The Effect Of Smoking Prevention Among Junior Middle School Students In Yanji City

Objective:To investigate middle school students'smoking-related health knowledge level,attitudes towards smoking and smoking behavior in Yanji city; To clarify the changes of smoking-related health knowledge,attitude and behavior after the school-based smoking prevention.Methods:This study is a quasi-experimental one,one group pretest-posttest design using accidental sampling method to select 640 seventh grade students in a middle school in Yanji City.640 questionnaires were distributed, while 627 valid questionnaires were effective and the effective rate is 97.97%.The intervention was lasting for three weeks, the middle school students had school-based intervention weekly."Youth Smoking Survey Questionnaire", is from Li Chunyu (2008),which is according to the World Youth Tobacco Survey (Global Youth Tobacco Survey GYTS), 2004 U.S. National Youth Tobacco Survey questionnaire, Johnson (2006) and some of the Chinese relevant questionnaire (2007).Evaluate the effect of the school-based smoking prevention intervention.Using SPSS for Windows 13.0 statistical software to analyze the data.Results:The results show that the number of smokers among the study objects is 53 (8.5%).The smoked study objects'minimum age is 13 years old, maximum age is 16 years old, and the average age of the smoked study objects is 14.53±0.799.45 (47.4%) smokers lit up their first cigarette was sent by friends.The main reason for the firstly smoking is curiosity27 (57.4%), the firstly feeling of smoking mostly is cough (51.1%) and nausea (37.8).Most study objects know the health effects of smoking on lung,the awareness rate of lung cancer can be as high as 85.6%, but as to cardiovascular and other diseases caused by smoking, the awareness rate is low, particularly diabetes mellitus (9.8%), stroke (9.6%).Smoking-related attitudes on the right holds a higher rate, but between the smoking group and non-smoking group the items such as smoking will have many young people friends, smoking looks cool, do not accept other people's cigarette is impolite, should prohibit all tobacco advertising, statistically significant by using Chi-square test(P<0.05).To compare the future smoking intentions of smoking group and non-smoking group of students using statistical analysis P<0.05, statistically significant.473 (79.9%) of the study objects reported the views of parents to decide whether to do their smoking is very important.261 (42.0%) study objects reported the school occasionally to carry out health education about smoking.After the intervention,there is no significant change in study objects'smoking behavior,χ2 value is 1.508, P=0.680.Knowledge score before the intervention totally is 6.29±2.420, after the intervention the total knowledge score is 8.86±2.69, t as 17.354, P as 0.000, showing that there is statistically significant in the differences of smoking-related knowledge score between the pre and post investigation.The rate of most smoking-related attitude items are high both before and after smoking prevention intervention,compared by chi-square test,there is no change in attitudes,it has not significantly different. Only on such three items,which are raised the cigarette tax and cigarette prices, smoking in public places should be a total ban and prohibit tobacco advertising, before and after smoking prevention intervention by the Chi-square test, P value is less than 0.05, the two groups was statistically significant.The situation of study objects' passive smoking problem after the intervention has not been changed, but they can persuade the people around to stop smoking, not to smoke in public places and not to passing cigrettes, before and after smoking prevention intervention through chi-square test P<0.05,statistically significant.Conclusion:This study indicates the importance of school-based smoking prevention intervention,school is the place which students massed in.Though out the school-base prevention intervention,the smoking-related health knowledge rate was improved in a short term.The students in middle school have not contact with cigarette or the contract time is not long,intervention in time would control the developing rate in some extent,so school-based prevention intervention is very necessary.