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目的探讨中学生不同吸烟行为与主观生活质量的关系并分析吸烟行为的影响因素。方法1998年、2003年分别对合肥市城乡6所中学初一至高三年级学生曾经吸烟、13岁前吸烟、最近吸烟、规律吸烟、吸烟成瘾、尝试戒烟等6种吸烟行为进行监测,选用情绪症状、学校生活满意度、总体生活满意度等指标对主观生活质量进行评定,分析中学生吸烟行为的5年变化以及主观生活质量与吸烟行为的相关性。结果中学生13岁前吸烟、最近吸烟、规律吸烟和吸烟成瘾的发生率2003年(分别为8.8%、12.0%、5.6%和1.7%)比1998年(分别为3.1%、3.0%、1.7%和0.6%)增高,差异具有统计学意义。曾经吸烟、13岁前吸烟、最近吸烟、规律吸烟、未尝试戒烟和吸烟成瘾者抑郁、焦虑情绪症状检出率高,学校生活满意度低,对生活或自己的总体评价低。学校生活满意度高(OR=0.657)、对生活的总体评价高(OR=0.766)是近期吸烟的保护因素,抑郁合并焦虑是危险因素(OR=2.181);学校生活满意度高是吸烟成瘾的保护因素(OR=0.388),抑郁症状是吸烟成瘾(OR=2.753)和规律吸烟的危险因素(OR=1.676)。结论中学生吸烟行为非常普遍,并受到多种与认知、情绪相关的主观生活质量指标的影响。
Objective To explore the relationship between different smoking behaviors and subjective quality of life in middle school students and to analyze the influencing factors of smoking behavior. Methods In 1998 and 2003, six kinds of smoking behaviors including smoking, regular smoking, regular smoking, smoking addiction and smoking cessation were studied in 6 middle school students of first grade and third grade in Hefei city. , School life satisfaction, overall life satisfaction and other indicators of subjective quality of life assessment, analysis of secondary school students smoking behavior changes in five years and the relationship between subjective quality of life and smoking behavior. Results The prevalence of smoking, smoking, regular smoking and smoking among middle school students before the age of 13 was significantly higher than that of 1998 (3.1%, 3.0%, 1.7% respectively) in 1998 (8.8%, 12.0%, 5.6% and 1.7% And 0.6%) increased, the difference was statistically significant. Smoking, smoking before 13, recent smoking, regular smoking, depression without smoking cessation and smoking addiction, high detection rate of anxiety symptoms, low school life satisfaction and low overall evaluation of life or self. High school life satisfaction (OR = 0.657), overall high evaluation of life (OR = 0.766) was a protective factor for recent smoking, and depression-associated anxiety was a risk factor (OR = 2.181). High school life satisfaction was associated with smoking addiction (OR = 0.388). Depressive symptoms were risk factors for smoking addiction (OR = 2.753) and regular smoking (OR = 1.676). Conclusions Smoking behaviors among middle school students are very common and influenced by many subjective quality of life indicators related to cognition and emotion.