Objective To understand the prevalence of tobacco use among college students in different populations by sex,age and major,and to provide evidence for smoking control and health decision.Methods A total of 4 638 college students selected in 21 colleges through stratified multi-stage cluster sampling from Zhejiang Province were surveyed by using questionnaire analysis.Indicators such as tried smoking,current smoking,and secondhand smoke exposure,etc.,were calculated by weight on age proportions from the numbers of college students in Zhejiang.Results The prevalence of tried smoking and currcut smoking among college students were 29.72％ and 10.57％,respectively.The prevalence of tried smoking was 46.52％ for men,18.25％ for women;28.57％ for undergraduate,31.53％ for junior college;the prevalence of current smoking was 18.86％ for men,3.86％ for women;8.88％ for undergraduate,13.23％ for junior college students.The snoking rate in college students increased with age,the group of "≥21 Years" was the highest (37.87％,16.09％).The lowest level of smoking was medical student (21.76％,2.19％).The prevalence of secondhand smoke exposure in outdoor and indoor places,and dormitory among students were 65.49％,60.33％,and 23.66％,respectively.In the past 30 days,college students have seen tobacco advertisement (47.38％),smoking scenes (60.20％),and got tobacco related gifts (10.40％),free tobacco products (8.93％);college students have seen information about tobacco control (60.50％),cigarette pack warning labels (58.45％),and learned the tobacco knowledge in class in the past 12 months (14.03％).Conclusion Current prevalence of smoking in college students in Zhejiang province remained at a high level,the rate of secondhand smoke exposure is high and in college students there was lack of tobacco control education in class.The results indicated that the policy about tobacco control in school was not enough and the task of health promotion should be taken more arduously.%目的 描述浙江省大学生烟草使用的流行水平及其不同性别、年龄、专业分布特点,判断烟草流行变化趋势,为控制烟草使用提供科学依据.方法 采用多阶段整群抽样方法抽取浙江省21所学校共计4 638名在校大学生进行问卷调查,采用频数统计、复杂抽样的卡方检验分析大学生的尝试吸烟率、现在吸烟率、二手烟暴露等指标,这些数据被用来估算浙江省大学生人群的烟草流行现况.结果 浙江省大学生尝试和现在吸烟率分别为29.72％和10.57％;男生的尝试和现在吸烟率分别为46.52％和18.86％,均高于女生(18.25％,3.86％);本科生尝试和现在吸烟率分别为28.57％和8.88％,均低于大专生(31.53％,13.23％);大学生的现在吸烟率随着年龄的增加有上升的趋势,其中“≥21岁”年龄组大学生尝试和现在吸烟率最高(37.87％,l6.09％);医学生在各专业大学生中的尝试和现在吸烟率最低(21.76％,2.19％).浙江省大学生在3类场所看到有人吸烟的比例有所不同,由高到低依次为:室外公共场所(65.49％)、室内公共场所(60.33％)和寝室(23.66％).在过去30 d内,分别有47.38％、60.20％、10.40％、8.93％的大学生看到过烟草广告、在视频媒体上看到吸烟镜头、拥有印有烟草品牌标志的物品、拿到过免费烟草产品;分别有60.50％、58.45％、14.03％的大学生看到过控烟信息、烟包警语、在课堂上学过控烟知识.结论 浙江省大学生烟草使用流行趋势不容乐观,需要落实校园的室内外公共场所控烟制度,推进无烟环境的建设;开设大学生控烟相关知识和技能课程,加强烟草危害健康知识的传播力度和深度.
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