Objective: To understand the prevalence and influence factors of smoking and drinking among middle shool students of Tujia and Miao in Xingxi Area.
Methods: By the method of layered, random and total sampling, questionnaire survey about smoking and alcohol drinking was taken to 2360 Tujia and Miao students. Logistic regression analysis was used to analyze the influence factors.
Results: The rates of try smoking and drinking were 39. 92% and 64. 87% . The rates of current smoking and drinking were 20. 04% and 26. 36%, the rates of smoking-drinking at the same was 12. 37%. The rates of start smoking and drinking before 13 years old were 30. 00% and 31. 95%. Logistic regression analysis result showed that the risk factors of current smoking were schoolboy (OR = 9. 765, P = 0. 000) and suicidal ideation (OR = 2. 139, P = 0. 000), the protective factors were city(OR = 0. 678, P = 0. 020)and school record (average OR = 0. 580, P = 0. 003,above average or good OR = 0. 477, P = 0. 002). The risk factors of current drinking were senior school (OR = 1. 438, P = 0. 005 ), Tujia (OR = 1. 784, P = 0. 000), mother' s degree of education(junior or senior school OR = 1. 330, P = 0. 045, college and above OR = 2. 938, P = 0. 000), depression (OR = 1. 570, P = 0. 004)and fight (OR = 1. 755, P =0. 000), the protective factor was school record (above average or good OR = 0. 646, P = 0. 019). The risk factors of smoking-drinking at the same were schoolboy (OR = 7. 246, P = 0. 000), left-behind children (OR = 1. 412, P = 0. 023), lonely (seldom or sometimes OR = 1. 646, P = 0. 030, often or always OR = 2. 193, P = 0. 006), insomnia (often or always OR = 2. 396, P = 0. 001), depression (OR = 1. 552, P =0. 018), fight (OR = 3. 432, P = 0. 000)and suicidal ideation (OR = 1. 918, P = 0. 001),the protective factors were in dad mood (seldom or sometimes OR = 0. 362, P = 0. 000, often or always OR = 0. 386, P =0. 001) and school record (average OR =0. 587, P =0. 001, above average or good OR = 0. 354, P =0. 000).
Conclusion: Tujia and Miao boys were more prone to smoking and smoking-drinking, the risk of smoking-drinking was significantly increased because of depression, fight and suicidal ideation, good school record was the protective factor of smoking, drinking and smoking-drinking.