長春地區(qū)農(nóng)村居民吸煙情況及其影響因素研究,碩士論文

長春地區(qū)農(nóng)村居民吸煙情況及其影響因素研究,碩士論文目的：為了解2021年長春市三縣區(qū)〔九臺區(qū)、農(nóng)安縣、德惠市〕農(nóng)村居民吸煙現(xiàn)況及其影響因素，進一步了解以上三縣區(qū)基層健康教育控?zé)熜麄鞴ぷ魉健?、研究方式方法：包括文獻分析法及問卷調(diào)查法。文獻分析法通過對煙草危害、控?zé)熃】到逃obacco、HarmfulnessofSmoking、GiveupSmoking等本文關(guān)鍵詞語進行進行檢索，并結(jié)合實際情況進行分析；問卷調(diào)查法是根據(jù)2021-2021年國家成人煙草流行監(jiān)測項目在長春地區(qū)的監(jiān)測點抽樣結(jié)果，結(jié)合工作實際結(jié)合樣本量估算，在長春市五個農(nóng)村縣區(qū)采用方便抽樣的方式方法抽取三個縣區(qū)〔九臺區(qū)、農(nóng)安縣及德惠市〕進行問卷調(diào)查，每區(qū)抽取調(diào)查對象500人，三區(qū)總計調(diào)查對象1500人即本研究的樣本量。2、統(tǒng)計分析方式方法：對收集整理后得到的問卷使用EpiDate3.0進行數(shù)據(jù)錄入，采用SPSS24.0統(tǒng)計軟件進行描繪敘述性統(tǒng)計與分析，針對不同人群，采用卡方檢驗進行單因素分析，將單因素分析中的可能與吸煙相關(guān)的因素納入Logistic回歸分析，并計算各研究因素與研究對象吸煙行為的關(guān)聯(lián)強度OR值及其95%CI。在吸煙人群中進行分類變量的關(guān)聯(lián)性分析，判定有戒煙意愿者能否與參加基層醫(yī)療衛(wèi)生機構(gòu)的宣傳活動有關(guān)以及有戒煙打算的研究對象中又有多少人真的將戒煙付諸于行動。1．2021年長春市三縣區(qū)〔九臺區(qū)、農(nóng)安縣、德惠市〕農(nóng)村居民吸煙率約為70.7%；男性吸煙率為80.5%，女性吸煙率為59.1%。2．Logistic回歸分析顯示，被調(diào)查對象的性別、年齡、受教育程度、家庭人均年收入、能否經(jīng)常參加戶外體力活動、家里能否允許吸煙、所在基層醫(yī)療衛(wèi)生機構(gòu)健康教育活動能否包含控?zé)熤黝}、健康教育宣傳資料能否包含控?zé)焹?nèi)容均構(gòu)成研究對象吸煙行為的獨立影響因素。3．對研究對象中的吸煙人群來講，參加社區(qū)衛(wèi)生宣傳活動與研究對象戒煙意愿之間有關(guān)聯(lián)性〔P0.05〕關(guān)聯(lián)強度r=0.229，在本次被調(diào)查對象的1060個吸煙者中，有戒煙意愿的有431人，占吸煙人群的40.7%，在有戒煙意愿者中戒過煙的有36人，占有戒煙打算的8.4%。1．2021年長春市三區(qū)縣〔九臺區(qū)、農(nóng)安縣、德惠市〕農(nóng)村居民吸煙率較高，男性吸煙率高于女性吸煙率，被調(diào)查地區(qū)居民吸煙情況較為嚴重。2．基層醫(yī)療衛(wèi)生機構(gòu)健康教育活動不包含控?zé)熤黝}、健康教育宣傳資料上無控?zé)焹?nèi)容、家里允許吸煙為研究對象吸煙行為的危險因素。年齡的降低、女性、受教育程度相對較高、家庭人均年收入相對較多、少量的戶外活動為研究對象吸煙行為的保衛(wèi)因素。3．對于研究對象中的吸煙人群而言，有戒煙想法者與其參加社區(qū)衛(wèi)生宣傳活動之間存在關(guān)聯(lián)性，參加社區(qū)衛(wèi)生宣傳活動對其產(chǎn)生戒煙想法有積極作用。4．長春市三區(qū)縣〔九臺區(qū)、農(nóng)安縣、德惠市〕農(nóng)村地區(qū)基層健康教育工作在控?zé)熜麄髁Χ确矫嬗兴啡保€需進一步加強，必要時可針對重點人群開展系統(tǒng)的控?zé)熛嚓P(guān)知識培訓(xùn)。本文關(guān)鍵詞語：農(nóng)村居民吸煙現(xiàn)況影響因素健康教育ABSTRACTObjective:Inordertounderstandthesmokingstatusandinfluencingfactorsofruralresidentsinthreecountiesanddistricts(JiutaiDistrict,NonganCounty,DehuiCity)ofChangchunCityin2021,tofurtherunderstandthelevelofgrassrootshealtheducationtobaccocontrolpublicityintheabovethreecounties.Method:1.Researchmethods:Includingliteratureanalysismethodandquestionnairesurveymethod.Theliteratureanalysismethodsearchesforkeywordssuchastobaccohazards,tobaccocontrolhealtheducation,Tobacco,HarmfulnessofSmoking,GiveupSmoking,etc.,andanalyzestheactualsituation;thequestionnairesurveymethodisbasedonthe2021-2021nationaladulttobaccoepidemicmonitoringprojectThesamplingresultsofthemonitoringpointsinChangchunarea,combinedwiththeactualworkandsamplesizeestimation,wereusedinthefiveruralcountiesofChangchunCitytouseconvenientsamplingmethodtoselectthreecounties(JiutaiDistrict,NonganCountyandDehuiCity)forquestionnaireIneachdistrict,500respondentswereselected,andatotalof1,500respondentsinthethreedistrictsisthesamplesizeofthisstudy.2.Statisticalanalysismethod:ThedatacollectedfromthecollectedquestionnaireswerecollectedusingEpiDate3.0,SPSS24.0statisticalsoftwarewasusedfordescriptivestatisticsandanalysis,andchi-squaretestwasusedforunivariateanalysisfordifferentpopulations.Relevantfactorswereincludedinthelogisticregressionanalysis,andtheORvalueand95%CIofthecorrelationstrengthbetweeneachresearchfactorandthesmokingbehavioroftheresearchsubjectswerecalculated.Correlationanalysisofcategoricalvariablesamongsmokerswasconductedtodeterminewhetherthosewhowishedtoquitsmokingwereinvolvedinthepublicityactivitiesofprimaryhealthcareinstitutionsandhowmanyoftheresearchsubjectswhoplannedtoquitsmokingreallyputsmokingcessationintoaction.Results:1.In2021,ruralresidentsinthreecounties(JiutaiDistrict,NonganCounty,DehuiCity)ofChangchunCityaccountedforabout70.7%ofthetotalpopulation;malesmokersaccountedforabout80.5%ofthetotalnumberofmalesinthisgroup,femalesSmokersaccountforabout59.1%ofthetotalnumberofwomeninthisgroup.2.Logisticregressionanalysisshowedthattherespondentsgender,age,educationlevel,percapitaannualhouseholdincome,whethertheyoftenparticipateinoutdoorphysicalactivities,whethersmokingisallowedathome,andwhetherhealtheducationactivitiesintheprimarymedicalandhealthinstitutionsinwhichtheyareincludedThethemeoftobaccocontrol,whetherhealtheducationpublicitymaterialscontaintobaccocontrolcontentareallindependentfactorsthatinfluencethesmokingbehaviorofthestudysubjects.3.Forthesmokersintheresearchsubjects,therewasacorrelationbetweenparticipationincommunityhealthpromotionactivitiesandthesubjectswillingnesstoquitsmoking(P0.05).Thecorrelationstrengthr=0.229.Amongthe1060smokersinthissurvey,Therewere431peoplewhowerewillingtoquitsmoking,accountingfor40.7%ofthesmokingpopulation,and36peoplewhohadquitsmoking,accountingfor8.4%oftheirintentionstoquitsmoking.Conclusion:1.In2021,thesmokingrateofruralresidentsinthreecounties(JiutaiDistrict,NonganCounty,DehuiCity)ofChangchunCitywasabout70.7%;thesmokingrateformenwas80.5%andthesmokingrateforwomenwas59.1%.2.Thehealtheducationactivitiesofprimarymedicalandhealthinstitutionsdonotincludethethemeoftobaccocontrol,nocontentoftobaccocontrolinhealtheducationpublicitymaterials,andsmokingathomeisariskfactorforsmokingbehaviorofthestudysubjects.Decreaseinage,women