辽宁省七城市青少年吸烟行为现状及影响因素分析

目的了解辽宁省城市青少年学生的吸烟现况及影响因素,为制定青少年学生控烟措施提供科学依据。方法整群随机抽取全省7城市初中、高中和大学生,集体进行问卷调查。结果尝试吸烟、现在吸烟、频繁吸烟和经常吸烟的报告率分别为30.6%、13.4%、37.6%和3.2%。不同性别、学段、学校类型、母亲文化程度、学习成绩和家庭类型的学生尝试吸烟、现在吸烟和经常吸烟率的差异有统计学意义(P0.05),不同性别、学段、学校类型和学习成绩的学生频繁吸烟率差异有统计学意义(P0.05)。多因素Logistic回归分析结果显示,以女生为参照组,男生尝试、现在和频繁吸烟率的OR值分别为2.614、6.415和4.148,以大学本科生为参照组,大专生尝试、现在和频繁吸烟率的OR值分别为1.146、1.282和1.420,以母亲文化程度为本科及以上为参照组,母亲文化程度为小学及以下学生的尝试吸烟率的OR值为1.428,以学习成绩优良为参照组,学习成绩差的学生尝试、现在和频繁吸烟的OR值分别为1.629、1.692和1.442,以其他家庭类型为参照组,重组家庭学生尝试吸烟的OR值为1.748,以母亲文化程度为小学及以下为参照组,母亲文化程度为本科及以上的经常吸烟率的OR值为2.479。结论青少年吸烟率较高,应针对吸烟相关影响因素尽早对青少年学生进行控烟健康教育,预防物质成瘾行为的发生。     

海南省青少年烟草使用现状及影响因素分析

目的 了解海南省青少年学生吸烟行为及影响因素，为进一步开展青少年控烟干预提供科学依据。方法 于2021年7—10月，采用多阶段分层整群抽样的方法，抽取海南省10个监测市（县、区）30所初中、24所高中和5所职高的学生共8 538人为研究对象。采用中国疾病预防控制中心编制的《2021年中国青少年烟草及酒精流行调查问卷》开展调查，问卷内容包括吸烟行为、卷烟与电子烟的使用等。采用SPSS 22.0软件进行χ2检验、Bonferroni两两比较和多因素logistic回归分析。结果 加权后，2021年海南省青少年现在吸烟率为8.52%，尝试吸烟率为23.98%，经常吸烟率为2.57%。现在吸烟率、尝试吸烟率、经常吸烟率男生（12.91%、32.34%、4.39%）均高于女生（3.80%、14.92%、0.62%），农村学生（11.56%、30.10%、3.70%）均高于城市学生（6.15%、19.19%、1.69%），职高学生（22.88%、39.43%、8.22%）均高于初中学生（6.76%、20.54%、1.59%）和高中学生（4.84%、23.28%、1.74%），差异均有统计学意义（P...     

医学院校学生烟草控制干预效果评价

了解山东省医学院校学生烟草控制干预效果,为探讨医学院校烟草控制干预模式提供理论依据.方法 从山东省9所医学院校中随机抽取2所,分别为干预组(A)和对照组(B).采用定量方法进行基线调查,在基线调查的基础上进行社区诊断.根据健康促进理论制定综合控烟策略,对于干预组实施干预计划,采用自身前后对照和设立平行对照的流行病学研究方法进行效果评价.结果 干预组医学院学生,对吸烟健康危害的正确认识率和不吸烟赞同率干预前分别为55.5%,47.9%,干预后分别为69.1%,60.0%,干预前后差异均有统计学意义(P值均<0.01),现在吸烟率、吸烟行为劝阻率干预前后分别为2.9%、54.8%,3.1%、58.4%,差异均无统计学意义(P值均>0.05);对照组医学院校学生,前后两次调查不吸烟赞同率、对吸烟健康危害正确认识情况、现在吸烟率、吸烟行为劝阻率分别为54.6%、54.1%、5.8%、58.5%,58.5%、55.5%、4.0%、65.9%,差异均无统计学意义(P值均>0.05).结论 干预措施的实施对改善医学院校学生烟草使用及认知现状有一定的作用.对于高校学生来说,烟草控制干预的效果指标用知识和态度指标比较好;采用现在吸烟率和劝阻率则不敏感,指标变化不明显.     

