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目的了解江苏省医务人员的吸烟状况及相关认知与态度,为控烟政策的制定提供科学依据。方法 2009年4—5月,采用随机抽样方法抽取江苏省六市(县)30所医疗卫生机构的3 035名医务人员进行吸烟相关的问卷调查。结果江苏省医务人员吸烟率为20.1%,现在吸烟率为17.3%,吸烟者日平均吸烟量为(12.7±8.8)支。医务人员对烟草与疾病认知得分为(32.78±5.95)分;83.3%的医务人员回答所在单位有完全或部分禁烟规定,而只有44.6%的医务人员认为所在单位的禁烟规定执行得好;70.1%的医务人员支持所在单位室内完全禁烟,影响其对单位室内完全禁烟态度的因素主要是吸烟状况(OR=2.607,95%CI=2.046～3.321),认知水平(OR=1.694,95%CI=1.440～1.992)及卫生机构类别(以行政部门为对照,(OR医院=1.449,95%CI=1.110～1.890;OR疾控=1.466,95%CI=1.106～1.945)。结论江苏省医务人员中男性现在吸烟率较高,对单位室内完全禁烟支持率较高,在烟草与疾病认知方面还需要进一步提高。应对医务人员的吸烟行为进行干预,加强控烟知识和戒烟技能培训,推动无烟单位创建活动,使其在烟草控制工作中起到表率和支持作用。
Objective To understand the smoking status of medical staff in Jiangsu Province and related knowledge and attitudes and to provide a scientific basis for the development of tobacco control policy. Methods From April to May 2009, 3 035 medical staff of 30 medical and health institutions in 6 cities (counties) of Jiangsu Province were selected to carry out smoking-related questionnaires by random sampling method. Results The smoking rate of medical staff in Jiangsu Province was 20.1%, the current smoking rate was 17.3%, and the average daily smoker’s smoking amount was (12.7 ± 8.8). Medical staff had a score of (32.78 ± 5.95) points on tobacco and disease; 83.3% of the medical staff responded that the employer had complete or partial smoking ban, while only 44.6% of medical staff thought the smoking ban in the unit was well implemented; 70.1 % Of the medical staff support the indoor smoking ban. The main factors influencing the complete banning of indoor smoking in the unit are the smoking status (OR = 2.607, 95% CI = 2.046-3.321), cognitive level (OR = 1.694,95% CI (OR = 1.449, 95% CI = 1.110-1.890; OR disease control = 1.466, 95% CI = 1.106-1.945) .Conclusion The medical staffs in Jiangsu Province Among men, smoking rates are now higher, and there is a high rate of complete banning of indoor smoking in units, and there is still a need to further improve tobacco and disease cognition. Interventions should be made on smoking behaviors of medical personnel, training on tobacco control and smoking cessation skills, and promotion of smoke-free The unit creates activities that give it an exemplary and supportive role in tobacco control efforts.