目的:了解苏州高职学生吸烟现状及影响因素,为制定控烟措施提供科学依据。方法:采用分层整群随机抽样的方法,抽取苏州市5所高职院校在校966名学生进行问卷调查。结果:尝试吸烟率和现在吸烟率分别为35.8%和19.6%;多因素Logistic回归分析显示:男生(OR=5.20)、母亲吸烟(OR=7.68)、父亲吸烟(OR=3.77)、父亲文化程度(中学OR=3.02,大学OR=4.29)是尝试吸烟的危险因素,母亲文化程度(中学OR=0.47,大学OR=0.36)是尝试吸烟的保护因素;男生(OR=5.36)、母亲吸烟(OR=7.85)、父亲吸烟(OR=3.80)、二年级(OR=1.42)、父亲文化程度(中学OR=2.11,大学OR=2.30)是现在吸烟的危险因素。结论:苏州高职学生尝试吸烟率和现在吸烟率较高,应加强无烟校园环境和家庭环境的建设,双管齐下进行控烟教育。 Objective: To understand the smoking status and influencing factors of students in higher vocational colleges in Suzhou and to provide a scientific basis for tobacco control measures. Methods: A stratified cluster random sampling method was used to select 966 students from 5 higher vocational colleges in Suzhou City for questionnaire survey. Results: The smoking prevalence rate and current smoking rate were 35.8% and 19.6% respectively. Multivariate logistic regression analysis showed that boys (OR = 5.20), maternal smoking (OR = 7.68), fathers smoking (OR = 3.77) (OR = 3.02 in secondary school, OR = 4.29 in university) was the risk factor for smoking. The educational level of mother (OR = 0.47 in secondary school, OR = 0.36 in university) was the protective factor of smoking cessation; = 7.85), smoking in father (OR = 3.80), second grade (OR = 1.42), father’s educational level (secondary OR = 2.11, university OR = 2.30) were the risk factors for smoking. Conclusion: Higher vocational students in Suzhou try to smoke rate and the current smoking rate is higher, we should strengthen the construction of smoke-free campus environment and family environment, and conduct a two-pronged approach to tobacco control education.