社区脑卒中高危人群吸烟与被动吸烟现状及控烟态度调查  

Survey on status of smoking and passive smoking of the population with the high risk of stroke in the community and their attitude towards smoking control

作　　者：顾成武[1] 喻明[1] 蒋世杰[1] 方登富[1] 郭伟鹏[1] 

机构地区：[1]遂宁市中心医院神经内科,四川遂宁629000

出　　处：《华西医学》2017年第7期971-974,共4页West China Medical Journal

摘　　要：目的了解城市脑卒中高危人群吸烟状况与被动吸烟状况,调查脑卒中高危人群对吸烟与被动吸烟危害的认知与态度,为开展脑卒中高危人群的控烟工作提供依据。方法 2015年3月对四川省遂宁市龙凤社区年龄≥40岁的居民进行规范性卒中危险因素筛查,筛选出脑卒中高危人群,在高危人群中采用中国控烟办公室统一设计的《成人被动吸烟调查问卷》进行吸烟与被动吸烟现状及控烟态度调查。结果该社区共筛查出脑卒中高危居民354人,其中吸烟者152人,吸烟率为42.9%,男性吸烟率(70.1%)明显高于女性(1.4%),差异有统计学意义(P<0.001)。40~49岁组吸烟率(55.0%)最高,其次为50~59岁组(51.7%),这两组占总吸烟人数的73.0%,不同年龄组吸烟率比较差异有统计学意义(P<0.001)。小学及以下文化程度者吸烟率(57.9%)最高,与其他学历比较差异有统计学意义(P<0.001)。独居者吸烟率(95.7%)高于非独居者(34.9%),差异有统计学意义(P<0.001)。不吸烟的202人中,67人处于被动吸烟状况,被动吸烟率为33.2%,女性被动吸烟率(62.3%)明显高于男性(31.3%),差异有统计学意义(P<0.001)。非吸烟者对吸烟和被动吸烟危害知识的知晓率(74.3%)高于吸烟者(60.5%);女性非吸烟者明确反对被动吸烟的比例(84.1%)高于男性(57.8%)。79.9%的调查对象赞同在医院、学校、公共交通工具上全面禁烟,仅66.4%的调查对象赞同在办公室、车站等公共场所禁烟,仅10.2%的调查者赞同餐厅全部禁烟。结论社区脑卒中高危人群吸烟和被动吸烟率较高,调查对象对公共场所禁烟的支持程度较高,但文化程度较低者对吸烟的危害认识不足,应加强社区居民健康教育,减少脑卒中发生。Objective To explore the status of smoking and passive smoking of the population with the high risk of stroke in the community and their attitude towards smoking control. Methods In March 2015, under the direction of Stroke Screening and Prevention Projection, the residents with the high risk of stroke were sought out in Longfeng Community, Suining City, Sichuan Province. And then their status of smoking and passive smoking and their attitude towards smoking control was investigated by Passive Smoking Questionnaire for Adults from National Smoking Control Office. Results A total of 354 residents with the high risk of stroke were sought out, in whom 152 （42.9%） were smokers, and the smoking rate of males （70.1%） and females （1.4%） was significantly different （P〈0.001）. Those aged 40-49 had the highest smoking rate （55.0%）, followed by those aged 50-59 （51.7%）, and smokers of the two age groups accounted for 73.0% of all smokers. There was significant difference in smoking rate among different age groups （P〈0.001）. The smoking rate of those with a lower education level of primary school （57.9%） was the highest, and there were significant differences in smoking rates among the population with different education levels （P〈0.001）. The smoking rate of the solitary （95.7%） was higher than that of the non solitary （34.9%） （P〈0.001）. In 202 non-smokers, 67 （33.2%） was suffered from passive smoking, and the rate of passive smoking was 31.3% in males and 62.3% in females with a significant difference （P〈0.001）. The proportion of the female non-smokers against passive smoking （84.1%） was higher than that of the male non-smokers （57.8%）. According to the participants report, 79.9% of participants approved completely non-smoking in hospital, school and public transport, 66.4% approved non-smoking in the office and traffic station, and only 10.2% approved non- smoking in the restaurants. Conclusions The rates of smoking and passive smoking among the popu

关 键 词：脑卒中 吸烟 认知水平 

分 类 号：R743.3[医药卫生—神经病学与精神病学]