上海市潍坊社区卫生服务中心男性就诊人群吸烟状况调查

Status of Smoking:An Investigation of Male Visitors to Weifang Community Health Service Center in Shanghai

目的：调查社区卫生服务中心男性就诊人群的吸烟状况，分析现在吸烟者的吸烟行为特点及戒烟意愿，为社区开展控烟服务制定有针对性的控烟服务措施提供基础信息。方法采用横断面调查的方法，于2013年2-4月对上海市浦东新区潍坊社区卫生服务中心805例18-75岁的男性就诊者进行问卷调查。结果男性就诊者中现在吸烟率为44.8%（361例）；46-60岁人群的吸烟率最高，达69.4%（136例）；现在吸烟人群中曾戒烟率为46.3%（167例），戒烟最主要的原因是健康问题或疾病，占50.3%（84例）。88.6%（148例）采取自我干预的方法戒烟，79.0%（132例）戒烟持续时间不超过半年。仅54.6%（197例）的现在吸烟者想到过、准备或已开始戒烟，接受到戒烟规劝的吸烟者戒烟愿望较强。结论46-60岁男性就诊者是社区控烟的重点人群。需要提高社区医生主动提供控烟服务的意识，并对社区医生进行系统的控烟技能培训。

Objective To investigate the smoking status of male visitors to community health service center and analyze the characteristics of smokersˊbehaviors and their intention to quit,to provide a basis for formulating targeted measures for tobac-co control. Methods Form 2013 February to April,cross-sectional survey were used to perform a questionnaire in 805 male visitors to this center,aged 18-75 years. ResUlts The smoking rate of male visitors was 44. 8%（361 cases）,that of those aged 46-60 years was the highest,up to 69. 4%（136 cases）. The ever-having-smoking-quitting rate of present smokers was 46. 3%（167 cases）. The main reason for quitting smoking was health or diseases,accounting for 50. 3%（84 cases）. 88. 6%（148 cases） quitted smoking by self-intervention,79. 0%（132 cases）continued less than half a year. Only 54. 6%（197 cases）of present smokers were going to or started to quit smoking. Admonishment increases smokersˊ aspiration to quit smoking. ConclUsion Male visitors aged 45 -60 years are focus group of community smoking control. Community physicians should improve the initiative to provide smoking control services.