Article(id=1321169637446898110, tenantId=1146029695717560320, journalId=1319373219989389464, issueId=1321169578152014376, articleNumber=null, orderNo=null, doi=10.11847/zgggws1147498, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1742832000000, receivedDateStr=2025-03-25, revisedDate=1750003200000, revisedDateStr=2025-06-16, acceptedDate=1755014400000, acceptedDateStr=2025-08-13, onlineDate=1792920987711, onlineDateStr=2026-10-25, pubDate=1760025600000, pubDateStr=2025-10-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1792920987711, onlineIssueDateStr=2026-10-25, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1792920987711, creator=13701087609, updateTime=1792920987711, updator=13701087609, issue=Issue{id=1321169578152014376, tenantId=1146029695717560320, journalId=1319373219989389464, year='2025', volume='41', issue='10', pageStart='1153', pageEnd='1280', issueExtLink='null', onlineDate='null', pubDate='1760025600000', pubDateStr='2025-10-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1792920973575, creator='13701087609', updateTime=1792920973575, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext=null, issueFiles=null, downloadFileDto=null}, startPage=1182, endPage=1187, ext={EN=ArticleExt(id=1321169637757276607, articleId=1321169637446898110, tenantId=1146029695717560320, journalId=1319373219989389464, language=EN, title=Comparative analysis of the diffusion trends of e-cigarette use and cigarette smoking among school students in China: a cross-sectional study, columnId=1320427696342020970, journalTitle=Chinese Journal of Public Health, columnName=Epidemiological Research, runingTitle=null, highlight=null, articleAbstract=
Objective To explore the influencing factors of and differences in cigarette smoking and e-cigarette use among school students in four typical cultural regions (Yangtze River Delta, Pearl River Delta, southwestern China, and northern China) of China, thus providing a data basis for formulating policies tailored to tobacco control interventions for students.
Methods From September 2022 to March 2023, a multi-stage mixed sampling approach combining quota sampling and cluster sampling was employed to conduct a survey on risk behaviors among 2 815 students at four types of schools (secondary vocational schools, senior high schools, junior colleges, and universities) in the four typical cultural regions. Stata 16.0 was used to conduct χ2 tests, multivariate logistic regression analyses, and Wald tests based on seemingly unrelated regression.
Results The prevalence rates of current e-cigarette use and current smoking among school students in the four regions were 1.7% and 5.6%, respectively. Being male (OR = 7.1), having abundant family assets (OR = 4.0), having peers (chatting for ≥ 30 min in the past month) who use e-cigarettes (OR = 3.8), and having peers who smoke cigarettes (OR = 2.5) were significantly associated with current e-cigarette use among school students. For current smoking, being male (OR = 10.4), aging 18–24 years old (OR = 1.8), and having peers who smoke cigarettes (OR = 7.4) were positively associated with current smoking among school students. Comparison of regression coefficients among different influencing factors showed that aging 18–24 years old and having peers who smoke cigarettes had stronger associations with current smoking among school students than current e-cigarette use. Conversely, having abundant family assets and having peers who use e-cigarettes had more significant associations with e-cigarette use among school students (P < 0.05). Although gender was significantly associated in both the models for e-cigarette use and cigarette smoking, the coefficients had no significant difference between the two.
Conclusions E-cigarette use is consistent with the pattern of diffusion of innovations prioritized for adoption by high socioeconomic status, and smoking is more concentrated among those aged 18–24 years old than among those aged 15–17 years old, reflecting the rising trend of e-cigarette use and the steady or declining trend of cigarette smoking among school students.
