江苏省医务人员吸烟现况及相关认知与态度调查

A Investigation on Smoking Status of Medical Personnel and Related Knowledge and Attitudes Survey in Jiangsu Province

目的了解江苏省医务人员的吸烟状况及相关认知与态度,为控烟政策的制定提供科学依据。方法 2009年4—5月,采用随机抽样方法抽取江苏省六市(县)30所医疗卫生机构的3 035名医务人员进行吸烟相关的问卷调查。结果江苏省医务人员吸烟率为20.1%,现在吸烟率为17.3%,吸烟者日平均吸烟量为(12.7±8.8)支。医务人员对烟草与疾病认知得分为(32.78±5.95)分;83.3%的医务人员回答所在单位有完全或部分禁烟规定,而只有44.6%的医务人员认为所在单位的禁烟规定执行得好;70.1%的医务人员支持所在单位室内完全禁烟,影响其对单位室内完全禁烟态度的因素主要是吸烟状况(OR=2.607,95%CI=2.046～3.321),认知水平(OR=1.694,95%CI=1.440～1.992)及卫生机构类别(以行政部门为对照,(OR医院=1.449,95%CI=1.110～1.890;OR疾控=1.466,95%CI=1.106～1.945)。结论江苏省医务人员中男性现在吸烟率较高,对单位室内完全禁烟支持率较高,在烟草与疾病认知方面还需要进一步提高。应对医务人员的吸烟行为进行干预,加强控烟知识和戒烟技能培训,推动无烟单位创建活动,使其在烟草控制工作中起到表率和支持作用。

Objective To investigate the behavior,knowledge and attitudes of cigarette smoking among medical staff in Jiangsu Province.Methods By random sampling,we selected 3 035 medical staff from thirty medical and health institutions in six cities in 2009 for questionnaire interview.Results The overall rates of smoking and current smoking was 20.1% and 17.3% respectively.The mean of daily smoking was（12.7±8.8） cig/day.The mean score of the knowledge on smoking-related disease was 32.78±5.95.83.3% of the medical staff answered that there was completely or partially smoking-ban in their units,while only 44.6% of them thought the smoking-ban was well executed.The proportion of supporting smoking-ban in door was 70.1%.Factors influencing medical staff＇s attitudes to total smoking-ban in door were smoking status（OR=2.607,95%CI=2.046~3.321）,the level of knowledge about cigarette（OR=1.694,95%CI=1.440~1.992） and the classification of medical and health institutions（OR1= 1.449,95%CI1=1.110~1.890;OR2=1.466,95%CI2=1.106~1.945）.Conclusion The smoking behavior of medical staff should be forbidden and they should be trained to acquire the knowledge of how to control smoking and skill of stop smoking.