Attitude towards electronic cigarette and associated factors among college students in Zhejiang Province
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摘要:
目的 了解浙江省大学生对电子烟的态度及其影响因素，为制定大学生电子烟防控策略提供依据。 方法 采用典型抽样和方便抽样结合的方法，于2020年9月选取浙江省不同类型本、专科院校共10所，通过发放电子问卷进行在线调查，采用多因素Logistic回归模型分析大学生对电子烟态度的影响因素。 结果 884名被试中，93名(10.52%)对电子烟持支持态度，310名(35.07%)认为电子烟无害，252名(28.51%)认为电子烟不会上瘾; 67名(7.58%)正在使用电子烟。多因素Logistic回归分析结果表明，性别、年级、生活费、是否吸电子烟和是否认为电子烟有害对在校大学生对电子烟态度的影响均有统计学意义(OR值分别为0.59，0.47，1.87，0.34，0.54，P值均＜0.05)。 结论 浙江省在校大学生对电子烟持较为支持的态度，对其危害认识不充分。在面向大学生群体的控烟工作中，应着力破除电子烟的正面形象，在干预人群上特别重视低年级大学生，同时不能忽视女大学生群体。 Abstract:Objective To understand the attitude of college students in Zhejiang towards e-cigarette and its influencing factors, so as to provide basis for making prevention and control strategies. Methods In September 2020, 10 colleges and universities in Zhejiang Province were selected to conduct an online survey by a combination of typical sampling method and convenience sampling method. A multivariable Logistic regression model was used to analyze the influencing factors. Results Among 884 subjects, 93 (10.52%) were positive about e-cigarettes, 310 (35.07%) thought e-cigarettes were harmless, 252 (28.51%) thought e-cigarettes were not addictive and 67 (7.58%) of respondents were using e-cigarettes. Multivariate Logistic regression analysis showed that gender, grade, cost of living, whether or not smoking e-cigarettes were harmful to college students' attitudes towards e-cigarettes(OR=0.59, 0.47, 1.87, 0.34, 0.54, P < 0.05). Conclusion College students in Zhejiang Province have a positive attitude towards electronics and are not active in avoiding the dangers of smoking. To make full use of the work of concentrated trainees in tobacco control, efforts should be made to break the positive image of e-cigarettes. Junior college students should be the prioritized population for intervention, and female students should not be neglected. -
Key words:
- Tobacco /
- Attitude /
- Smoking /
- Regression analysis /
- Students
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表 1 大学生对电子烟支持态度报告率(n=884)
Table 1. The specific situation of college students' attitudes towards e-cigarettes(n=884)
电子烟态度问题 支持态度人数 与卷烟相比，吸电子烟更能为社会所接受吗 423(47.85) 使用电子烟作为戒烟方法是可以接受的吗 401(45.36) 与卷烟相比，使用或公开谈论电子烟更舒服吗 341(38.57) 使用电子烟作为消遣是可以接受的吗 315(35.63) 电子烟应该作为卷烟的替代品吗 303(34.28) 在不允许吸烟的地方是否可以允许使用电子烟 139(15.72) 电子烟应该推荐给不吸烟者吗 127(14.37) 使用电子烟的人是吸烟者吗 94(10.63) 政府应该规范电子烟的使用吗 89(10.07) 注： ()内数字为报告率/%。 
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表 2 大学生对电子烟态度影响因素的单因素分析
Table 2. Univariate analysis of college students' attitudes towards e-cigarettes
变量 选项 人数 支持态度人数 χ2值 P值 性别 男 372 53(14.25) 9.48 < 0.01 女 512 40(7.81) 年级 低年级 296 45(15.20) 10.36 < 0.01 高年级 588 48(8.16) 学校类型 985/211高校 93 4(4.30) 5.21 0.07 普通高校 746 82(10.99) 专科院校 45 7(15.56) 民族 汉族 858 90(10.49) 0.03 0.86 少数民族 26 3(11.54) 专业 医学类 139 12(8.63) 0.62 0.43 非医学类 745 81(10.87) 月生活费/元 0~2 000 674 60(8.90) 7.89 < 0.01 ≥2 001 210 33(15.71) 户籍所在地 城市 402 43(10.70) 0.02 0.88 农村 482 50(10.37) 父母是否吸烟 是 454 50(11.01) 0.24 0.62 否 430 43(10.00) 朋友是否吸烟 是 371 43(11.59) 0.78 0.38 否 513 50(9.75) 是否吸卷烟 是 89 23(25.84) 24.68 < 0.01 否 795 70(8.81) 是否吸电子烟 是 67 20(29.85) 28.78 < 0.01 否 817 73(8.94) 认为电子烟有害 是 574 48(8.36) 8.91 < 0.01 否 310 45(14.52) 认为电子烟不会上瘾 是 252 35(13.89) 4.25 0.04 否 632 58(9.18) 注： ()内数字为报告率/%。
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表 3 大学生对电子烟态度影响因素的Logistic回归分析(n=884)
Table 3. Logistic regression analysis of influencing factors of college students' attitude to e-cigarettes(n=884)
自变量 β值 标准误 Wald χ2值 P值 OR值(OR值95%CI) 性别为女 -0.52 0.23 5.05 0.03 0.59(0.38~0.94) 高年级 -0.75 0.23 10.60 < 0.01 0.47(0.30~0.74) 每月生活费≥ 0.62 0.25 6.24 0.01 1.87(1.14~3.05) 2 001元 不吸电子烟 -1.09 0.31 12.13 < 0.01 0.34(0.18~0.62) 认为电子烟有害 -0.62 0.23 7.38 0.01 0.54(0.34~0.84) 注： 性别以男生为参照，年级以低年级为参照，每月生活费以0~2 000元为参照，是否吸电子烟以是为参照，是否认为电子烟有害以否为参照。
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