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目的了解广东省中学生对吸烟的认知、态度和行为现状,为开展学校控烟工作提供依据。方法随机抽取广东省4个地区,每个地区抽取2所初中学校、2所高中学校共4 176名中学生进行问卷调查,并进行描述性分析。结果中学生尝试吸烟、目前吸烟的报告率分别为20.4%,3.1%,男生明显高于女生;尝试吸烟的年龄以12～14岁最高,好奇是主要原因;目前吸烟的香烟来源主要为自己购买。97.0%的学生认为吸烟有害健康,90.8%的学生支持学校禁烟,54.1%的学生支持公共场所禁烟,反对教师和家人吸烟的报告率分别为74.0%,65.5%,只有39.6%的学生会拒绝朋友劝吸烟。周围人群吸烟、学校周边售烟点、烟草广告、控烟宣传等对学生吸烟均有影响作用。结论广东省中学生尝试吸烟率较高。应从多方面采取措施控制吸烟环境因素的影响,控烟工作重点在小学高年级和初中阶段。
Objective To understand the cognition, attitudes and behaviors of middle school students in Guangdong Province and to provide basis for tobacco control work in schools. Methods A total of 4 176 middle school students from 2 high schools and 2 middle schools in each district were randomly selected from 4 districts in Guangdong Province for questionnaire survey and descriptive analysis. Results High school students tried to smoke, the current smoking rates were 20.4%, 3.1%, boys were significantly higher than girls; try to smoke the age of 12 to 14 years old the highest curiosity is the main reason; the current source of cigarettes for smoking is mainly for their own purchase. 97.0% of students think smoking is harmful to health, 90.8% of students support non-smoking in school, 54.1% of students support non-smoking in public places, and 74.0% and 65.5% of teachers and family members respectively, and only 39.6% of students refuse friends’ advice Smoking. Smoking around the crowd, selling tobacco around the school, tobacco advertising, tobacco control publicity have an effect on student smoking. Conclusion High prevalence of smoking among middle school students in Guangdong Province. Measures should be taken in many aspects to control the impact of smoking environment factors. The focus of tobacco control work is in the upper primary and junior high school stages.