社会转型中城市人群心理压力研究.ppt

1、Smoking Patterns among Chinese Rural-Urban Migrant Workers 农村流动人群吸烟模式,Tingzhong Yang Center for Tobacco Control Research, Zhejiang University School of Medicine,Objective,To estimate smoking prevalence and identify correlates of smoking initiation among rural-urban migrant workers.流动期吸烟启动因素,Signific

2、ance,1.Avaluete smoking trend in period of migrant 2. Tailed management measures in considering no smoking policy.,Theories and hypothesizes,Stress relief theory. Yin-Yang theory,by rapid modernization and industrialization, there is massive rural-to-urban migration. The number is 160 million in 201

3、0, which will represent approximately 25 % of the Chinese working population(National Bureau of Statistics of China,2011).有大量流动人群 We hypothesize that this population may be highly susceptible to tobacco use for a number of reasons. Mainly related to adaptation to urban life and unstable living situa

4、tions , may trigger smoking among the migrantsNiaura R,2002; Baluja KF,2003; Yang T,2007)and Yin-Yang problem.假设流动致高吸烟率,Methods,A multi-stage cluster sampling procedure was to select our subjectsChen X, Prev Med, 2004)Yang T, Social Behavior and Personality,2006). 多阶段抽样 In Stage 1, we selected three

5、 cities: Chengdu, Shanghai, and Beijing. 选三城市 In Stage 2, we obtained a composite sample by occupational cluster and worksite, which Three types of worksites and subsets were used,(1) factory site (2) construction sites 3) service sites .按工作场所选抽样单位 In Stage 3, we selected as eligible participants ru

6、ral-urban migrant workers who were aged 18 years or older.,Data collection,Data were collected by trained interviewers through face-to-face interviews in the households of participants. 面对面访谈 Pre-migration smoking status was assessed retrospectively, which was tested to be valid. Nicotine Dependence

7、: assessed using Mandarin Chinese Version of the Fagerstrm Test for Nicotine Dependence (CFTND) Yang and Saul , Nicotine Tob Res,2011.尼古丁依赖,Results,* A total of 4,198 migrant workers participated in our survey. *Overall smoking prevalence was higher subsequent to migration (28.4%) than prior (20.6%)

8、 (p0.01).流动前后吸烟率 *The total CFND score for all current daily smokers was 3.39( SD: 2.32) .尼古丁依赖分值,Both post-migration prevalence of overall smoking and occasional smoking exceeded pre-migration figures (Table 1).流动前后吸烟率 Smoking initiation during the migration period varied by sociodemographic and mi

9、grant characteristics of participants (Table 2).吸烟启动因素 The results of the MANOVA analyses of CFTND scores among daily smokers(Table 3).依赖分析,Smoking initiation situations for smokers(Table4) 吸烟启动情境 migrant smoking prevalence table.doc,Discussion,Our study shows that smoking prevalence increased among

10、 rural-urban migrant workers pursuant to their city migration. This due to solitude, stress, and higher income, the migrants are at excess risk of becoming smokers, whether daily or occasional(Niaura R, Addict Behav,2002; Baluja KF, Am J Public Health,2003; Yang T, Health Behavior Theory and Researc

11、h,2007).,First migration, length of migration, and number of cities ever lived were associated with nicotine dependence. Smoking behavior among rural-urban migrant can be interpreted by stress relief and Yin-Yang theory. Smoking means Yin and Yang are out of balance(excess of Yin) among rural-urban

12、migrant. 压力释放和阴阳理论,Policy application,*Regulate relationship between Yin and Yang. Build community worknet to make them to social participant. Provide social support and emotional support, and service (Yang T, Community mental health journal,2011). Orginize social activities in work unit. 调整阴阳关系 *Tailed education and management measures target rural-urban migrants in,considering no smoking public place and work setting policy. (Often smoking rate in banning public