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目的研究心理压力及疲劳对大学生不同吸烟行为的影响。方法采用整群抽样法抽取某大学1～3年级在校大学生8138名,以自填式结构问卷调查学生的心理压力、自身和同伴吸烟情况及社会经济学指标,Chalder疲劳量表测量其躯体和精神疲劳。以“从未吸烟者”作为对照组,分别以“尝试吸烟者”和“现吸烟者”作为病例组,进行Multinomial logistic回归分析心理压力及疲劳对大学生不同吸烟行为的影响。结果进入大学后仍有学生尝试或形成吸烟行为。调整社会经济学指标和同伴吸烟行为的影响后,躯体疲劳(OR=1.044,95%CI:1.013～1.075)、对学业和未来工作的担心(OR=1.020,95%CI:1.001～1.040)是男生尝试吸烟的危险因素;学习压力(OR=1.063,95%CI:1.012～1.117)是女生尝试吸烟的危险因素;人际与环境压力(OR=1.152,95%CI:1.012～1.312)是女生现吸烟的危险因素。结论心理压力及疲劳和大学生吸烟行为存在一定程度的关联,且对不同性别和不同吸烟行为的影响是不同的。
Objective To study the effects of psychological stress and fatigue on college students’ different smoking behaviors. Methods A cluster sampling method was used to collect 8138 students from grade 1 to grade 3 in a college. The self-administered questionnaire was used to investigate the students’ psychological pressure, their own and peer smoking status, and socioeconomic indicators. The Chalder fatigue scale was used to measure their somatic dimensions. Mental fatigue. Using “unsmokers” as a control group, “try smokers” and “current smokers” were used as case groups. Multinomial logistic regression was used to analyze the effect of psychological stress and fatigue on college students’ different smoking behaviors. . As a result, students still attempted or developed smoking behavior after entering the university. After adjustment for the impact of socioeconomic indicators and peer smoking behavior, physical fatigue (OR=1.044, 95%CI: 1.013 to 1.075), concerns about schoolwork and future work (OR=1.020, 95% CI: 1.001 to 1.040) Men’s risk factors for attempting smoking; learning pressure (OR=1.063, 95% CI: 1.012 to 1.117) were risk factors for girls’ attempts to smoke; interpersonal and environmental pressures (OR=1.152, 95% CI: 1.012 to 1.312) were observed by female students. Risk factors for smoking. Conclusion There is a certain degree of correlation between psychological stress and fatigue and college students’ smoking behavior, and the effects of different genders and different smoking behaviors are different.