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目的:了解医生吸烟现状及其影响因素,为制定相应的控烟策略提供依据。方法:采取随机、PPS、系统抽样方法,抽取沈阳市5所三级甲等综合性医院医生812名进行问卷调查。结果:沈阳市医生总吸烟率为33.0%,其中男性吸烟率为62.0%,女性为3.7%(P﹤0.05);被动吸烟率为69.5%;戒烟成功率为17.3%。与女医生相比,男医生(OR=47.374,95%CI:26.862~83.547)吸烟率高;与文化程度(第一学历)为大专的医生相比,大学本科(OR=0.523,95%CI:0.35~0.67)、硕士及以上的医生(OR=0.258,95%CI:0.14~0.35)吸烟率低;与内科医生相比,外科医生(OR=1.16,95%CI:1.70~5.95)和急诊科医生(OR=1.06,95%CI:1.24~3.01)吸烟率高。结论:沈阳市医生吸烟率处于较高水平,须采取必要的办法向医生宣传控烟,进而降低吸烟率。
Objective: To understand the status quo of doctors smoking and its influencing factors, to provide the basis for the development of appropriate tobacco control strategies. Methods: Taking random, PPS and systematic sampling methods, 812 doctors from 5 tertiary level general hospitals in Shenyang were selected for questionnaire survey. Results: The total smoking rate of Shenyang doctors was 33.0%. Among them, the male smoking rate was 62.0% and the female was 3.7% (P <0.05). The passive smoking rate was 69.5%. The smoking cessation success rate was 17.3%. Compared with female doctors, male doctors (OR = 47.374, 95% CI: 26.862 ~ 83.547) had higher rates of smoking than those with tertiary education (OR = 0.523, 95% CI (OR = 0.258, 95% CI: 0.14-0.35). The surgeons had lower rates of smoking than those of physicians (OR = 1.16, 95% CI: 1.70-5.95) and Emergency Department physicians (OR = 1.06, 95% CI: 1.24-3.01) had high rates of smoking. Conclusion: The prevalence of smokers in Shenyang is at a high level. The necessary measures must be taken to promote tobacco control to doctors so as to reduce the smoking rate.