摘要
目的探究青少年电子烟二手气溶胶暴露与心理健康问题的关系,为无烟环境政策制定提供参考依据。方法于2023年3—6月,采用多阶段分层整群抽样方法,在全国范围内对2112名≤18岁全日制在校生进行在线问卷调查,采用χ^(2)检验进行人口学信息与心理健康问题的单因素分析,二元logistic回归分析电子烟二手气溶胶暴露与青少年心理健康问题的关系,多元线性回归分析电子烟二手气溶胶暴露与青少年心理健康问题的躯体症状、焦虑/担忧、家庭关系不良3个维度的关系。结果本研究中青少年有心理健康问题者254人(12.03%),有电子烟二手气溶胶暴露者620人(29.36%)。二元logistic回归分析结果显示,电子烟二手气溶胶暴露者心理健康问题发生的风险是非暴露者的1.500倍(OR=1.500,95%CI=1.127~1.998)。多元线性回归结果显示,过去30 d内有电子烟二手气溶胶暴露的青少年有更严重的躯体症状(b=0.758,P=<0.001)和更高的焦虑/担忧(b=0.691,P=<0.001)。结论青少年电子烟二手气溶胶暴露与心理健康问题发生呈正相关,且与躯体症状维度、焦虑/担忧维度有关。
Objective To investigate the relationship between secondhand e-cigarette aerosol exposure and mental health problems in adolescents,and to provide a reference for the formulation of smoke-free environment policies.Methods From March to June 2023,a multi-stage stratified cluster sampling method was used to conduct an online questionnaire survey of 2112 full-time students aged≤18 years nationwide.Aχ^(2)test was used for univariate analysis of demographic information and mental health problems.Binary logistic regression was used to analyze the relationship between secondhand e-cigarette aerosol exposure and mental health problems in adolescents.Multiple linear regression was used to analyze the relationship between secondhand e-cigarette aerosol exposure and the three dimensions of mental health problems in adolescents:somatic symptoms,anxiety/worry,and family relationships.Results In this study the prevalence of mental health problems were 12.03%(254 adolescents)and 620(29.36%)were exposed to secondhand e-cigarette aerosol.Binary logistic regression analysis showed that adolescents exposed to secondhand e-cigarette aerosol had a 1.500 times higher risk of developing mental health problems than those not exposed(OR=1.500,95%CI:1.127-1.998).Multiple linear regression results showed that adolescents exposed to secondhand e-cigarette aerosol in the past 30 days had more severe somatic symptoms(b=0.758,P<0.001)and higher anxiety/worry(b=0.691,P<0.001).Conclusions Secondhand e-cigarette aerosol exposure in adolescents is positively correlated with the occurrence of mental health problems,and is related to the dimensions of somatic symptoms and anxiety/worry.
作者
李瑛
白芙蓉
王雯雯
吴良鹏
孟州令
彭嗣惠
LI Ying;BAI Furong;WANG Wenwen;WU Liangpeng;MENG Zhouling;PENG Sihui(School of Public Health,Xi’an Medical University,Xi'an 710021,China;Jinan University,Guangzhou 510632,China;Kunming Health Vocational College,Kunming 650607,China)
出处
《中国公共卫生》
北大核心
2025年第5期526-531,共6页
Chinese Journal of Public Health
基金
广东省基础与应用基础研究基金联合基金(粤穗联合基金)——青年基金项目(2023A1515110144)
广州市科技计划项目(2023A04J1923)
陕西省教育厅科学研究计划一般项目(23JK0645)
陕西省大学生创新创业训练计划项目(S202211840086)。
关键词
电子烟
二手气溶胶
青少年
心理健康问题
e-cigarettes
secondhand aerosol
adolescents
mental health problems