2022年上海市卫生健康系统控烟效果暗访评价  

Effect evaluation on tobacco control in health care institutions by unannounced visits in Shanghai,2022

作　　者：段旭昶 贾晓娴 吴萍 罗力[1] 陈德 DU AN Xu-chang;JIA Xiao-xian;WU Ping;LUO Li;CHEN De(Fudan School of Public Health,Shanghai 200032,China)

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]上海市健康促进中心,上海200040

出　　处：《中国健康教育》2024年第10期953-956,共4页Chinese Journal of Health Education

基　　金：国家重点研发计划资助项目(编号2022YFC3600901)。

摘　　要：目的 了解上海市卫生健康系统控烟措施的实施效果和不足之处,为相关政策制定提供参考依据。方法 于2022年9—10月,采用全面调查方法、多阶段随机抽样方法调查上海市卫生健康系统各机构控烟措施实施状况。采用Kruskal-Wallis H检验、χ^(2)检验分析卫生健康系统的控烟水平差异。结果 2022年上海市卫生健康系统控烟暗访得分的中位数为98.00 (90.01,100.00)分。Kruskal-Wallis H检验结果显示,公立妇幼保健院/妇产儿科专科医院控烟暗访得分的中位数为100.00 (99.00,100.00)分,高于其他类型医疗机构的控烟暗访得分;公立二级/三级综合性医院所属区域禁止吸烟指标得分的中位数为17.33 (12.33,20.00)分,低于其他医疗机构的禁止吸烟指标得分;以上差异均有统计学意义(P<0.05)。χ^(2)检验结果显示,在各类环境指标、执行指标满分率中,公立二级综合性医院/三级综合性医院在所属区域禁止吸烟方面的满分率为31.25%(5/16),低于其他机构(P<0.05)。结论 上海市卫生健康系统各机构控烟效果总体较好,未来需重点关注医疗机构控烟情况,通过规范室外吸烟点设置、提高禁烟标识覆盖率、加强控烟宣传等方式继续提高本市控烟水平。Objective To understand the implementation effectiveness and shortcomings of tobacco control in health care institutions in Shanghai system,and to provide reference basis for policy formulation.Methods From September to October 2022,a comprehensive survey method and a multi-stage random sampling method were used to investigate the implementation of tobacco control measures in various health care institutions in Shanghai.Kruskal Wallis H test and x’test were used to analyze the difference of tobacco control effect.Results In 2022,the median score of tobacco control effect by unannounced visits in health care institutions was 98.00(90.01,100.00).The results of Kruskal Wallis H test showed that the median score of public maternal and child health hospitals/maternity and pediatric hospitals was 100.00(99.00,100.00),which was higher than that of other types of medical institutions.The median score of smoking ban index in the area of public secondary/tertiary general hospitals was 17.33(12.33,20.00),which was lower than that of other medical institutions.The above differences were statistically significant(P<0.05).x’test results showed that in the full mark rate of various environmental indicators and implementation indicators,the full mark rate of public secondary general hospitals/tertiary general hospitals in the area of smoking ban was 31.25%(5/16),which was lower than that of other institutions(P<O.05).Conclusion The overall effectiveness of smoking control in various health care institutions in Shanghai is good.In the future,it is necessary to focus on the smoking control situation in medical institutions,and continue to improve the smoking control level in this city by standardizing the setting of outdoor smoking points,increasing the coverage of smoking ban signs,and strengthening smoking control publicity.

关 键 词：卫生健康系统 烟草控制 监测 

分 类 号：R193[医药卫生—卫生事业管理]