2017-2018年常州市某区基于戒烟门诊推广开展的控烟活动效果评价  

Evaluation on effect of tobacco control activities based on promotion of smoking cessation clinics in a district of Changzhou City from 2017-2018

作　　者：孙芸[1] 岳文彬[1] 唐红艳[1] 顾正荣 吕晓霞[1] SUN Yun;YUE Wen-bin;TANG Hong-yan;GU Zheng-rong;LYU Xiao-xia(Institute of Health Education,Changzhou Center for Disease Control and Prevention,Changzhou Jiangsu,213000,China)

机构地区：[1]常州市疾病预防控制中心健康教育所,江苏常州213000

出　　处：《职业与健康》2021年第2期207-210,共4页Occupation and Health

基　　金：2017年常州市卫生计生委重大科技项目(ZD201718)。

摘　　要：目的通过常州市某区15周岁以上居民戒烟门诊知晓率、医院戒烟服务、烟草危害的认识和医院二手烟暴露的调查,评价基于戒烟门诊推广开展的控烟活动效果。方法以全球烟草监测系统中的标准问卷为核心编制的问卷,分别于2017年干预活动前和2018年干预活动后采用分层多阶段整群随机抽样的方法,抽取常州市某区600名15岁以上居民开展调查。采用SPSS 21.0进行数据统计分析,差异比较使用χ^(2)检验。结果干预活动开展后,戒烟门诊知晓率由8.09%提升至14.04%(χ^(2)=9.330,P<0.05);其中男性和女性知晓率分别由8.46%和7.72%提升至14.58%和13.57%(χ^(2)=4.631、4.794,均P<0.05);年龄15~<25、25~<45及45~<65岁知晓率分别由3.33%、11.39%和7.55%提升至26.67%、21.67%和4.04%(χ^(2)=5.513、5.404、4.818,均P<0.05);文化程度大专及以上学历人群知晓率由10.09%提升至24.00%(χ^(2)=6.473,P<0.05)。吸烟者中12个月内考虑戒烟者比例由3.52%提升至9.60%(χ^(2)=4.121,P<0.05);12个月内吸烟的就医者中医务人员询问吸烟情况由46.34%提升至69.23%(χ^(2)=5.506,P<0.05);建议戒烟的比例由26.83%提升至49.23%(χ^(2)=5.233,P<0.05)。吸烟引起中风和心脏疾病的知晓率分别由33.53%和35.84%提高至40.00%和42.12%(χ^(2)=4.683、4.303,均P<0.05);二手烟引起成人心脏病和儿童肺部疾病的知晓率由32.37%和69.36%提升至39.42%和75.58%(χ^(2)=5.615、5.026,均P<0.05)。医院二手烟暴露率由39.90%下降至21.05%(χ^(2)=4.652,P<0.05)。结论基于戒烟门诊推广开展的控烟活动对戒烟门诊知晓率的提高、戒烟服务的提升、烟草危害的正确认识和医院二手烟的暴露等均会产生积极有效的影响,这种活动方式值得推广。Objective To evaluate the effects of tobacco control activities based on the promotion of smoking cessation clinics by the investigation of the awareness rate of smoking cessation clinics,smoking cessation services in hospitals,awareness of tobacco hazards and exposure to second-hand smoke in hospitals among residents over 15 years old in a district of Changzhou City.Methods The questionnaire was developed on the basis of the standard questionnaire on the Global Tobacco Monitoring System.The stratified multi-stage cluster random sampling method was adopted to collect 600 residents over 15 years old in a district of Changzhou City before the intervention in 2017 and after the intervention in 2018.SPSS 21.0 was used for statistical analysis,andχ^(2) test was used for difference comparison.Results After the intervention,the awareness rate of smoking cessation clinics increased from 8.09%to 14.04%(χ^(2)=9.330,P<0.05).The awareness rate of males and females increased from 8.46%and 7.72%to 14.58%and 13.57%(χ^(2)=4.631,4.794,both P<0.05)respectively.The awareness rate of people aged 15-<25,25-<45 and45-<65 years old increased from 3.33%,11.39%and 7.55%to 26.67%,21.67%and 4.04%(χ^(2)=5.513,5.404,4.818,all P<0.05),respectively.The awareness rate of people with college degree or above increased from 10.09%to 24.00%(χ^(2)=6.473,P<0.05).The proportion of smokers considering quitting within 12 months increased from 3.52%to 9.60%(χ^(2)=4.121,P<0.05).Among those who smoked within 12 months,the proportion of medical staff inquiring about smoking status increased from 46.34%to 69.23%(χ^(2)=5.506,P<0.05).The proportion of smokers be recommended to quit increased from 26.83%to 49.23%(χ^(2)=5.233,P<0.05).The awareness rates of smoking may cause stroke and heart disease increased from 33.53%and 35.84%to 40.00%and 42.12%(χ^(2)=4.683,4.303,both P<0.05),respectively.The awareness rates of second-hand smoke may cause heart disease in adults and lung disease in children increased from 32.37%and 69.36%to 39.42%and 75.58%(χ^(2)=5.

关 键 词：戒烟门诊 控烟 效果研究 

分 类 号：R193[医药卫生—卫生事业管理]