《广州市控制吸烟条例》实施效果的评价

Cohort study on the implementation effect of the Guangzhou Municipal Tobacco Control Regulation

目的评估《广州市控制吸烟条例》（简称条例）实施效果。方法采用分层多阶段整群抽样的方法建立研究队列,以面对面问卷调查的方式进行3次随访调查。采用χ-2检验比较条例实施前后调查对象的人口学特征、公共场所吸烟状况、烟草广告及促销活动和媒体宣传与大众反应等方面的情况。结果能正确掌握公共场所禁烟规定的比例较低;公共场所劝阻吸烟的比例较小;烟草广告及推销活动和媒体中吸烟镜头出现的比例虽然有下降趋势但依然常见;媒体禁烟信息出现的比例有增加的趋势;大多数的调查对象认为各种形式控烟宣传有一定社会效应,希望在公共场所室内全面禁烟。结论条例实施后控烟确有一定效果,但是条例修正后,控烟效果进一步的提升效果有限。

Objective To evaluate the implementation effect of The Guangzhou Municipal Tobacco Control Regulation. Methods Cohort studies were conducted using stratified multi-stage cluster sampling design. Cohort was followed up 3 times by face to face questionnaire survey. Chi-Square test was used to compare the demographic characteristics,awareness of the regulation smoking in public places,tobacco advertisement and promotional activities,media publicity and public response. Results Percentage of correct answer about no-smoking rule in public places was relatively low; percentage of dissuasion was relatively low; although the percentages of tobacco advertisement and promotional activities and smoking shots in media had decreased,still were quite common; percentage of smoking-free information seen in some places had upward trends. Most of the respondents thought that all kinds of media publicity had certain social effect and hoped that smoking would be banned in indoor public places. Conclusion The Regulation had certain social effect after the implementation. The effect of amendments to the regulation was somewhat improved,but still quite limited.