,relativelyhigheducationlevel,relativelyhighannualhouseholdincomepercapita,andasmallamountofoutdooractivitiesaretheprotectivefactorsforsmokingbehaviorofthestudysubjects.3.Forthesmokersinthestudysubjects,thosewhohadanideatoquitsmokingwereassociatedwiththeirparticipationincommunityhealthpromotionactivities.Participatingincommunityhealthpromotionactivitieshasapositiveeffectontheirideaofquittingsmoking.4.Primaryhealtheducationinruralareasofthreedistrictsandcounties(JiutaiDistrict,NonganCounty,andDehuiCity)ofChangchunCityislackingintobaccocontrolpublicityandneedstobefurtherstrengthened.Ifnecessary,systematictobaccocontrolrelatedtokeypopulationsKnowledgetraining.Keywords:RuralresidentsSmokingstatusInfluencefactorsHealthEducation幅較長,部分內(nèi)容省略,具體全文見文末附件第5章結(jié)論1、2021年長春市三區(qū)縣〔九臺區(qū)、農(nóng)安縣、德惠市〕農(nóng)村居民率較高，男性吸煙率高于女性吸煙率，被調(diào)查地區(qū)居民吸煙情況較為嚴重。2、基層醫(yī)療衛(wèi)生機構(gòu)健康教育活動不包含控?zé)熤黝}、健康教育宣傳資料上無控?zé)焹?nèi)容、家里允許吸煙為研究對象吸煙行為的危險因素。年齡的降低、女性、受教育程度相對較高、家庭人均年收入相對較多、少量的戶外活動為研究對象吸煙行為的保衛(wèi)因素。3、對于研究對象中的吸煙人群而言，有戒煙想法者與其參加社區(qū)衛(wèi)生宣傳活動之間存在關(guān)聯(lián)性，參加社區(qū)衛(wèi)生宣傳活動對其產(chǎn)生戒煙想法有積極作用。4、長春市三區(qū)縣〔九臺區(qū)、農(nóng)安縣、德惠市〕農(nóng)村地區(qū)基層健康教育工作在控?zé)熜麄髁Χ确矫嬗兴啡?，還需進一步加強，必要時可針對重點人群開展系統(tǒng)的控?zé)熛嚓P(guān)知識培訓(xùn)。以下為參考文獻[1]ChunmeiWang,YanyouPan,RuminZhang,BoBai,JingChen,HarpalS.Randeva.HeterodimerizationofMouseOrexintype2receptorvariantsandtheeffectsonsignaltransduction[J].BBA-MolecularCellResearch,2020,1843(3).[2]董鵬,朱三榮,蔡海林,等.湖南煙草病毒病種類檢測與系統(tǒng)進化分析[J/OL].中國煙草科學(xué):1-9[2020-03-07].[3]ChunmeiWang,WenweiLin,HilairePlaya,ShanSun,KeyunaCameron,JohnK.Buolamwini.Dipyridamoleanalogsaspharmacologicalinhibitorsofequilibrativenucleosidetransporters.Identificationofnovelpotentandselectiveinhibitorsoftheadenosinetransporterfunctionofhumanequilibrativenucleosidetransporter4(hENT4)[J].BiochemicalPharmacology,2020,86(11).[4]JonathanM.Samet.TobaccoSmoking[J].ThoracicSurgeryClinics,2020,23(2).[5]孔文茜.高職院校大一新生吸煙現(xiàn)在狀況及影響因素探析[J/OL].寧波教育學(xué)院學(xué)報,2021(06):57-60[2021-12-21].[6]張彥,任旭鍇,李迎迎,等.北京市豐臺區(qū)煙草銷售人員對煙草使用的知信行狀況分析[J].中國健康教育,2020,36(01):53-56.[7]劉雙.控?zé)熃錈?-關(guān)系人民健康的大事[J].心肺血管病雜志,2008(02):117-119.[8]KeyuZhang,XiaoyangWang,ChunmeiWang,HaihongZheng,TaoLi,SuiXiao,MiWang,ChenzhongFei,LifangZhang,FeiqunXue.Investigationofquinocetone-inducedmitochondrialdamageandapoptosisinHepG2cellsandcomparedwithitsmetabolites[J].EnvironmentalToxicologyandPharmacology,2021,39(2).[9]BoBai,LuluLiu,NingZhang,ChunmeiWang,YunluJiang,JingChen.Heterodimerizationofhumanapelinandbradykinin1receptors:Novelsignaltransductioncharacteristics[J].CellularSignalling,2020,26(7).