四川省非吸烟者中40岁及以上人群二手烟暴露情况及其影响因素研究  

Study on Second-hand Smoke Exposure and its Influencing Factors Among Non-smokers Aged 40 and Above in Sichuan Province 2014

作　　者：倪红珍[1] 董婷 胥馨尹[1] 邓颖[1] 季奎[1] 易光辉[1] 李尤[1] 谭利民[1] NI Hongzhen;DONG Ting;XU Xinyin;DENG Ying;JI Kui;YI Guanghui;LI You;TAN Limin(Sichuan Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China)

机构地区：[1]四川省疾病预防控制中心,成都610041

出　　处：《预防医学情报杂志》2020年第6期719-723,共5页Journal of Preventive Medicine Information

摘　　要：目的了解四川省非吸烟者中40岁及以上人群二手烟暴露情况及其影响因素,为制定控烟策略和干预措施提供参考依据。方法结合慢阻肺调查工作,采用多阶段分层整群随机抽样的方法,在6个县区,每个县区抽取600名40岁以上人员开展问卷调查,并对调查数据进行单因素和多因素Logistic回归分析。结果共分析有效调查问卷2 425人,接触二手烟的占46.7%;接触二手烟的居民中,每周接触时间为7 d的调查对象最多(28.9%);接触二手烟的场所中所占比例最高的是家里(60.9%),其次是其他(茶馆等)(29.5%)、工作场所(25.6%);每天接触二手烟平均时间最长为2.2小时,发生在其他场所(茶馆等),其次为工作场所2.1 h;多因素分析显示对二手烟暴露影响因素中,城市高于农村、年龄越大暴露水平越低;而分性别、分文化程度、婚姻情况,接触二手烟概率差异无统计学意义。结论四川省非吸烟者中40岁及以上人群二手烟暴露现状严峻,应加强对家庭、其他场所(茶馆等)、工作场所吸烟行为的干预,加强对人群的健康宣传教育,提高公众对二手烟危害的认知水平,加强对自身健康权利的维护,提高居民拒绝二手烟的主动意识;在家庭,重点宣传二手烟对家人的危害;在其他场所中,重点加强对茶馆类场所的监管,同时,应进一步做实对工作场所的监管。Objective To understand the exposure and influencing factors of second-hand smoke among non-smokers aged 40 and above in Sichuan province,and to provide reference for formulating tobacco control strategies and intervention measures.Methods With Combined the copd survey work,a multi-stage stratified cluster random sampling method was adopted to conduct a questionnaire survey among 600 people over 40 years old in 6 counties and districts,and a single-factor and multi-factor Logistic regression analysis was conducted on the survey data.Results A total of 2425 people with valid questionnaires were analyzed,about 46.7%of them were exposed to second-hand smoke.Among them,the most respondents were exposed for 7 days per week,accounting for 28.9%.The highest proportion of places exposed to second-hand smoke was at home(60.9%),followed by other places(such as tea houses)(29.5%)and workplaces(25.6%).The average daily exposure to second-hand smoke was 2.2 hours,which occurred in other places(tea houses,etc.),followed by 2.1 hours in the workplace.Multivariate analysis showed that among the influencing factors of second-hand smoke exposure,urban was higher than rural area and the exposure level was lower with age grown.However,there was no significant difference in the probability of second-hand smoke exposure by gender,education level and marital status.Conclusion Non-smokers in Sichuan province in the 40 years of age and older their secondhand smoke exposure situation was grim,the intervention of smoking behavior in the family and other places(tea house,etc.),workplace should be strengthen,propaganda and education too,so that to raise the level of the public’s perception of second-hand smoke,and to strengthen their health right,improve the active consciousness of residents refused to second-hand smoke;In the family,the emphasis is on the harm of second-hand smoke to the family members;In other places,the supervision of tea-house should be strengthened,and the supervision of workplace should be further implemented.

关 键 词：二手烟 暴露 影响因素 非吸烟人群 

分 类 号：R181[医药卫生—流行病学]