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目的了解甘肃省武威市和白银市医疗卫生机构从业人员吸烟现状及吸烟行为的影响因素,为创建无烟医疗卫生系统提供依据。方法采取分层抽样的方法抽取武威市和白银市590名18岁以上的医疗机构从业人员进行问卷调查,采用非条件Logistic回归分析探讨吸烟行为的影响因素。结果调查对象的吸烟率为23.7%,其中男性(44.8%)高于女性(1.1%),武威市(30.1%)高于白银市(10.5%),在各年龄段中51岁以上最高(37.0%),婚姻状况中在婚最高(25.3%),文化程度中以初中及以下最高(50%),差异均有统计学意义(P<0.01)。多因素Logistic回归分析显示,医疗卫生机构从业人员吸烟行为的影响因素主要有性别(OR=0.01)、年龄(OR=1.68)和参加控烟培训的次数(OR=0.26)。结论男性中老年从业人员仍然是甘肃省医疗卫生系统控烟工作的重点人群,加大控烟宣传,加强控烟培训对开展无烟医疗卫生系统创建具有重要意义。
Objective To understand the status quo of cigarette smoking and smoking behavior in medical institutions in Wuwei City and Baiyin City, Gansu Province, and to provide the basis for creating a smoke-free medical and health system. Methods A stratified sampling method was used to survey 590 medical institutions in Wuwei City and Baiyin City who were over 18 years of age. Questionnaires were conducted to investigate the influencing factors of smoking behavior by non-conditional logistic regression analysis. Results The smoking rate of the surveyed subjects was 23.7%, which was higher in males (44.8%) than in females (1.1%), Wuwei City (30.1%) was higher than that in Baiyin City (10.5%), and the highest prevalence was 51 years and above in all age groups %), The highest level of marriage (25.3%) in marriage and the highest (50%) in junior high school and below in education were statistically significant (P <0.01). Multivariate logistic regression analysis showed that the main factors influencing smoking behaviors of medical and health institutions were sex (OR = 0.01), age (OR = 1.68) and number of tobacco control training sessions (OR = 0.26). Conclusion Male middle-aged and elderly employees are still the key population in tobacco control work in Gansu Province. To increase tobacco control publicity and strengthen tobacco control training are of great significance to the establishment of a smoke-free medical and health system.