无烟党政机关建设对工作人员戒烟行为的影响  

Impact of the construction of smoke-free government on staff′s smoking cessation behavior

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作  者:南奕[1] 谢莉[1] 谢慧宇 张泸戈 刘方方 杨焱[1] 胥琳梦 贾孝凯 肖琳[1] Nan Yi;Xie Li;Xie Huiyu;Zhang Luge;Liu Fangfang;Yang Yan;Xu Linmeng;Jia Xiaokai;Xiao Lin(Tobacco Control Office,Chinese Center for Disease Control and Prevention,Beijing 100050,China;Peking University Health Science Center,Beijing 100083,China;National Institute of Parasitic Diseases,Chinese Center for Disease Control and Prevention,Chinese Center for Tropical Diseases Research,Shanghai 200025,China)

机构地区:[1]中国疾病预防控制中心控烟办公室,北京100050 [2]北京大学医学部,北京100083 [3]中国疾病预防控制中心寄生虫病预防控制所(国家热带病研究中心),上海200025

出  处:《中华健康管理学杂志》2024年第9期680-685,共6页Chinese Journal of Health Management

基  金:中国疾病预防控制中心全球卫生能力建设与控烟项目(2024)。

摘  要:目的评估无烟党政机关建设对工作人员吸烟及戒烟行为的影响。方法本研究为回顾性队列研究。于2023年10—11月,使用分层随机整群抽样法在全国31个省(区、市)和新疆生产建设兵团抽取144家党政机关,通过线上填写问卷的方式对单位知情人及所有吸烟工作人员开展调查。主要调查指标包括无烟党政机关建设前后吸烟人数以及无烟党政机关建设措施,回收知情人问卷144份,全部纳入分析;回收吸烟者问卷1776份,有效问卷1716份。使用SAS 9.4进行χ2检验和log-binomial回归分析。结果无烟党政机关建设后,吸烟工作人员的比例从8.81%下降到6.70%(χ^(2)=63.23,P<0.001)。被调查机关所在城市有室内公共场所全面禁烟规定(OR=2.301,95%CI:1.433~3.694)、有惩罚机制(OR=1.219,95%CI:1.124~1.322)、开展戒烟大赛活动(OR=1.865,95%CI:1.234~2.818)、报销戒烟药物费用或提供戒烟药物(OR=2.210,95%CI:1.002~4.874)是工作人员戒烟的促进因素(均P<0.01);吸烟领导人数(OR=0.858,95%CI:0.807~0.913)和吸烟工作人员的吸烟年限(OR=0.932,95%CI:0.918~0.946)是工作人员戒烟的负面影响因素(均P<0.001)。结论无烟党政机关建设可以有效促进吸烟工作人员戒烟,全面无烟的政策环境、有惩罚机制、开展戒烟大赛、报销戒烟药物费用或提供戒烟药物等活动非常重要。Objective To assess the impact of the construction of smoke-free government on the smoking and cessation behaviors of staff members.Methods This was a retrospective cohort study.The study used stratified random cluster sampling method to select 144 government institutions from 31 Provinces(Autonomous Regions and Municipalities)and the Xinjiang Production and Construction Corps.The survey was carried out between October and November,2023 by filling out questionnaires online among the insiders of the institutions and all the smoking staff members.The main indicators included the number of smokers before and after the construction of smoke-free governments and the measures for the construction of smoke-free governments.144 questionnaires from insiders were recovered,all of which were included in the analysis;1776 questionnaires from smokers were recovered,including 1716 valid questionnaires.The SAS 9.4 was used to performχ2 test and log-binomial regression analysis.Results The percentage of smoking staff members decreased from 8.81%before the construction to 6.70%after the construction,and the difference was statistically significant(χ^(2)=63.23,P<0.001).Comprehensive smoking ban in indoor public places(OR=2.301,95%CI:1.433-3.694),punishment mechanism for smoking staff members(OR=1.219,95%CI:1.124-1.322),smoking cessation competitions(OR=1.865,95%CI:1.234-2.818)and reimbursement for or provision of smoking cessation medications(OR=2.210,95%CI:1.002-4.874)were facilitators to motivate the smoking staff members to quit(all P<0.01).Numbers of smoking leaders(OR=0.858,95%CI:0.807-0.913)and smoking years of smoking staff members(OR=0.932,95%CI:0.918-0.946)negatively influenced the smoking staff members to quit(both P<0.001).Conclusions The construction of smoke-free governments can effectively promote the smoking cessation behaviors of smoking staff members.In addition,comprehensive smoke-free policies,punishment mechanism for smoking staff members and activities such as smoking cessation competitions,and reimbursement

关 键 词:戒烟 控烟 无烟党政机关 健康维护 健康管理 效果评价 

分 类 号:R163[医药卫生—公共卫生与预防医学]

 

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