从不吸烟大中学生对电子烟的交友作用认知和尝试倾向

杨芳瑛; 徐成哲; 杨晓照

doi:10.16835/j.cnki.1000-9817.2023.08.008

从不吸烟大中学生对电子烟的交友作用认知和尝试倾向

doi: 10.16835/j.cnki.1000-9817.2023.08.008

中山大学社会学与人类学学院，广东广州 510275

基金项目:

中华医学基金会项目 CMB 21-436

详细信息

作者简介:
杨芳瑛(1997-)，女，广东中山人，在读博士，主要研究方向为健康社会学

通讯作者:
杨晓照，E-mail：yangxzh27@mail.sysu.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: C913.5 G478 R193
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出版历程
- 收稿日期: 2023-04-18
- 修回日期: 2023-06-21
- 网络出版日期: 2023-08-26
- 刊出日期: 2023-08-25

Perceived friend-making effects and propensity to try e-cigarettes among never-smoking adolescent students

School of Sociology and Anthropology, Sun Yat-sen University, Guangzhou (510275), Guangdong Province, China

摘要

摘要: 结论了解中国从不吸烟大中学生对电子烟的交友作用认知情况及其与电子烟尝试倾向的关系，为青少年电子烟防控措施的制定和完善提供参考。方法采用多阶段分层整群抽样方法，于2022年9月至2023年3月在中国的华北、长江三角洲、珠江三角洲、西南等区域抽取13座城市的2 577名大中学生进行问卷调查，对其中2 076名从不吸烟大中学生进行电子烟的交友作用认知和尝试倾向分析。结果从不吸烟的大中学生中，728人(35.07%)有抽吸电子烟的倾向，68人(3.28%)认为抽吸电子烟对交友有利。多因素非条件Logistic回归分析显示，相较非常不同意抽吸电子烟的交友作用，对此持比较不同意、中立、比较同意和非常同意认知的从不吸烟大中学生尝试抽吸电子烟的倾向均上升，对电子烟危害的认知、好友的电子烟抽吸行为和个人的消极情绪也与从不吸烟大中学生的电子烟尝试倾向存在关联(OR=1.34~1.91，P值均<0.05)。结论从不吸烟大中学生对电子烟的交友作用认知与其尝试电子烟的倾向显著相关。建议加强对青少年的宣传教育，降低电子烟对青少年的健康风险。
- 吸烟 /
- 电子烟 /
- 认知 /
- 回归分析 /
- 青少年
Abstract: Objective The current study aims to understand perceptions of electronic cigarette (e-cigarette) smoking among Chinese adolescents who have never smoked and its role in forming friendships, while considering the association of the odds of trying e-cigarettes, so as to provide a basis for developing an e-cigarette control policy among this population. Methods From September 2022 to March 2023, 2 577 adolescent students from 13 cities of the Yangtze and Pearl River Deltas, and North and Southwest China were surveyed through a questionnaire by a multi-stage cluster sampling method. The study analyzed the perceived role of e-cigarette smoking in making friends, and its influence on intentions to try them among 2 076 never-smoking adolescent students. Results Among the adolescent students, 728(35.07%) were inclined to try e-cigarettes, and 68(3.28%) believed that e-cigarettes play a positive factor in making friends. The results of the Logistic regression analysis showed that compared to those who strongly disagreed that e-cigarettes play a role in making friends, intentions to try e-cigarettes were higher among never-smoking adolescent students who had responded "somewhat disagree" "neutral" "somewhat agree" and "strongly agree" times, respectively. Perceived harm caused by e-cigarettes, vaping behavior of friends and negative emotions were also significantly related to the odds of trying e-cigarettes(OR=1.34-1.91, P < 0.05). Conclusion Perceptions of the role of e-cigarettes in friend-making among never-smoking adolescent students were significantly associated with their intentions to try e-cigarettes. It is recommended to strengthen awareness and education about the harm caused by e-cigarettes among adolescents in order to reduce the associated health risks among this population.
- Smoking /
- Electronic cigarette /
- Cognition /
- Regression analysis /
- Adolescent
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表 1 从不吸烟大中学生电子烟尝试倾向的单因素分析

Table 1. Univariate analysis of influencing factors of the propensity to try e-cigarettes among never-smoking students in college and middle school

因素	选项	人数	电子烟有尝试倾向	χ²值	P值
吸电子烟可以交更多的朋友	非常不同意	1 255	292(23.27)	197.17	< 0.01
	比较不同意	535	280(52.34)
	中立	218	115(52.75)
	比较同意	41	27(65.85)
	非常同意	27	14(51.85)
电子烟危害认知	非常不同意	113	27(23.89)	143.99	< 0.01
	比较不同意	86	48(55.81)
	中立	208	109(52.40)
	比较同意	496	246(49.60)
	非常同意	1 173	298(25.40)
性别	男	867	324(37.37)	3.47	0.06
	女	1 209	404(33.42)
年龄/岁	< 18	917	315(34.35)	0.37	0.54
	≥18	1 159	413(35.63)
成绩排名	前列	329	122(37.08)	1.67	0.80
	中上	563	195(34.64)
	中等	818	277(33.86)
	中下	269	97(36.06)
	末尾	97	37(38.14)
是否留守	否	1 949	674(34.58)	3.30	0.07
	是	127	54(42.52)
是否有好友吸电子烟	没有	1 834	610(33.26)	22.56	< 0.01
	有	242	118(48.76)
情感问题	没有	1 894	645(34.05)	9.73	< 0.01
	有	182	83(45.60)
友谊问题	没有	1 457	490(33.63)	4.43	0.04
	有	619	238(38.45)
家庭关系问题	没有	1 714	593(34.60)	0.95	0.33
	有	362	135(37.29)
消极情绪	没有或较少	942	270(28.66)	31.07	< 0.01
	较多	1 134	458(40.39)
学校类型	普通高中	607	207(34.10)	1.04	0.79
	职业中学	434	151(34.79)
	大专院校	351	120(34.19)
	本科院校	684	250(36.55)
城乡类型	城镇	945	323(34.18)	0.60	0.44
	农村	1 131	405(35.81)
注：()内数字为报告率/%。

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表 2 从不吸烟大中学生对电子烟尝试倾向的多因素非条件Logistic回归分析(n=2 076)

Table 2. Multivariate non-conditional Logistic regression analysis of influencing factors of the propensity to try e-cigarettes among never-smoking students in college and middle school(n=2 076)

自变量	选项	β值	Wald χ²值	OR(95%CI)	P值
吸电子烟可以交更	比较不同意	1.00	72.14	2.73(2.16~3.44)	< 0.01
多的朋友	中立	0.93	31.63	2.52(1.83~3.48)	< 0.01
	比较同意	1.47	17.76	4.34(2.19~8.60)	< 0.01
	非常同意	1.10	7.41	3.01(1.36~6.65)	< 0.01
电子烟危害认知	比较不同意	0.64	3.90	1.91(1.00~3.61)	0.05
	中立	0.63	5.20	1.88(1.09~3.24)	0.02
	比较同意	0.60	5.70	1.82(1.11~2.97)	0.02
	非常同意	-0.09	0.15	0.91(0.57~1.45)	0.70
是否有好友吸烟	有	0.48	10.19	1.62(1.20~2.17)	< 0.01
情感问题	有	0.29	2.89	1.34(0.96~1.87)	0.09
友谊问题	有	0.09	0.67	1.09(0.88~1.35)	0.41
消极情绪	较多	0.37	13.12	1.45(1.18~1.77)	< 0.01

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