2011年北京公共场所控烟情况调查

来源 :中华医学会公共卫生分会第二次学术会议暨中国现场流行病学培训项目第六届年会 | 被引量 : 0次 | 上传用户:duyalengp
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  Background: In China, nearly 2/3 of men smoke.Secondhand smoke in public venues is a serious problem.On May 1,2011, an indoor smoking ban in public venues issued by the Chinese Ministry of Health came into effect.Methods: During April, 2011, we conducted a survey in restaurants, cyber-cafes, and hospitals in West-Beijing District, and in all railway stations and long-haul bus stations in urban Beijing.Trained observers surreptitiously recorded the presence of tobacco control measures ("No Smoking" signs, anti-smoking posters), cigarette advertising and sales, and presence of ashtrays in public venues.They also observed smoking among public venue customers during a 30 minute observation period.A smoking venue was defined as ≥1 person observed smoking.Data analysis accounted for the complex survey design.Results: All venues had ≥1 tobacco control measure; 57% had ≥4 measures; 66% had "No Smoking" signs (range: 50% in restaurants to 91% in hospitals); 7.9% had anti-smoking posters (range: 0% in railway stations to 21% in hospitals).Conversely, 11% sold cigarettes, particularly long-haul bus stations (36%); and 31% of cyber-cafes provided ashtrays in no-smoking areas.A higher number of control measures was associated with less observed smoking (OR=0.65, 95% CI: 0.41-1.0 with each increased measure using logistic regression).In restaurants, smoking was twice as likely to occur when ashtrays were provided (RR=2.2, 95% CI: 1.4-3.3) and 1.5 times as likely to occur when cigarettes were sold (RR=1.5, 95% CI: 0.83-2.6).Conclusions: Tobacco control measures have positive effects on smoking control but are not widely available in public venues.We recommend both strengthening smoking control measures and prohibiting advertisements and sales.
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