上海市浦东新区社区医务人员知晓和支持《烟草控制框架公约》情况调查

Knowledge of and support for Framework Convention on Tobacco Control among community medical workers:survey in Pudong New District,Shanghai

目的了解上海浦东新区社区卫生服务中心医务人员对世界卫生组织《烟草控制框架公约》的知晓和支持情况。方法采用问卷调查方式,在上海市浦东新区30个社区卫生服务中心随机抽取17个,对其1305名医务人员进行了整群抽样的横断面调查。结果54.7%的医务人员听说过中国已于2005年批准了实施世界卫生组织《公约》。管理者对此知晓率最高为68.4%,男性知晓率为60.6%,女性知晓率为52.5%,男性高于女性(P<0.01)。88.3%的社区卫生服务中心医务人员对我国实施《公约》表示完全支持。全科医生支持率最高,为92.0%,管理者支持率较低,为77.5%,并有2.5%管理者不支持《公约》的实施,现在吸烟、不知晓《公约》的人更少地支持《公约》。获知《公约》的主要途径是广播电视,为50.1%。结论社区医务人员有近一半的人不知道我国已经批准了实施世界卫生组织《公约》,吸烟的人支持《公约》实施的较少。

Objective To investigate the current understanding of and supporting attitude toward the Framework Convention on Tobacco Control （FCTC） among the medical workers of the community health service centers in Pudong New District, Shanghai. Methods Seventeen community health service centers were selected randomly from the 30 community health service centers in Pudong New District, Shanghai. A questionnaire survey was conducted among the 1305 medical workers, 371 males （28.4%） and 934 females（71.6% ） of these 17 community health service centers by cluster sampling. Results The general current smoking rate was 17. 8%. The current smoking rate of the male respondents was 58. 2%, significantly higher than that of the female respondents （ 1.7% ,P 〈 0. 01 ）. 54. 7% of the respondents had heard of China＇ s approval of FCTC in 2005, The knowledge rate of FCTC of the male respondents was 60. 6%, significantly higher than that of the female respondents （52. 5%, P 〈 0. 05 ）. The knowledge rates of FCTC of the administrative personnel, general parishioners, and pharmacists were 68. 4%, 58%, and 47.6% respectively. The knowledge rate those aged ≥50 was 67.9% , significantly higher than those aged 〈 24 （38.0%）. 88. 3% of the respondents expressed their support to the FCTC, and the support rates of the general parishioners, nurses, and administrative personnel were 92% , 91.1%, and 77.5% respectively. 2. 5% of the administrators were absolutely against the FCTC. The current smokers and the respondents who knew nothing about the treaty lend less support to FCTC. The knowledge about the treaty of the respondents mainly came from mass media, especially broadcasting and TV, about 50. 1%. Conclusion Nearly half of the medical workers surveyed know nothing about FCTC. There are significant differences in knowledge rate among different professions. The higher the age the higher the knowledge rate, and a part of them refuse to support the treaty.