目的了解南昌市学校被动吸烟情况,为实现公共场所和工作场所全面禁烟提供依据。方法采用现场观察,于2012年3月采用分层随机抽取南昌市及郊区大、中、小学校共30所600名进行,问卷拦截调查。结果被调查的30所学校中,16所全面禁烟,11所部分禁烟。被调查的600人中,19.2%的人现在吸烟,学校工作人员与采访者的现在吸烟率分别为19.2%和19.1%,差异有统计学意义(P>0.05)。33.9%的吸烟者调查当天在学校吸烟,其中仅20.5%遇到工作人员劝阻;20.2%的人在调查当天看到其他人在学校吸烟,其中28.9%遇到工作人员劝阻。41.3%的人遭受被动吸烟的危害。不同类型的学校被动吸烟率不同,差异有统计学意义(P<0.05)。大学最高(55.8%),中学次之(37.9%),小学最低(31.8%)。不同禁烟政策学校被动吸烟率不同,差异有统计学意义(P<0.05)。不禁烟学校最高(53.6%),部分禁烟学校次之(51.2%),全面禁烟学校最低(32.8%)。结论虽然学校禁烟工作有所改善,但是控烟执行力度不够,被动吸烟现象依然严重,需尽快出台地方控烟法规加强控烟工作。 Objective To understand the situation of passive smoking in schools in Nanchang and provide the basis for a total smoking ban in public places and in the workplace. Methods By field observation, in March 2012, a total of 30 600 large, middle and primary schools in Nanchang and suburbs were randomly selected by stratification to carry out questionnaire interception investigation. Results Of the 30 schools surveyed, 16 were totally banned from smoking and 11 were partially banned from smoking. Of the 600 people surveyed, 19.2% smoke now, and the current smoking rates among school staff and interviewers are 19.2% and 19.1%, respectively, with significant differences (P> 0.05). On the survey day, 33.9% of smokers smoked at school, of whom only 20.5% encountered staff dissuasion; 20.2% saw other people smoking in school on the survey day, and 28.9% of them encountered staff dissuasion. 41.3% of people suffer from passive smoking. Passive smoking rates were different in different types of schools, the difference was statistically significant (P <0.05). Highest university (55.8%), secondary school (37.9%), lowest elementary school (31.8%). There was a significant difference in passive smoking prevalence between different smoking control schools (P <0.05). Non-smoking schools were the highest (53.6%), non-smoking schools were the second (51.2%) and the lowest (32.8%) were non-smoking schools. Conclusion Although the work of non-smoking schools has been improved, the implementation of tobacco control is not enough and passive smoking is still a serious problem. Local tobacco control laws and regulations should be promulgated soon to step up tobacco control.