我国医生吸烟率、戒烟率及控烟行为的系统研究  

Systematic research on the prevalence of tobacco smoking,quite smoking and the practice of smoking cessation in Chinese doctors

作　　者：戴悦[1] 张宝泉[2] 孙虹[3] 申良方[3] 刘园园[3] 禹思安[3] 

机构地区：[1]中南大学公共卫生学院,湖南长沙410078 [2]福建省妇幼保健院,福建福州350001 [3]中南大学湘雅医院,湖南长沙410008

出　　处：《中国现代医学杂志》2016年第4期88-94,共7页China Journal of Modern Medicine

基　　金：美国中华医学会基金项目(No:CMB#08-892);中南大学湘雅医院管理基金(No:2013G08)

摘　　要：目的采用Meta分析和系统综述方法,评价我国医生吸烟率、成功戒烟率及控烟行为现状。方法利用PubMed、ProQuest、Springerlink、VIP、WanFang Data和CNKI等数据库检索关于中国医生吸烟情况及控烟行为文献。采用Stata 11.0软件进行数据分析。结果①总体吸烟率0.223[95%CI：0.217,0.230],男性0.389[95%CI：0.382,0.397],女性0.007[95%CI：0.006,0.009]。总吸烟率随研究时间略有增长,东部地区医生总吸烟率高于中西部地区。②戒烟率0.088[95%CI：0.083,0.092]。戒烟率随研究年份稍有提高,年龄〉35岁组戒烟率高于其他年龄组,东部地区医生戒烟率低于中西部地区。③人均日吸烟量为（8.28-16）支,平均（11.85±2.06）支,随研究时间递减,东部地区医生人均吸烟量高于中西部地区。④医生总体控烟态度积极,但控烟知识方面存在偏差,缺乏控烟技巧和能力培训。结论我国医生吸烟率高、戒烟率低、人均日吸烟量大、控烟＂知信行＂表现不太乐观。应加强对医生烟草知识、控烟干预的培训,提高中国医生控烟技巧和能力,推动全社会控烟工作的发展。Objective To investigate the current prevalence of tobacco smoking,quite smoking and the practice of smoking cessation in Chinese doctors. Methods Databases including PubMed,Pro Quest,Springerlink,VIP,WanFang Data and CNKI were searched from Jan,2000 to Oct,2015 to collect literature on the study of smoking among Chinese doctors. The included studies were screened according to the inclusion and exclusion criteria. After extracting data and assessing the quality of the included studies,meta-analysis was conducted using Stata 11.0 software.Results We identified 13 studies. The results showed that 13 studies were qualified. A total of 14611 doctors included（male： 7913,female： 6698）,and the average age was 37.52. The prevalence estimation of smoking was 0.223 [95% CI：0.217,0.230]（male： 0.389 [95 % CI： 0.382,0.397]; female： 0.007 [95 % CI： 0.006,0.009]）. The analysis of subgroups indicated that the prevalence estimation of smoking increased with study time,doctors in Eastern region experienced higher prevalence than doctors in Central and Western regions. The prevalence estimation of quit smoking was 0.088 [95% CI： 0.083,0.092],which increased with study year. Per capita daily smoking was 11.85 ±2.06（8.28-16）. Most doctors showed active attitude towards smoking cessation policy,but their knowledge and practice of smoking cessation were needed to improve. Conclusions Chinese doctors showed a higher smoking prevalence but lower quit smoking rate than other Western countries. Comprehensive smoking cessation education and interventions should be highlighted to reduce the smoking prevalence and improve their smoking cessation practice.

关 键 词：医生 吸烟 戒烟 控烟行为 中国 

分 类 号：R192[医药卫生—卫生事业管理]