Relationship between physical exercise and smoking behavior of adolescents aged 16-18
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摘要:
目的 探讨16~18岁青少年体育锻炼与吸烟行为的关系,为促进青少年控烟提供参考。 方法 以2018年中国家庭追踪调查(CFPS 2018)中的1 057名青少年为调查对象,调查其吸烟与体育锻炼情况,采用χ2检验、Mann-Whitney U检验、Pearson相关分析、Logistic回归分析探讨青少年体育锻炼与吸烟行为的关系。 结果 被试青少年中有104(9.8%)名吸烟者,开始吸烟的年龄为(14.21±2.68)岁,戒烟年龄为(14.41±2.72)岁。年龄(χ2=7.23)、性别(χ2=83.01)、上学状态(χ2=107.12)、体育锻炼(Z=-2.20)、主观幸福感(Z=-2.20)和生活满意度(Z=-2.93)是青少年吸烟风险的相关因素(P值均 < 0.05)。体育锻炼与青少年吸烟行为呈负相关(OR=0.92,P=0.03),控制人口统计学和社会认知心理变量后,负相关作用无统计学意义(OR=0.93,P=0.08);进一步分析显示,体育锻炼与男生吸烟呈负相关(OR=0.91,P=0.04),但与女生吸烟可能性的关系无统计学意义(OR=1.12,P=0.20)。 结论 体育锻炼与16~18岁青少年吸烟风险呈负相关,但未发现体育锻炼与女生吸烟行为的关联,有待后续研究进一步探讨。 Abstract:Objective To explore the relationship between physical exercise and smoking behavior in adolescents aged 16-18, and to provide reference for promoting tobacco control among teenagers. Methods A total of 1 057 adolescents who took part in the 2018 China Family Panel Studies (CFPS 2018) were investigated for smoking and physical exercise. The Chi-square test, Mann-Whitney U test, Pearson correlation analysis and Logistic regression analysis were performed to explore the relationship between adolescent physical exercise and smoking behavior. Results There were 104 (9.8%) smokers among the adolescents. The age at starting smoking was (14.21±2.68) years old and the age of quitting smoking was (14.41±2.72) years old. Age (χ2=7.23), gender (χ2=83.01), school status (χ2=107.12), physical exercise (Z=-2.20), subjective well-being (Z=-2.20) and life satisfaction (Z=-2.93) were associated with adolescent smoking(P < 0.05). Physical exercise was negatively correlated with adolescent smoking (OR=0.92, P=0.03). After controlling demographic and psychosocial and cognitive variables, the negative correlation was not statistically significant (OR=0.93, P=0.08). Further analysis showed that physical exercise was negatively correlated with boys smoking (OR=0.91, P=0.04), but it was not statistically correlated with girls smoking (OR=1.12, P=0.20). Conclusion Physical exercise is associated with lower rate of smoking among adolescents aged 16-18, but no similar association is found in girls.The findings warrants further longitudinal study. -
Key words:
- Exercise movement techniques /
- Smoking /
- Behavior /
- Regression analysis /
- Adolescent
1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 不同人口统计学特征青少年吸烟报告率比较
Table 1. Comparison of smoking detection rates among adolescents with different demographics
人口统计学指标 选项 人数 吸烟人数 χ2值 P值 年龄/岁 16 368 25(6.79) 7.23 0.03 17 327 33(10.09) 18 362 46(12.71) 性别 男 548 98(17.88) 83.01 <0.01 女 509 6(1.18) 地区 东部 379 33(8.71) 2.68 0.26 中部 298 26(8.72) 西部 380 45(11.84) 居住地 城镇 472 47(9.96) 0.01 0.91 乡村 585 57(9.74) 上学状态 是 868 47(5.41) 107.12 <0.01 否 189 57(30.16) 注:()内数字为报告率/%。 表 2 是否吸烟青少年体育锻炼和社会认知心理因素的比较(秩平均值)
Table 2. Comparative of physical exercise and social cognitive factors in adolescent who smoke or not
是否吸烟 人数 体育锻炼 自我健康感知 主观幸福感 生活满意度 主观社会经济地位 是 104 468.63 509.89 467.68 451.89 496.43 否 953 535.59 531.09 535.69 537.41 532.55 Z值 -2.20 -0.71 -2.20 -2.93 -1.24 P值 0.03 0.48 0.03 <0.01 0.21 表 3 青少年体育锻炼与吸烟行为关系的二分类Logistic回归分析[OR值(OR值95%CI)]
Table 3. Binary Logistic regression analysis of the relationship between physical exercise and smoking behavior in adolescents [OR(OR 95%CI)]
自变量 男(n=548) 女(n=509) 合计(n=1 057) 体育锻炼 0.91(0.84~1.00)* 1.12(0.93~1.38) 0.93(0.85~1.01) 年龄/岁 16 0.46(0.25~0.86)* 0.59(0.05~6.59) 0.47(0.26~0.85)* 17 0.67(0.38~1.20) 1.18(0.18~7.92) 0.70(0.40~1.21) 性别 女 0.04(0.02~0.09)** 是否上学 否 7.13(4.26~11.92)** 12.52(1.91~82.04)** 7.34(4.48~12.02)** 主观幸福感 1.01(0.88~1.16) 0.96(0.64~1.44) 1.01(0.88~1.14) 生活满意度 0.61(0.44~0.85)** 0.59(0.24~1.46) 0.61(0.45~0.83)** 注:*P<0.05,**P<0.01。 -
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