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目的:探讨本区综合性控烟干预和健康促进的总体模式,为今后进一步制定有效控烟干预策略提供依据。方法:分别于1998年、1999年对上海市虹口区广中街道35岁以上居民中,随机选择12837人,社区内1所街道医院中的医务人员和社区内全部中小学校的教师及两家试点企业内的工人和管理人员共1836人为干预对象,开展吸烟现状调查及控烟干预工作,并创建无烟单位,以此评价综合性干预措施的有效性。结果:干预前后人群总体吸烟率有所下降,但对“吸烟危害健康”的认知程度提高不明显。社区内创建无烟居委会达100％,并创建了1所无烟医院、2所无烟工厂、3所无烟学校,无烟孕产妇、婴幼儿家庭达75.3％。结论:本区实施的综合性控烟措施是行之有效的,但还需强化,重点加强健康教育。
OBJECTIVE: To explore the overall pattern of comprehensive tobacco control and health promotion in this area, and provide the basis for further developing effective tobacco control strategies in the future. Methods: In 1998 and 1999, randomly selected 12,837 residents of Guangzhong Street, Hongkou District, Shanghai, randomly selected 12837 people, medical staff in 1 street hospital in the community and all primary and secondary school teachers and two pilots in the community A total of 1,836 workers and managers in the enterprise were intervened to conduct a survey on smoking status and tobacco control interventions and create smoke-free units to evaluate the effectiveness of comprehensive interventions. Results: The overall smoking rate of the population before and after the intervention declined, but the awareness of “health hazards of smoking” did not increase obviously. There were 100% non-smoking residents’ committees in the community and 1 non-smoking hospital, 2 smoke-free factories, 3 smoke-free schools, smoke-free pregnant women and 75.3% of infants and young children’s families were created. Conclusion: The comprehensive tobacco control measures implemented in this area are effective, but they still need to be strengthened with emphasis on strengthening health education.