, authors=Nan WU, Rong DING, Xiaozhao YANG, authorsList=Nan WU, Rong DING, Xiaozhao YANG, authorCompany=null, correspAuthors=Xiaozhao YANG, authorNote=null, correspAuthorsNote=
, copyrightStatement=Copyright © 2025 Chinese Journal of Public Health. All rights reserved., copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1321169640097698244, articleId=1321169637446898110, tenantId=1146029695717560320, journalId=1319373219989389464, language=CN, title=中国在校学生电子烟和香烟使用比较与扩散趋势：一项横断面研究, columnId=1320427696509793132, journalTitle=中国公共卫生, columnName=流行病学研究, runingTitle=null, highlight=null, articleAbstract=
目的 探索中国长江三角洲、珠江三角洲、西南地区和华北地区4个典型文化区域在校学生香烟和电子烟使用的影响因素及其差别，为学生控烟干预的政策制定提供实证依据。
方法 采用配额抽样和整群抽样结合的多阶段混合抽样方法，于2022年9月—2023年3月在长江三角洲、珠江三角洲、西南地区和华北地区4个典型文化区域抽取中专、高中、大专和本科四类院校的2 815名学生进行风险行为问卷调查，使用Stata 16.0软件进行χ2检验、多因素logistics回归分析和基于似无相关模型SUR的检验。
结果 四地区在校学生现在电子烟使用率和现在吸烟率分别为1.7%和5.6%。男性（OR=7.1）、家庭资产多（OR=4.0）、同伴群体中（过去1个月内聊天≥30 min）有人吸电子烟（OR=3.8）、同伴群体中有人吸香烟（OR=2.5）与在校学生现在电子烟使用呈显著相关；现在吸烟方面，男性（OR=10.4）、18～24岁（OR=1.8）、同伴群体中有人吸香烟（OR=7.4）与学生现在吸烟呈正向关联。不同影响因素的回归系数对比显示，相比较现在电子烟使用，18～24岁、同伴群体中有人吸烟与学生现在吸烟的关联强度更大；相反，家庭资产多、同伴群体中有人吸电子烟则与学生电子烟使用的关联强度更为显著（P<0.05）。性别虽然在电子烟和香烟使用的模型均呈显著相关，但二者的系数对比无统计学意义。
结论 电子烟使用符合高社会经济地位优先采用的创新扩散模式，吸烟行为相较于15～17岁群体更集中于18～24岁，反映了在校学生电子烟使用处于初期上升阶段，吸烟处于平台或下降阶段。
, authors=吴楠, 丁榕, 杨晓照
*, *, authorsList=吴楠, 丁榕, 杨晓照, authorCompany=null, correspAuthors=杨晓照, authorNote=
吴楠（1993—），博士在读，研究方向：人口健康和健康社会学
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Prevalence of e-cigarette use and cigarette smoking by gender, age, parents′ marital status, household assets, having peers who use e-cigarettes, having peers who smoke cigarettes, exposure to tobacco advertising, exposure to health education among 2 467 school students
, figureFileSmall=null, figureFileBig=null, tableContent=
| 特征 | 分类 | 现在使用电子烟 | | 现在吸香烟 |
|---|
| 人数 | % | χ2值 | P值 | | 人数 | % | χ2值 | P值 |
|---|
| 性别 | 女性 | 6 | 0.5 | | | | 14 | 1.0 | | |
| 男性 | 35 | 3.1 | 26.459 | <0.001 | | 123 | 10.9 | 113.679 | <0.001 |
| 年龄/岁 | 15～17 | 23 | 2.1 | | | | 42 | 3.8 | | |
| 18～24 | 18 | 1.3 | 2.203 | 0.138 | | 95 | 7.0 | 11.524 | 0.001 |
| 父母婚姻状况 | 不在婚 | 10 | 3.1 | | | | 19 | 5.9 | | |
| 在婚 | 31 | 1.5 | 4.586 | 0.032 | | 118 | 5.5 | 0.061 | 0.805 |
| 家庭资产 | 少 | 10 | 0.8 | | | | 72 | 5.7 | | |
| 多 | 31 | 2.6 | 11.807 | 0.001 | | 65 | 5.4 | 0.142 | 0.707 |
| 同伴群体中有人吸电子烟 | 否 | 16 | 0.8 | | | | 88 | 4.2 | | |
| 是 | 25 | 6.9 | 71.103 | <0.001 | | 49 | 13.5 | 51.229 | <0.001 |
| 同伴群体中有人吸香烟 | 否 | 13 | 0.7 | | | | 41 | 2.2 | | |
| 是 | 28 | 4.8 | 46.636 | <0.001 | | 96 | 16.6 | 175.397 | <0.001 |
| 接触电子烟或香烟广告的频率 | 从未 | 12 | 1.0 | | | | 50 | 4.1 | | |
