背景:这项研究的目的是检查杭州大学生中电子烟(电子烟)的使用情况,并分析其使用电子烟意向的影响因素。
方法:使用分层整群抽样方法,选择杭州两所大学的775名学生于2022年3月至4月进行现场问卷调查。对使用意愿的影响因素进行调整logistic回归分析,基于创新扩散理论。
结果:在我们的大学生样本中,16.5%的学生尝试过电子烟;6.32%的学生在过去一个月中使用过电子烟,8.0%有使用电子烟的意向。不同性别之间使用电子烟的意愿存在显著差异,经济地位,身边亲密朋友的吸烟状况,以及他们自己使用烟草和酒精(p<0.05)。Logistic回归模型显示,电子烟的可观测性(AOR=1.28;p<0.05),个人因素(AOR=1.39;p<0.05),和社会系统(AOR=1.63;p<0.05),均为电子烟使用意向的影响因素。
结论:杭州大学生使用电子烟的意愿很高,以及产品本身的影响,个体特征和生活环境至关重要。有必要在社会和家庭层面加强烟草知识的推广,以减少电子烟的发生。
BACKGROUND: The purpose of this study is to examine the use of electronic cigarettes (e-cigarettes) among college students in Hangzhou, and to analyze the influencing factors of their intention to use e-cigarettes.
METHODS: Using a stratified cluster sampling method, 775 students from two universities in Hangzhou were selected for an on-site questionnaire survey from March to April 2022. Adjusted logistic regression analysis was conducted on the influencing factors of use intention, based on innovation diffusion theory.
RESULTS: Within our sample of college students, 16.5% of students had tried e-cigarettes; 6.32% had used e-cigarettes in the past month, and 8.0% had the intention to use e-cigarettes. There were significant differences in willingness to use e-cigarettes among different genders, economic status, smoking status of close friends around them, and their own use of tobacco and alcohol (p<0.05). The logistic regression model showed that the observability of e-cigarettes (AOR=1.28; p<0.05), personal factors (AOR=1.39; p<0.05), and social systems (AOR=1.63; p<0.05), were all influencing factors of intention to use e-cigarettes.
CONCLUSIONS: College students in Hangzhou have a high intention to use e-cigarettes, and the impacts of the product itself, individual characteristics and the living environment are crucial. It is necessary to strengthen the promotion of tobacco knowledge at the social and family levels to reduce the occurrence of vaping.