目的了解南京市医疗机构的医务人员的吸烟,控烟状况,为下一阶段的控烟工作提供参考依据。方法采用分层整群随机抽样方法,对抽中的南京市医疗卫生机构和卫生行政部门的工作人员进行调查。结果共调查1165名医务工作人员,男性442人,女性723人。现吸烟率为16.9%,男性现吸烟率43.0%,≥50岁年龄组现吸烟率明显高于其他年龄组。医生接诊时,有48.4%的医生会经常建议病人戒烟或少吸。Logistic回归分析结果显示,医务人员的控烟能力与自身是否吸烟(OR=1.89～8.81)和参加控烟知识培训次数(OR=1.20～1.89)相关。结论控烟措施应该首先在医疗卫生机构实施,降低医务人员吸烟率,并加强控烟能力建设。 Objective To understand the smoking and tobacco control status of medical personnel in medical institutions in Nanjing and provide reference for the tobacco control work in the next phase. Methods A stratified cluster random sampling method was used to investigate the workers in Nanjing Medical Institutions and Health Administrative Departments. Results A total of 1165 medical staffs were surveyed, 442 were males and 723 were females. The current smoking rate was 16.9%, male smoking prevalence rate was 43.0%, ≥50 years of age group smoking was significantly higher than other age groups. At the doctor’s admissions, 48.4% of doctors often advised patients to quit or smoke less. Logistic regression analysis showed that the ability of tobacco control staff to smoke was related to whether they smoked (OR = 1.89-8.81) and the number of tobacco control training sessions (OR = 1.20-1.89). Conclusion Tobacco control measures should first be implemented in medical and health institutions to reduce the smoking rate among medical staff and to strengthen the capacity building for tobacco control.