成都医学院“无烟校园”建设研究效果评价  

The Evaluation of “Smoking-free Campus” in Chengdu Medical College

作　　者：曾子倩[1] 王升力 娄彬[1] 杨凯 陈卫中[1] 李亚超[1] 冷言冰[1] 陈建[1] ZENG Zi-qian;et al(Department of public healt;Chengdu Medical College, Chengdu, P. R. Chin)

机构地区：[1]成都医学院公共卫生系,四川成都610500

出　　处：《中国卫生事业管理》2017年第11期870-874,共5页Chinese Health Service Management

基　　金：四川省大学生创新性项目"成都医学院在校学生吸烟行为调查及无烟校园建设活动"(编号:201313705028)

摘　　要：目的:了解医学院开展"无烟校园"建设的效果,为学校全面展开建设无烟校园提供参考。方法:利用分层随机整群抽样方法,抽取2011~2013级在校医学生,采用现场自填式问卷调查收集资料,基线调查有效问卷690份,终末调查有效问卷356份,资料采用SPSS 21.0统计软件分析。结果:"无烟校园"建设前后学生吸烟率为9.28%(64/690)、6.20%(22/360),吸烟率差异具有统计学意义(P<0.001)。"无烟校园"建设前后62.4%被调查医学生确切表示未来肯定不会抽烟,2.2%以下的被调查学生表示将来肯定会吸烟。"无烟校园"建设前后吸烟危害健康知识知晓率分别是24.35%(168/690)、34.55%(123/356),差异有统计学意义(P=0.001)。被调查学生对吸烟更易患肺气肿、心脏病、其他心血管疾病、中风、阳痿等方面的知晓率均显著提高,差异有统计学意义(P<0.05),其余各项知晓率均无统计学意义。经过"无烟校园"建设,医学生对建设"无烟校园"持赞同意见的比例稍有提升,在90%左右。医学生吸烟行为的多因素Logistic回归研究显示,性别和患慢性病两个变量具有统计学意义,是影响医学生吸烟行为的因素。结论:通过"无烟校园"建设活动,一定程度上降低了医学生的吸烟率,为医学院校全面开展"无烟校园"建设具有示范意义。Objective To understand the effectives of ＂Smoking-free Campus＂ initiatives in medical college, and provide the reference for further interventions. Methods A survey was conducted from 2013 to 2014. The subjects were recruited from grade 2011 to 2013 by stratified cluster random sampling. All the data were analyzed by SPSS 21.0. ResultsA total of 690 questionnaires of the baseline investigation were valid, and 356 questionnaires were collected from the terminal investigation. The smoking rates were 9. 28% （64/690） and 6. 20% （22/356） respectively, a significant decrease was showed before and after the interventions, （P 〈0. 001 ）. More than 62.4% students expressed they would not smoke in the future, and less than 2. 2 % subjects would re- duce the smoking amount. Before and after the ＂Smoke-free campus＂ initiatives, the awareness rates of health hazards of smoking were 24. 35% （168/690） , 34. 55% （ 123/356）, the difference was significant （P = 0. 001 ）. The awareness rate of knowledge, which involves that smokers had high risk to suffer from emphysema, heart disease and other cardiovascular disease, stroke, impo- tence, etc. , increased signifieantly（P 〈 0. 05）. However, differences didn＇t found on the other knowledge items. After ＂Smok- ing-free Campus＂ initiatives, the attitude of medical students to build the ＂Smoking-free Campus＂ was improved, which was a- round 90%. The results from logistic regression analysis showed that medical students had different attitude towards ＂Smoking-free Campus＂ construction. The results from multivariate Logistic regression analysis indicated that gender and chronic illness were the main influencing factors of medical students＇ smoking behaviors. ConclusionThe ＂Smoking-free Campus＂ initiatives worked effec- tively, and the rate of smoking was reduced to a certain extent. The findings may provide some references for the construction of smoking-free campus in the future.

关 键 词：无烟校园 控烟 医学生 LOGISTIC回归分析 

分 类 号：G647[文化科学—高等教育学]