Abstract：Objective To investigate the status of smoking attempt, its influencing factors and the situation of cognition, attitude and behavior related to tobacco among pupils and middle school students in Fangshan District so as to provide a scientific basis for further tobacco control work among adolescents. Methods A multi-stage stratified cluster sampling method was used to select a total of 1,507 students from 3 primary schools, 2 junior middle schools, 1 senior middle school and 1 vocational high school in Fangshan District to conduct a questionnaire survey. We analyzed the status of smoking attempt and the situation of cognition, attitude and behavior related to tobacco among students from different grades. Multiple logistic regression analysis was used to analyze the factors related to smoking behavior among children and adolescents. Results The rate of smoking attempt in the primary and middle school students in 2019 was 6.30%, and the rates in pupils, junior middle school students, senior high school students and vocational high school students were 3.46%, 4.12%, 3.53% and 25.56%, respectively, showing statistically significant differences (χ2=145.304, P<0.01). Multiple logistic regression analysis showed that the risk factors for smoking attempt in the primary and middle school students were the variables such as the period of vocational high school, having smoking friends, seeing smoking on TV and in movies and imitating their idols' smoking behavior. The correct rates of items about tobacco-related knowledge among students from different grades showed statistically significant differences (P<0.01). The proportion of saying yes to tobacco was significantly higher in boys than in girls, and the differences in differentgenders and grades were statistically significant (P<0.01). 78.90% of the students said they would definitely not smoke in the future. 52.02% of the students would dissuade those who smoked around them, and 1.26% would smoke with others around them. 22.16% said they would imitate their idols' smoking behavior, showing statistically significant differences in different genders and grades (P<0.01). Conclusions Tobacco control among children and adolescents is the key to reduce the smoking rate of the whole population in the future. Smoking control among children and adolescents requires comprehensive prevention and control of schools, families and society. It is necessary to create a relaxed, harmonious, smoke-free and healthy supportive environment and strengthen knowledge publicity, education and intervention so as to let children and adolescents grasp the relevant knowledge firmly and simultaneously generate a psychological identity, and stick to the tobacco control action for a lifetime.
孟毅, 付晓博, 李爱军, 贾艳阳. 北京市房山区2019年中小学生尝试吸烟状况及影响因素分析[J]. 实用预防医学, 2021, 28(2): 189-194.
MENG Yi, FU Xiao-bo, LI Ai-jun, JIA Yan-Yang. Status of smoking attempt and its influencing factors among primary and middle school students in Fangshan District, Beijing, 2019. , 2021, 28(2): 189-194.
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2021, Vol. 28 