| 每月至少1次 | 29 | 2.3 | 6.553 | 0.010 | | 87 | 6.9 | 9.202 | 0.002 |
| 接触健康科普知识的频率 | 从未 | 10 | 2.2 | | | | 24 | 5.3 | | |
| 每月至少1次 | 31 | 1.5 | 1.042 | 0.307 | | 113 | 5.6 | 0.057 | 0.812 |
), ArticleFig(id=1321169642513617378, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1321169637446898110, language=CN, label=表1, caption=
不同特征在校学生电子烟和香烟使用情况单因素分析
, figureFileSmall=null, figureFileBig=null, tableContent=
| 特征 | 分类 | 现在使用电子烟 | | 现在吸香烟 |
|---|
| 人数 | % | χ2值 | P值 | | 人数 | % | χ2值 | P值 |
|---|
| 性别 | 女性 | 6 | 0.5 | | | | 14 | 1.0 | | |
| 男性 | 35 | 3.1 | 26.459 | <0.001 | | 123 | 10.9 | 113.679 | <0.001 |
| 年龄/岁 | 15～17 | 23 | 2.1 | | | | 42 | 3.8 | | |
| 18～24 | 18 | 1.3 | 2.203 | 0.138 | | 95 | 7.0 | 11.524 | 0.001 |
| 父母婚姻状况 | 不在婚 | 10 | 3.1 | | | | 19 | 5.9 | | |
| 在婚 | 31 | 1.5 | 4.586 | 0.032 | | 118 | 5.5 | 0.061 | 0.805 |
| 家庭资产 | 少 | 10 | 0.8 | | | | 72 | 5.7 | | |
| 多 | 31 | 2.6 | 11.807 | 0.001 | | 65 | 5.4 | 0.142 | 0.707 |
| 同伴群体中有人吸电子烟 | 否 | 16 | 0.8 | | | | 88 | 4.2 | | |
| 是 | 25 | 6.9 | 71.103 | <0.001 | | 49 | 13.5 | 51.229 | <0.001 |
| 同伴群体中有人吸香烟 | 否 | 13 | 0.7 | | | | 41 | 2.2 | | |
| 是 | 28 | 4.8 | 46.636 | <0.001 | | 96 | 16.6 | 175.397 | <0.001 |
| 接触电子烟或香烟广告的频率 | 从未 | 12 | 1.0 | | | | 50 | 4.1 | | |
| 每月至少1次 | 29 | 2.3 | 6.553 | 0.010 | | 87 | 6.9 | 9.202 | 0.002 |
| 接触健康科普知识的频率 | 从未 | 10 | 2.2 | | | | 24 | 5.3 | | |
| 每月至少1次 | 31 | 1.5 | 1.042 | 0.307 | | 113 | 5.6 | 0.057 | 0.812 |
), ArticleFig(id=1321169642631057891, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1321169637446898110, language=EN, label=Tab.2, caption=
Influences of gender, age, parents′ marital status, household assets, having peers who use e-cigarettes, having peers who smoke cigarettes, exposure to tobacco advertising, and exposure to health education on current e-cigarette use (Model 1 without covariates of age and exposure to health education) and current smoking (Model 2 without covariates of parents′ marital status, household assets, and exposure to health education) among school students: a multivariate linear regression analysis for 2 467 school students in China
, figureFileSmall=null, figureFileBig=null, tableContent=
| 影响因素 | 比较组 | 参照组 | β | $S_{\bar x} $ | Wald χ2值 | P值 | OR值 | 95%CI |
|---|
| 现在使用电子烟 | | | | | | | | |
| 性别 | 男性 | 女性 | 1.955 | 0.440 | 19.748 | 0.000 | 7.065 | 1.093～2.817 |
| 家庭资产 | 多 | 少 | 1.383 | 0.374 | 13.677 | 0.000 | 3.988 | 0.650～2.117 |
| 同伴群体中有人吸电子烟 | 是 | 否 | 1.338 | 0.362 | 13.658 | 0.000 | 3.812 | 0.628～2.048 |
| 同伴群体中有人吸香烟 | 是 | 否 | 0.916 | 0.367 | 6.226 | 0.013 | 2.499 | 0.196～1.635 |
| 现在吸烟 | | | | | | | | |
| 性别 | 男性 | 女性 | 2.342 | 0.293 | 64.019 | 0.000 | 10.399 | 1.768～2.915 |
