Electronic cigarette use and associated factors among middle school students in Zhengzhou

Abstract

Objective To understand the status of e-cigarette use among junior high school students in Zhengzhou City and its associated factors, and to provide support for tobacco control intervention for junior high school students. Methods From March to May 2019 in Zhengzhou, a stratified cluster random sampling method was used to investigate 3 624 junior high school students using a self-made e-cigarette questionnaire, including demographic information, attitudes towards e-cigarettes, usage behavior, smoking behaviors of parents and friends. Results The usage rate of e-cigarettes for junior high school students in Zhengzhou was 5.5%, parents and 51.5% of junior high school students purchased e-cigarettes online, 28.3% purchased them through stores, and 20.2% purchased e-cigarettes through other methods. Regarding the item use of e-cigarettes was harmful to others, the proportion of students with an approved attitude was lower than that with negative attitudes, the difference was statistically significant (χ 2 =4.33, P <0.05). Logistic regression analysis showed that e-cigarette was difficult to quit, the use of e-cigarettes won’t make people feel relaxed, e-cigarette smoke was harmful to others, e-cigarette use did not make young people more attractive were negatively correlated with the use of e-cigarettes by middle school students ( OR = 0.46, 0.28, 0.57, 0.41, P <0.01). Conclusion The use of e-cigarettes by junior high school students in Zhengzhou is relatively serious, and multiple measures should be taken to strengthen health education and reduce the use rate of e-cigarettes. 【摘要】 目的 了解郑州市初中生电子烟使用状况及其影响因素, 为学生烟草控制干预提供支持。 方法 2019年3—5 月采用分层整群随机抽样的方法, 对郑州市3 624名初中学生采用自编电子烟调査问卷进行调査, 内容包括人口学信息、 对电子烟的态度、使用行为、父母和朋友的吸烟行为等。 结果 郑州市初中生电子烟使用率为5.5%。51.5%的初中生通过 网络购买电子烟, 28.3%的通过商店购买, 20.2%的通过其他方式购买电子烟。在使用电子烟的烟雾对他人有害的调査中, 持认可态度的人数比例低于持否定态度的人数比例, 差异有统计学意义(χ 2 =4.33, P <0.05)。Logistic回归分析显示, 使用 电子烟后难以戒除、使用电子烟不会让人感到轻松、电子烟烟雾对他人有害、电子烟使用不会使年轻人更有魅力与中学生 使用电子烟呈负相关（ OR 值分别为0.46,0.28,0.57,0.41, P值均<0.01)。 结论 郑州市初中学生电子烟使用情况较为严 重。应多措并举加强健康教育, 降低电子烟使用率。