2017-2021年上海市松江区公共场所控烟监测结果分析  

Analysis of monitoring results of tobacco control in public places in Songjiang District of Shanghai from 2017 to 2021

作　　者：张方芳 杨思怡 张文翠[1] 沈科[1] 姜永根[1] 奚超 ZHANG Fangfang;YANG Siyi;ZHANG Wencui;SHEN Ke;JIANG Yonggen;XI Chao(Songjiang Center for Disease Control and Prevention,Shanghai 201620,China)

机构地区：[1]上海市松江区疾病预防控制中心,上海201620

出　　处：《预防医学情报杂志》2024年第6期699-705,共7页Journal of Preventive Medicine Information

摘　　要：目的 评估《上海市公共场所控烟条例》(简称《条例》)修正案的实施成效,为各执法部门后续对公共场所控烟的执行和管理提供参考依据。方法 采用分层抽样法,2017-2021年在上海市松江区14类公共场所中抽取110家场所作为监测点,采用现场观察法对监测场所进行连续5年控烟实施情况和效果的监测,并对场所内的工作人员和外来人员进行问卷调查。采用SPSS 21.0软件进行数据分析,率的比较采用χ^(2)检验,以P<0.05为差异有统计学意义。结果 《条例》修正案实施后,2017-2021年上海市松江区公共场所吸烟情况出现率分别为30.9%、35.5%、27.3%、18.2%和14.5%,总体呈下降趋势(χ^(2)_(趋势)=14.535,P<0.001)。不同年份场所禁烟标识和举报电话的张贴率均维持在98.0%以上,但场所控烟资料摆放率从2017年的76.4%下降至2021年的49.1%。2017-2021年调查对象对烟草危害知识的知晓率以“过滤嘴不可降低吸烟的危害”知晓率最低,知晓率为34.9%~56.5%;“被动吸烟不比主动吸烟危害小”知晓率最高,知晓率为64.6%~80.5%。场所工作人员对《条例》的总体知晓率和支持率分别为95.0%和99.3%,场所外来人员对《条例》的总体知晓率和支持率分别为89.2%和98.0%。结论 《条例》修正案在上海市松江区的实施获得一定成效,但部分控烟指标存在回落现象,需提高重视,做好长期宣传与监管。Objective To assess the effectiveness of the implementation of the amendments to the Shanghai Regulations on Tobacco Control in Public Places(the Regulations),and to provide reference basis for the subsequent implementation and management of tobacco control in public places by various law enforcement agencies.Methods The stratified sampling method was used to select 110 venues among 14 types of public places in Songjiang District of Shanghai as monitoring sites from 2017 to 2021,and on-site observation method was used to monitor the implementation and effectiveness of tobacco control in the monitoring venues for five consecutive years.Questionnaire surveys were also conducted among the staff and outsiders in the monitoring venues.SPSS 21.0 software was used for data analysis.The comparison of rates was performed by x2 test,and the difference was considered statistically significant with P<0.05.Results After the implementation of the amendments to the Regulations,the occurrence rates of smoking in public places in Songjiang District of Shanghai from 2017 to 2021 were 30.9%,35.5%,27.3%,18.2% and 14.5%,respectively,with an overall decreasing trend(x^(2)_(trend)=14.535,P<0.001).The posting rate of no-smoking signs and reporting telephone numbers in venues remained above 98.0%in different years,but the rate of placing tobacco control materials in venues decreased from 76.4%in 2017 to 49.1%in 2021.As the knowledge of smoking hazards among the survey respondents from 2017 to 2021,the knowledge rate of"filters can not reduce the hazards of smoking"was the lowest,with a knowledge rate of 34.9%-56.5%,while the knowledge rate of"passive smoking is not less harmful than active smoking"was the highest,with a knowledge rate of 64.6%-80.5%.The overall knowledge and support rates of the staff in venues to the Regulations were 95.0% and 99.3%,respectively.And the overall knowledge and support rates of the outsiders in venues to the Regulations were 89.2% and 98.0%,respectively.Conclusions The implementation of the amendments to t

关 键 词：公共场所 控烟条例 监测 

分 类 号：R193.3[医药卫生—卫生事业管理]