| 年龄/岁 | 18～24 | 15～17 | 0.579 | 0.209 | 7.702 | 0.006 | 1.785 | 0.170～0.989 |
| 同伴群体中有人吸香烟 | 是 | 否 | 1.997 | 0.201 | 98.776 | 0.000 | 7.364 | 1.603～2.390 |
), ArticleFig(id=1321169642727526884, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1321169637446898110, language=CN, label=表2, caption=
在校学生电子烟和香烟现在使用的影响因素多因素分析
, figureFileSmall=null, figureFileBig=null, tableContent=
| 影响因素 | 比较组 | 参照组 | β | $S_{\bar x} $ | Wald χ2值 | P值 | OR值 | 95%CI |
|---|
| 现在使用电子烟 | | | | | | | | |
| 性别 | 男性 | 女性 | 1.955 | 0.440 | 19.748 | 0.000 | 7.065 | 1.093～2.817 |
| 家庭资产 | 多 | 少 | 1.383 | 0.374 | 13.677 | 0.000 | 3.988 | 0.650～2.117 |
| 同伴群体中有人吸电子烟 | 是 | 否 | 1.338 | 0.362 | 13.658 | 0.000 | 3.812 | 0.628～2.048 |
| 同伴群体中有人吸香烟 | 是 | 否 | 0.916 | 0.367 | 6.226 | 0.013 | 2.499 | 0.196～1.635 |
| 现在吸烟 | | | | | | | | |
| 性别 | 男性 | 女性 | 2.342 | 0.293 | 64.019 | 0.000 | 10.399 | 1.768～2.915 |
| 年龄/岁 | 18～24 | 15～17 | 0.579 | 0.209 | 7.702 | 0.006 | 1.785 | 0.170～0.989 |
| 同伴群体中有人吸香烟 | 是 | 否 | 1.997 | 0.201 | 98.776 | 0.000 | 7.364 | 1.603～2.390 |
), ArticleFig(id=1321169644375888357, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1321169637446898110, language=EN, label=Tab.3, caption=
Differential effects of gender, age, parents′ marital status, household assets, having peers who use e-cigarettes, having peers who smoke cigarettes, exposure to tobacco advertising, and exposure to health education on e-cigarette use and cigarette smoking among 2 467 school students
, figureFileSmall=null, figureFileBig=null, tableContent=
| 各类因素 | 电子烟 β1 | 香烟 β2 | Wald χ2值 | P值 |
|---|
| 性别 | 1.917 | 2.380 | 1.25 | 0.264 |
| 年龄 | −0.380 | 0.546 | 8.48 | 0.004 |
| 父母婚姻状况 | −0.806 | −0.109 | 3.23 | 0.072 |
| 家庭资产多少 | 1.434 | 0.222 | 12.94 | 0.000 |
| 同伴群体中有人吸电子烟 | 1.171 | −0.275 | 12.61 | 0.000 |
| 同伴群体中有人吸香烟 | 1.071 | 2.143 | 6.67 | 0.010 |
| 接触电子烟或香烟广告的频率 | 0.875 | 0.439 | 0.86 | 0.353 |
| 接触健康科普知识的频率 | −1.066 | −0.253 | 2.80 | 0.094 |
), ArticleFig(id=1321169644472357350, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1321169637446898110, language=CN, label=表3, caption=
不同影响因素对在校学生电子烟与香烟使用的效用差异
, figureFileSmall=null, figureFileBig=null, tableContent=
| 各类因素 | 电子烟 β1 | 香烟 β2 | Wald χ2值 | P值 |
|---|
| 性别 | 1.917 | 2.380 | 1.25 | 0.264 |
| 年龄 | −0.380 | 0.546 | 8.48 | 0.004 |
| 父母婚姻状况 | −0.806 | −0.109 | 3.23 | 0.072 |
| 家庭资产多少 | 1.434 | 0.222 | 12.94 | 0.000 |
| 同伴群体中有人吸电子烟 | 1.171 | −0.275 | 12.61 | 0.000 |
| 同伴群体中有人吸香烟 | 1.071 | 2.143 | 6.67 | 0.010 |
| 接触电子烟或香烟广告的频率 | 0.875 | 0.439 | 0.86 | 0.353 |
| 接触健康科普知识的频率 | −1.066 | −0.253 | 2.80 | 0.094 |
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