武汉市15岁及以上居民每日吸烟情况调查

Prevalence of daily smoking among residents at ages of 15 years and older in Wuhan City

目的了解武汉市≥15岁居民每日吸烟情况,为进一步开展控烟干预工作提供依据。方法于2019年7月采用多阶段随机抽样方法抽取武汉市3个区2700名≥15岁常住居民为调查对象,采用全球成人烟草调查核心问卷收集人口学信息、烟草使用、二手烟暴露和烟草危害知晓情况等资料;采用多因素logistic回归模型分析≥15岁居民每日吸烟的影响因素。结果调查2700人,回收有效问卷2551份,问卷有效率为94.48%。男性1272人,占49.86%;女性1279人,占50.14%。每日吸烟率为19.84%,日平均吸烟量为16.6支。多因素logistic回归分析结果显示,男性(OR=66.191,95%CI:25.344~172.873)、年龄45~<65岁(OR=2.586,95%CI:1.158~5.775)、农民(OR=8.477,95%CI:1.126~63.786)、家庭二手烟暴露(OR=9.395,95%CI:5.401~16.340)、工作场所二手烟暴露(OR=1.923,95%CI:1.081~3.423)和家庭不允许吸烟(OR=0.459,95%CI:0.277~0.763)是≥15岁居民每日吸烟的影响因素。结论武汉市≥15岁居民中,男性、中老年、农民、家庭和工作场所存在二手烟暴露者每日吸烟概率较高。可针对这些重点人群加强控烟宣传干预,在推进公共场所和工作场所全面禁烟的基础上提倡无烟家庭创建。

Objective To investigate the prevalence of daily smoking among residents at ages of 15 years and older in Wuhan City,so as to provide insights into tobacco control.Methods A total of 2700 permanent residents at ages of 15 years and older were sampled using a multistage random sampling method in three districts of Wuhan City in July,2019.Residents’demographics,tobacco use,secondhand smoke exposure and awareness of harmful effects of tobacco were collected using the core questionnaire of the Global Adult Tobacco Survey,and the factors affecting daily smoking were identified among residents at ages of 15 years and older using a multivariable logistic regression model.Results A total of 2700 questionnaires were allocated,and 2551 valid questionnaires were recovered,with an effective recovery rate of 94.48%.The respondents included 1272 men(49.86%)and 1279 women(50.14%),and the proportion of daily smoking was 19.84%among the respondents,with a mean daily tobacco use of 16.6 cigarettes.Multivariable logistic regression analysis identified men(OR=66.191,95%CI:25.344-172.873),ages of 45 to 64 years(OR=2.586,95%CI:1.158-5.775),farmers(OR=8.477,95%CI:1.126-63.786),secondhand smoke exposure at home(OR=9.395,95%CI:5.401-16.340),secondhand smoke exposure in workplaces(OR=1.923,95%CI:1.081-3.423)and no smoking at home(OR=0.459,95%CI:0.277-0.763)as factors affecting daily smoking among residents at ages of 15 years and older in Wuhan City.Conclusions There is a high likelihood of daily smoking among men,the middle-aged and elderly,farmers and individuals with exposure to secondhand smoke in workplaces at ages of 15 years and older in Wuhan City.Health education pertaining to tobacco control requires to be reinforced among high-risk populations,and creation of a tobacco-free home is recommended in public places and workplaces based on the complete smoking ban.