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目的了解《上海市公共场所控制吸烟条例》(以下简称《条例》)实施1年来,医疗卫生机构工作人员吸烟相关情况的变化,为推进《条例》的实施提供科学依据。方法采用分层抽样的方法,对全市18个区县的各级各类卫生机构工作人员进行吸烟相关情况的问卷调查。《条例》实施初期(2010年3月)共调查1774人,《条例》实施1年后(2011年3月)共调查1767人。结果《条例》实施1年后,上海市医疗卫生机构工作人员的吸烟率从16.4%下降到14.3%,差异无统计学意义(P>0.05)。打算戒烟率从46.4%上升到49.8%;对《条例》的知晓率从99.1%下降到96.6%,支持率从95.7%上升到97.7%;对烟草危害的认知率从57.1%下降到54.2%,差异均有统计学意义(P<0.05)。结论上海市医疗卫生机构工作人员吸烟率较低,对烟草危害的认识需要进一步加强。
Objective To understand the changes of the smoking situation of staff in medical and health institutions over the one year since the Shanghai Regulations on the Control of Smoking in Public Places (hereinafter referred to as the “Regulations”), providing a scientific basis for promoting the implementation of the “Regulations.” Methods A stratified sampling method was used to survey the smoking status of all kinds of health institutions at all levels in 18 districts and counties in the city. A total of 1774 people were surveyed in the initial period of the “Regulations” (March 2010), and 1,767 people were surveyed after 1 year (March 2011) of the “Regulations”. Results After the “Regulations” were implemented for 1 year, the smoking rate of staff in Shanghai medical and health institutions dropped from 16.4% to 14.3%, with no significant difference (P> 0.05). The rate of smoking cessation is expected to rise from 46.4% to 49.8%; the rate of awareness of the “Regulations” dropped from 99.1% to 96.6%, and the support rate increased from 95.7% to 97.7%; the awareness of tobacco hazards dropped from 57.1% to 54.2% , The differences were statistically significant (P <0.05). Conclusion The smoking rates of staff members in Shanghai medical and health institutions are relatively low, and their awareness of the harm of tobacco needs to be further strengthened.