北京市疾病预防控制中心系统控烟现状调查

A survey on tobacco control in the center for disease control system in Beijing

目的了解北京市疾病预防控制中心(CDC)系统工作人员控烟能力及控烟环境现状,为CDC系统开展控烟工作提供参考依据。方法采用普查的方法,对北京CDC系统所有在职工作人员进行问卷调查,同时,对每个CDC室内外环境的吸烟情况进行3d现场观察,以了解控烟规定的执行情况。结果北京市CDC系统工作人员的吸烟率为21.6%,其中男性45.2%,高于女性5.2%;无论男性还是女性,吸烟率均随年龄的增加而增加;被动吸烟率为49.0%;烟草危害健康核心知识的知晓率普遍较高,为77.1%～98.9%;非吸烟者和吸烟者支持中心全面禁烟的比例差别较大,分别为87.6%和51.2%;北京市12个CDC有全面禁止吸烟的规定,6个CDC有部分场所禁止吸烟的规定,另有2个CDC对吸烟行为没有任何限制;CDC内吸烟现象比较普遍,其中62.5%的吸烟者在非吸烟区吸烟,且在非吸烟区吸烟遇到劝阻的比例只有30%。结论北京市CDC系统的控烟工作有一定的基础,但仍需在吸烟者教育和政策制定及有效执行方面做大量工作。

Objective The study was conducted to evaluate the effect of tobacco control among the staffs and the tobacco control environment in the center for disease control （CDC） system in Beijing, provide the basis for the extension of tobacco control in CDC system. Methods Questionnaire surveys were conducted among the staffs of Beijing CDC system and a three-day on-site inspection of indoor and outdoor smoking for each CDC was performed to evaluate the performance of tobacco control strategies. Results The smoking rate among CDC staffs was 21.6% with 45.2% for men and 5.2% for women. The smoking rate increased with age regardless of the gender. The passive smoking rate was 49.0%. Awareness of the hazards of smoking was relatively high （77.1%-98.9%）. Different proportions of nonsmokers and smokers were observed on the acceptance of complete tobacco control in CDC （87.6% and 51.2% respectively）. Complete tobacco control was implemented in 12 CDCs in Beijing and partial control in 6 CDCs, whereas no tobacco control was carried out in 2 CDCs. Generally, smoking was common in these centers with 62.5% of smoking happened in the non-smoking area, and only 30% of these smoking were dissuaded. Conclusion Some progress had been made on the tobacco control in Beijing CDC system, but there are still plenty to do on the tobacco control, particularly on the education for smokers, strategy development and its effective implementation.