北京市医疗卫生系统职工吸烟行为调查

The investigation on the smoking behavior of the staff in Beijing medical institutions

目的：了解北京市医疗卫生系统职工吸烟行为现状.方法：采用分层系统抽样方法抽取北京市16个区县医疗卫生机构职工,使用统一的调查问卷、调查员面视下的自填问卷方式进行调查.结果：共调查16个区县69家医疗卫生机构,有效问卷5 527份.北京市医疗卫生系统职工现在吸烟率12.8％,男性36.3％,女性0.3％.非条件Logistic回归分析结果显示,男性现在吸烟的可能性随年龄增长而增加（OR=1.031,95％CI为1.020～1.042）,随教育程度升高有下降趋势,随对吸烟及被动吸烟危害认知水平的提高而降低（OR=0.924,95％ CI为0.895 ～0.953）,随对烟草误区认识的加深而降低（OR =0.919,95％ CI为0.862 ～0.979）,因单位室内禁烟规定执行严格而下降（OR=1.598,95％ CI为1.285～1.987）.结论：北京市医疗卫生系统职工现在吸烟率有所下降.应进一步严格执行医疗卫生机构室内全面禁烟规定,加强吸烟及被动吸烟危害知识和烟草误区的健康教育.

Objective：To understand the smoking behavior of the staff in Beijing medical institutions.Methods：A sample of 5 527 people from 69 medical and health institutions all of 16 districts in Beijing was selected by stratified systematic sampling.The surveyors were on the scene when the questionnaire survey was carried out.Results：Current smoking rate of the staff in Beijing health system was 12.8％,including 36.3％ of males and 0.3％ of females.Logistic multivariate regression analysis showed current smoking rate of the male staff in Beijing health system grew as the age grew（OR =1.031,95％ CI 1.020-1.042） ;the rate dropped as the educational status grew; the rate dropped as the scores of tobacco knowledge（OR =0.924,95％ CI 0.895-0.953） grew; the rate dropped as the cognition about tobacco was identified （OR =0.919,95％ CI 0.862-0.979） ; and the rate dropped as the institutions enforced the indoor smoking ban more strictly.Conclusion：Current smoking rate of the staff in Beijing medical institutions is lower than before.The indoor smoking ban should be enforced more strictly.The knowledge about the harms of smoking should be widespread.