[10]Miguel,Ruiz-Canela,Cristina,Lopez-del,Burgo,Silvia,Carlos,MariaCalatrava,CarlosBeltramo,AlfonsoOsorio,JokindeIrala.Observationalresearchwithadolescents:aframeworkforthemanagementoftheparentalpermission[J].Americanjournalofpublichealth.2020(1)[11]任瑞芳,林秀紅,林燕,繆文雅.知信行形式在普外科手術(shù)患者疼痛宣教中的應(yīng)用[J].中醫(yī)藥管理雜志,2020,22(04):624-625.[12]李欣,欒德春,任時,崔玉豐,劉鐘梅,于欣,馬成鑫.遼寧省20182020年成年居民吸煙行為調(diào)查分析[J].中國慢性病預(yù)防與控制2020,28(01):32-37.[13]鄭敏玲,敖華英.知信行健康教育形式對慢性阻塞性肺疾病患者焦慮心理的影響[J].衛(wèi)生職業(yè)教育,2021,36(15):108-109.[14]ZhanTian,HonglinZhong,LaixiangSun,GntherFischer,HarrijvanVelthuizen,ZhuoranLiang.ImprovingperformanceofAgro-EcologicalZone(AEZ)modelingbycross-scalemodelcoupling:AnapplicationtojaponicariceproductioninNortheastChina[J].EcologicalModelling,2020,290.[15]薛曉丹,鄭文龍,李威,徐忠良,楊溢,沈文達,江國虹.天津市城市居民吸煙現(xiàn)況與影響因素分析[J].中國慢性病預(yù)防與控制,2021,24(06):438-440.[16]AnnaPearce,DanielScalzi,JohnLynch,LisaG.Smithers.Dothin,overweightandobesechildrenhavepoorerdevelopmentthantheirhealthy-weightpeersatthestartofschool?FindingsfromaSouthAustraliandatalinkagestudy[J].EarlyChildhoodResearchQuarterly,2021,35.[17]沈文達，李威，鄭文龍.2020年天津市城區(qū)居民對煙草危害認知及態(tài)度的調(diào)查［J］.實用預(yù)防醫(yī)學(xué)，2021;(9):1032-5.[18]楊焱.煙草的危害、流行特點以及控制策略[J].中國健康教育,2006(05):387-389.[19]綦斐，賈曉蓉，劉輝，等.青島市成年人吸煙、被動吸煙行為及認知現(xiàn)在狀況［J］.中華疾病控制雜志，2021;21(5):439-43.[20]南奕，王立立，陳心悅，等.中國女性對吸煙和二手煙危害認知及二手煙暴露情況分析〔J〕．中國慢性病預(yù)防與控制，2021;23(6):443-5．[21]AlyssaD.Althoff,RussellA.Reeves,SophiaA.Traven,JoshuaM.Wilson,ShaneK.Woolf,HarrisS.Slone.Smokingisassociatedwithincreasedsurgicalcomplicationsfollowingtotalshoulderarthroplasty:ananalysisof14,465patients[J].JournalofShoulderandElbowSurgery,2020,29(3).[22]史玉根.鄉(xiāng)村也應(yīng)力倡控?zé)熆鼐芠N].中國婦女報,2020-02-07(006).[23]于雪.淺析控?zé)熜抛u懲戒措施的適用[J].中國衛(wèi)生法制,2020,28(01):41-45.[24]樸建華,張堅,趙文華,由悅,楊曉光,中國居民營養(yǎng)與健康狀況調(diào)查技術(shù)執(zhí)行組.中國居民營養(yǎng)與健康狀況調(diào)查的質(zhì)量控制[J].中華流行病學(xué)雜志,2005(07):474-477.[25]汪昌蓮.控?zé)熃y(tǒng)一立法有望打破各自為政困局[N].中國勞動保障報,2021-11-25(008).[26]HartwellGreg,EganMatt,PetticrewMark.Understandingdecisionstousee-cigarettesorbehaviouralsupporttoquittobacco:aqualitativestudyofcurrentandex-smokersandstopsmokingservicestaff.[J].Addiction(Abingdon,England),2020,115(3).[27]BeardEmma,JacksonSarahE,WestRobert,KuipersMirteAG,BrownJamie.Population-levelpredictorsofchangesinsuccessratesofsmokingquitattemptsinEngland:atimeseriesanalysis.[J].Addiction(Abingdon,England),2020,115(2).[28]Sco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