Analysis of the current status and influencing factors of tabacco use among adolescents in Nanning in 2024

Objective To understand the current status and influencing factors of tobacco use among adolescents in Nanning, and to provide a scientific basis for formulating targeted tobacco control policies.

Methods From April to June 2024, a multi-stage stratified cluster sampling method was used to conduct a questionnaire survey among 9, 817 students from 84 junior high schools, general senior high schools, and vocational high schools in Nanning. SPSS 26.0 was used for the chi-square test and binary logistic regression analysis.

Results The attempted smoking rate of adolescents in Nanning was 11.04%, including 14.42% boys and 7.19% girls. The current smoking rate was 3.45%, including 5.13% boys and 1.55% girls. The current smoking rate and attempted smoking rates were higher among students aged ≥18 years, those from rural areas, and those in vocational high schools. 67.11% of smokers who tried smoking for the first time were 13 years old or younger. Multivariate analysis showed that having smoking friends (current smoking: OR=13.481; trial smoking: OR=5.150), believing that smoking at social gatherings was more comfortable (current smoking: OR=12.226; trial smoking: OR=3.904), perceiving smoking as more attractive (current smoking: OR=2.104, trial smoking: OR=1.709), having cigarette retail outlets within 500 meters of the school gate (current smoking: OR=1.793; trial smoking: OR=1.527), considering it not difficult to quit smoking (current smoking: OR=1.503, trial smoking: OR=1.777), having smoking parents (current smoking: OR=1.336, trial smoking: OR=1.509), and being from rural areas (current smoking: OR= 1.646, trial smoking: OR=1.234) were the main risk factors. For adolescents, being female was a protective factor (current smoking: OR=0.603; trial smoking: OR=0.686).

Conclusion Tobacco use among adolescents in Nanning shows significant differences in gender, age, urban-rural areas, and school types. The influence of social circles, incorrect perceptions of smoking, and easy access to tobacco are the core risk factors.