职校生抑郁和焦虑情绪对吸烟行为的影响研究

BackgroundPsychological health issues are important factors leading to early exposure to tobacco and smoking at a younger age. This study focuses on vocational school students to explore the effects of anxiety and depression on their smoking behavior and explore effective ways to control smoking. ObjectiveTo explore the effects of depression and anxiety on smoking behavior among vocational school studentsproviding evidence for corresponding control measures. ?MethodsIn October 2021a random cluster sampling method was used to select 5 074 vocational school students in Shanghai for a questionnaire surveywhich included students'?basic informationdepression and anxiety statusand tobacco use. The depression status was assessed using the Patient Health Questionnaire-2PHQ-2 Chinese versionand the anxiety status was assessed using the Generalized Anxiety Disorder-7GAD-7 scale. Tobacco use was divided into four categories based on the World Health Organization's "Global Youth Tobacco Survey Questionnaire""never use" "only use cigarettes" "only use e-cigarettes" and "dual use". A multivariate Logistic regression model was used to explore the influence of depression and anxiety on tobacco use. ResultsA total of 4 890 vocational school students were surveyed and the response rate for the survey was 96.37%. The rates of cigarette usee-cigarette use and dual use were 11.23%271/4 8908.40%133/4 890and 5.69%278/ 4 890respectively. Among them74715.28%1 25925.75% and 55611.37% had depressionmild and moderate to severe anxiety respectively. Multiple Logistic regression analysis shows that depression increases the risk of vocational school students using only cigarettesOR=1.6495%CI=1.20-2.25electronic cigarettesOR=1.8895%CI=1.24- 2.84 and dual useOR=2.3295%CI=1.72-3.12. Mild anxiety increases the risk of dual useOR=1.8195%CI=1.34- 2.44while moderate to severe anxiety increases the risk of using only cigarettesOR=1.6195%CI=1.11-2.33 electronic cigarettesOR=2.1995%CI=1.37-3.5and dual useOR=3.0595%CI=2.16-4.31 Risk. After gender stratificationit was found that depression increased the risk of male students using only cigarettes and dual useP<0.05 and increased the risk of female students using only e-cigarettes and dual useP<0.05. Moderate to severe anxiety increased the risk of male students using three types of tobaccoP<0.05and the risk of dual use for female students was higher than that for male studentsOR values were 5.24 vs 2.77P<0.05. ConclusionDepression and anxiety can increase the risk of smoking behavior in vocational school students. Schools and families should strengthen mental health education of adolescents find and guide adolescents'?negative emotions in timeand strengthen the management of e-cigarette tobacco control on the basis of traditional tobacco controlto prevent dual tobacco use behavior and promote the healthy growth of adolescents.