摘要
目的 了解拱墅区15~69岁居民的烟草使用现况及影响因素,为开展科学的控烟干预提供依据。方法 采用分层多阶段、与人口规模成比例的整群抽样方法(PPS法)、随机抽样相结合的方法,抽取8个监测社区的640名居民进行健康素养及烟草使用调查;使用二分类非条件Logistic回归模型进行多因素分析。结果 637名被调查对象现吸烟率为16.84%,其中男性现吸烟率为31.86%,女性现吸烟率为1.52%。不同性别、年龄、文化程度、职业人群的现吸烟率差异均有统计学意义(均P<0.05);是否具备健康素养、健康生活方式与行为素养、科学健康观素养、传染病防治素养和慢性病防治素养的居民现吸烟率比较,差异具有统计学意义(均P<0.05)。多因素Logistic回归分析显示,男性是拱墅区居民烟草使用的危险因素(OR=63.861,95%CI:22.400~182.064);相对于大专/本科及以上组,高中/职高/中专人群的现吸烟率更高(OR=2.308,95%CI:1.125~4.736)。结论 拱墅区15~69岁居民现吸烟率整体偏低,男性及高中/职高/中专人群是烟草使用的主要影响因素,应有针对性地开展健康素养促进及控烟宣传工作,以控制烟草的流行。
Objective To investigate the tobacco use status and its influencing factors among residents aged 15-69 years in Gongshu District,Hangzhou,and to provide evidence for scientific tobacco control interventions.Methods A total of 640 residents from 8 surveillance communities were selected using stratified multistage cluster sampling with probability proportional to size(PPS)and random sampling methods.A survey was conducted to assess health literacy and tobacco use.Multivariate analysis was performed using a binary unconditional Logistic regression model.Results Among 637 valid respondents,the overall current smoking rate was 16.84%,with 31.86%among males and 1.52%among females.Significant differences in smoking prevalence were observed across sex,age,education level,and occupation(all P<0.05).Smoking rates also varied significantly by health literacy,healthy life and behavior literacy,scientific health concept literacy,infectious disease prevention literacy,and chronic disease prevention literacy(all P<0.05).Multivariate Logistic regression analysis showed that being male was a risk factor for tobacco use in Gongshu(OR=63.861,95%CI:22.400-182.064).Compared with individuals with college/bachelor or above,those with high school/vocational high school/technical secondary school education had a higher likelihood of smoking(OR=2.308,95%CI:1.125-4.736).Conclusions The overall smoking prevalence among residents aged 15-69 in Gongshu District is relatively low.Males and individuals with senior high school/vocational high school/secondary school educational attainment are the main populations at risk.Targeted interventions promoting health literacy and tailored tobacco control efforts should be strengthened to curb tobacco use.
作者
孙香云
张琦
SUN Xiangyun;ZHANG Qi(Department of Health Education,Hangzhou Gongshu District Center for Disease Control and Prevention/Hangzhou Gongshu District Health Supervision Institute,Hangzhou 310022,China)
出处
《健康研究》
2025年第3期321-327,共7页
Health Research
关键词
烟草使用
健康素养
影响因素
tobacco use
health literacy
influencing factors
