Abstract: Objective To explore the smoking behavior characteristics and related factors of young and middle-aged male patients with stroke in Zunyi, so as to provide reference for making intervention measures. Methods A questionnaire survey was conducted among young and middle-aged male smokers with stroke in a hospital in Zunyi City in 2018. The survey contents included general information (education, age, occupation, marital status, place of residence), smoking status (volume of cigarette smoked, smoking years), and the Nicotine Dependence Scale. Univariate and multivariate logistic regressions were used to analyze influencing factors of smoking. Result sA total of 120 male young and middle-aged stroke patients were included in this study. Of the participants, the age was mainly 40 to 59 years old, accounting for 60.00%; the occupation was mainly manual labor, accounting for 58.33%; the marital status was mainly married, accounting for 70.00 %; nicotine dependence was mainly highly dependent, accounting for 45.00%; household income was mainly middle-income, accounting for 54.17%. The average smoking volume was (24.17 ± 4.01) cigarettes/day, 15 (12.5%) were mild smokers, 32(26.7%) moderate, and 73(60.8%) severe. Multivariate logistic regression model showed that the male young and middle-aged stroke patients who were older (OR=6.044), with the occupation of manual labor (OR=3.935), divorced (OR=4.007), and had higher nicotine dependence (OR =6.913) were more likely to smoke more cigarettes; while those with higher educational level (OR=0.420) were more likely to smoke less. Conclusion Young and middle-aged male patients with stroke in Zunyi smoked more. The risk factors for smoking were older age, manual labor, divorce, and high nicotine dependence. Relevant departments can make corresponding intervention measures according to the characteristics of this population to reduce the stroke risk.

Key words: Stroke, Male, Young and middle-aged, Smoking behavior, Influencing factors