Beijing Students' Smoking Behavior And A Variety Of Health Risk Behaviors Study

Objective:To identify the smoking behaviors among secondary school students in Beijing, to explore the relationship between smoking behaviors and numbers of health-risk behaviors and to provide the evidences for establishing integrated health promotion model.Methods:Stratified cluster sampling method was used to produce representative sample of secondary school students. Middle level school was selected according to the local economical status and school status. Students were asked to complete a self-administered anonymous questionnaire in class.Results:7184 valid questionnaires were collected. The experienced smoking rate were 28.46% of male and 10.99% of female. The percentage of male and female students who reported smoking before age of 13 years were 17.05% and 4.35% respectively. The prevalence rate of current smoking was 13.53% in male students and 2.05% in female students. Those rates of male were significant higher than those rates of female (x2=350.632, P<0.01; x2=309.876, P<0.01; x2=338.618, P<0.01). The experienced smoking rate in students from urban was 15.48% while that rate in students from rural area was 23.16%.7.99% students from urban and 12.82% students from rural finished their first cigarette before 13 years old. The current smoking rate was 4.74% in students from urban and 10.31% in students from rural area. Those rates of students from rural area were significant higher than those rates of students from urban area (x2=67.924, P<0.01; x2=44.911, P<0.01; x2=79.889, P<0.01). The average age of onset of smoking was 12-13 years old. The graduate grades have higher prevalence rates of smoking behaviors than other grades. The incidence of risk behaviors in smoking group were higher than non-smoking group in dieting, fighting, intended suicide, drinking, internet addiction behaviors. There were closed relationship between smoking behaviors and fighting, intended suicide and alcohol using behaviors.Conclusion:Valid strategies aimed specially to the key population, such as male students, primary school students, graduate grade, students from rural area, should be designed and implemented together with the regular programs. Smoking behaviors can be used to predict other health-risk behaviors. Integrated health promotion strategy which designed according to the common causes of addicting to smoking and other health-risk behaviors is more meaningful.