school students’smoking rates was 27.2%,of which the boys’smoking rate was higher than girls(χ~2=115.04,P< 0.01),senior students’smoking rate was highest(31.6%),the rural students’smoking rate was higher than the urban student’s smoking rate(χ~2=8.42,P<0.05).Among the smokers,the average age of initial smoking was 15.9 years,and the average age of smoking was 2.9 years,29.7% for smoking cessation and 24.8% for second-hand smoke.The likelihood of smoking clues in vocational high school students was the protective factor of smoking behavior(OR=0.67).The likelihood of smoking behavior is the risk factor of smoking behavior(OR=4.36).CONCLUSION Vocational high school students smoking situation were not optimistic,smoking behavior appeared likely to influence vocational high school students’smoking behavior,to purify the environment of the vocational high school students,the advantage of reducing smoking behavior was helpful to reduce the smoking behavior.
OBJECTIVE To understand the current situation of smoking behavior of students in vocational high school,discuss the influence of smoking behavior advantage and executive function on smoking behavior,and provide scientific basis for the prevention intervention of smoking behavior of students in vocational high schools.METHODS By adopting the combination of convenience sampling and cluster sampling method,extraction of two regions of Sichuan province,a total of 954 vocational high school students were selected as the research object,using the advantages and executive function smoking behavior questionnaire investigation.RESULTS Vocational high school students’smoking rates was 27.2%,of which the boys’smoking rate was higher than girls(χ~2=115.04,P< 0.01),senior students’smoking rate was highest(31.6%),the rural students’smoking rate was higher than the urban student’s smoking rate(χ~2=8.42,P<0.05).Among the smokers,the average age of initial smoking was 15.9 years,and the average age of smoking was 2.9 years,29.7% for smoking cessation and 24.8% for second-hand smoke.The likelihood of smoking clues in vocational high school students was the protective factor of smoking behavior(OR=0.67).The likelihood of smoking behavior is the risk factor of smoking behavior(OR=4.36).CONCLUSION Vocational high school students smoking situation were not optimistic,smoking behavior appeared likely to influence vocational high school students’smoking behavior,to purify the environment of the vocational high school students,the advantage of reducing smoking behavior was helpful to reduce the smoking behavior.
引文
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[19]冯永辉,虞质叶,李荔.压力、人格与社会支持对青少年吸烟行为影响[J].中国公共卫生,2016,32(5):580-583.
[20]闫丽,覃玉,段佳丽.中、东部地区中学生吸烟现状及相关因素分析[J].东南大学学报(医学版),2014,33(6):728-733.
[21]周映,池丽洁,李梦婷,等.个体吸烟行为形成的影响因素研究综述[C].2013年度中国健康传播大会优秀论文集,2013.
[22]袁竞驰,于芳荣,田录梅.感觉寻求、同伴压力对高中生烟酒使用的影响[J].中国公共卫生,2016,32(4):486-494.
[23]Morris K,于新蕊,滑莉莎,等.尼古丁脱瘾损害注意力[J].中国社会医学杂志,2001,18(1):42-43.
[24]KALMAN D,MORISSETTE S B,GEORGE T P.Co-Morbidityof smoking in patients with psychiatric and substance use disor-ders[J].American journal on addictions,2010,14(2):106-123.
[25]朱风书,周成林,王碧野.体育锻炼降低大学生吸烟依赖性:自我控制的中介作用[J].体育与科学,2014,35(6):109-113,118.
[2]原中华人民共和国卫生部.中国吸烟危害健康报告[M].北京:人民卫生出版社,2012.
[3]纪伟,喻大华,周琳.吸烟青少年静息态脑电谱功率异常的研究[J].中国医学物理学杂志,2017,34(3):320-324.
[4]冯丹.吸烟青少年静息状态脑功能与认知控制的影像学研究[D].西安:西安电子科技大学,2015.
[5]HALL P A&FONG G T.Temporal self-regulation theory:a modelfor individual health behavior[J].Health psychology review,2007,1(1):6–52.
[6]王钢,张大均.吸烟者对香烟相关线索注意偏向的研究述评[J].心理发展与教育,2011(5):543-551.
[7]CAPPELLA J N,LERMAN C,ROMANTAN A,et al.News about genet-ics and smoking[J].Communication research,2005,32(4):478-502.
[8]薛承景,殷丽楠,高锦云,等.吸烟对缺血性脑卒中患者执行功能的影响[J].中国老年学杂志,2013(33):4822-4824.
[9]许琪,黄德开,巫智远,等.职高生吸烟行为影响因素分析[J].中国学校卫生,2014,35(5):656-657.
[10]戎志东,徐佩君.职业高中学生吸烟状况调查[J].浙江预防医学,2013,25(10):65-67.
[11]覃玉,向全永,苏健,等.南京市2575名中学生吸烟行为及影响因素分析[J].中国学校卫生,2014,35(4):582-583.
[12]吴雪.普通职业高中学生烟草危害知识知晓率及吸烟状况比较分析[J].中国公共卫生管理,2017,33(2):247-249.
[13]徐莹.大学生烟草危害控制中的吸烟行为非理性认知影响因素研究[D].成都:四川大学,2016.
[14]SPINELLA M.Self-rated executive function:development of theexecutive function index[J].International journal of neuroscience,2005,115(5):649-667.
[15]邢燕雷.执行功能、父母教养方式与儿童主动性及反应性攻击行为的关系[D].济南:山东师范大学,2009.
[16]杨焱,南奕,屠梦吴.《2015中国成人烟草调查报告》概要[J].中华健康管理学杂志,2016,10(2):85-87.
[17]中国疾病预防控制中心.2014年中国青少年烟草调查报告[M].北京:人民卫生出版社,2014:1-124.
[18]刘修军,钟宝亮,朱军红.吸烟美沙酮维持治疗门诊患者的烟草使用行为与抑郁、焦虑症状和睡眠质量的关系[J].中国药物依赖性杂志,2013,22(1):17-22.
[19]冯永辉,虞质叶,李荔.压力、人格与社会支持对青少年吸烟行为影响[J].中国公共卫生,2016,32(5):580-583.
[20]闫丽,覃玉,段佳丽.中、东部地区中学生吸烟现状及相关因素分析[J].东南大学学报(医学版),2014,33(6):728-733.
[21]周映,池丽洁,李梦婷,等.个体吸烟行为形成的影响因素研究综述[C].2013年度中国健康传播大会优秀论文集,2013.
[22]袁竞驰,于芳荣,田录梅.感觉寻求、同伴压力对高中生烟酒使用的影响[J].中国公共卫生,2016,32(4):486-494.
[23]Morris K,于新蕊,滑莉莎,等.尼古丁脱瘾损害注意力[J].中国社会医学杂志,2001,18(1):42-43.
[24]KALMAN D,MORISSETTE S B,GEORGE T P.Co-Morbidityof smoking in patients with psychiatric and substance use disor-ders[J].American journal on addictions,2010,14(2):106-123.
[25]朱风书,周成林,王碧野.体育锻炼降低大学生吸烟依赖性:自我控制的中介作用[J].体育与科学,2014,35(6):109-113,118.