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目的评价学校创建100%无烟环境的综合性干预效果,为积极开展校园控烟工作提供参考依据。方法 2007-2008年在全国20个省40个市县中小学按照统一的干预策略开展为期1a的100%无烟学校创建活动,采用观察法和问卷调查法分别收集干预前后学校的吸烟现象、学校人群对烟草危害的认识及控烟态度、学校人群的吸烟与被动吸烟等资料,评价干预效果。结果基线调查时36.14%的学校未观察到吸烟现象,干预后创建无烟学校上升为74.51%;干预前学校男性人群吸烟率为12.13%,干预后创建无烟学校中男性吸烟率降至10.61%;干预前学校不吸烟人群的二手烟暴露率为28.01%,干预后二手烟暴露率降至10.15%。干预后人群对烟草危害的正确认识及控烟态度较基线时均有显著改善。结论无烟学校创建活动的综合性干预措施取得了显著的效果,基本实现了项目的预期目标。
Objective To evaluate the effects of comprehensive interventions to create a 100% smoke-free environment in schools and to provide reference for the active implementation of tobacco control on campus. Methods A total of 1 100% smoke-free schools were established in 40 primary and secondary schools in 40 provinces and cities in 20 provinces in 2007-2008. They used the observation method and the questionnaire survey to collect smoking before and after school interventions and schools. The crowd's awareness of tobacco hazards and attitudes towards tobacco control, smoking in school populations, and passive smoking were used to evaluate the effectiveness of interventions. Results No smoking was observed in 36.14% of schools during the baseline survey. After the intervention, the number of smoke-free schools increased by 74.51%; the prevalence of smoking among school-age men was 12.13%. After the intervention, smoking prevalence among smoke-free schools dropped to 10.61%. The pre-intervention school non-smoking population had a second-hand smoke exposure rate of 28.01%. After the intervention, the exposure rate of secondhand smoke dropped to 10.15%. After the intervention, the people's correct understanding of tobacco harm and attitudes towards tobacco control were significantly improved from baseline. Conclusion The comprehensive intervention measures for establishing activities in smoke-free schools have achieved remarkable results and basically achieved the project's expected goals.