天津市青少年吸烟行为调查分析

目的了解天津市青少年吸烟的流行情况,为开展有针对性的干预措施提供依据。方法采用自填匿名问卷集体调查方法,对天津市36所中学、6所大学,10 800名学生进行调查。结果学生尝试吸烟率为24.6%,现在吸烟率为10.6%,男女生差异有统计学意义(P0.01)。大专男生及职业中学女生尝试吸烟报告率最高。吸烟学生中,首次吸烟年龄小于13岁的比例为46.2%。大专男生、职业中学男生经常吸烟、重度吸烟的比例最高。结论青少年的现在吸烟率继续上升、尝试吸烟率升高;吸烟初始年龄和抽完一整支烟年龄提前;我市青少年吸烟者仍以轻度吸烟为主,而重度吸烟者中以职业中学、大专男生较为严重,女生吸烟中以职业中学最为严重。应尽早采取措施对青少年进行宣传教育,预防吸烟行为的发生。     

宁波市初中生控烟干预效果评价

目的了解宁波市初中生吸烟相关知、信、行水平,为评价"无烟学校清风行动"的项目干预效果提供参考。方法采用多阶段随机抽样抽取宁波市6个区的初中生,并分为干预组和对照组,分别对2组人群进行基线和终期问卷调查。问卷采用自行设计和编制的"宁波市中学生控烟相关知识、态度和行为情况调查表"。结果干预组学生的终期知识知晓率、态度和信念持有率和吸烟尝试率分别为81.49%,89.75%和15.14%,较基线的69.66%,85.46%和7.11%均有明显升高,差异均有统计学意义(P值均0.05),而对照组学生的终期与基线差异均无统计学意义。结论干预策略和措施是有效的,学校是预防和控制青少年吸烟的有效场所,需注意传播控烟知识的全面性和控烟正向功能的知识。     

重庆市13～15岁青少年烟草使用及戒烟行为调查研究

目的了解重庆市13～15岁青少年烟草使用及戒烟情况,分析、比较其在不同性别、年级、城乡间分布的差异,为青少年控烟干预提供基线数据和科学依据。方法采用多阶段分层整群随机抽样的方法,对重庆市13～15岁初中在校生进行人口学信息、吸烟、烟草使用、戒烟等情况进行调查,所有分析均在基于复杂抽样设计的权重调整下进行。结果共调查3710名青少年,男生1884人,女生1826人,现在吸烟率为9.3%,现在烟草使用率为9.9%,其中,男生现在吸烟率为14.5%、烟草使用率为15.1%,所有的烟草使用率均明显高于女生的3.7%、4.4%,差异有统计学意义(P0.001);不同年级间的现在吸烟率和烟草使用率初三最高,为12.9%、13.7%,初一最低,为5.5%、5.5%,差异有统计学意义(P0.05);城乡间未见差异(P0.05)。现在吸烟者中,72.0%的人目前想要戒断吸烟,80.6%的人过去12个月尝试过戒断吸烟。结论重庆市13～15岁青少年烟草使用以男性为主,烟草使用率处于全国较高水平;较多青少年尝试过吸烟或使用烟草,但吸烟者中大部分学生表示有戒烟欲望。建议对青少年特别是男性青少年的吸烟行为预防教育和干预应尽早开始。     

青岛初中生尝试吸烟现状及影响因素分析

目的 了解山东省青岛市初中生尝试吸烟状况及影响因素,为制定青少年控烟策略提供依据。方法 通过多阶段分层整群抽样方法,于2014年9-11月,抽取青岛市44所初中6 155名初中生为调查对象,采用全球青少年烟草流行核心问卷调查青少年烟草使用和戒烟情况、二手烟暴露情况、获得卷烟的途径、烟草使用认知等。对数据加权后,采用SPSS软件进行数据分析。结果 青岛市初中生尝试吸烟率为7.3%,男生尝试吸烟率为11.0%,高于女生的3.5%;初三学生尝试吸烟率为10.3%,高于初二学生的6.7%,初二学生高于初一学生的3.7%;城市学生尝试吸烟率为8.4%,高于农村学生的6.4%,差异均有统计学意义（均P<0.05）。尝试吸烟的单因素分析结果显示,年级、性别、城乡等个体因素,家庭环境因素,社会环境因素以及吸烟认同度均对初中生尝试吸烟率有显著影响（P<0.01）。多因素logistic回归分析结果显示,初二、初三、男生、父母中有人吸烟、朋友中有人吸烟、看到教师吸烟、接触过烟草产品广告和营销的初中生尝试吸烟的危险度高。结论 青岛市初中生尝试吸烟率受个人、家庭、学校、社会环境因素影响。     

2019年浙江省青少年烟草使用现况研究

目的 了解浙江省青少年烟草使用情况，为制定更有针对性的控烟干预措施提供科学依据。方法 于2019年4—6月，采用多阶段分层整群随机抽样方法抽取浙江省60所中学共7 663名学生为研究对象，对其进行问卷调查，了解烟草使用、二手烟暴露、控烟宣传、烟草广告和促销等情况。采用SPSS 21.0软件复杂抽样模块进行数据加权和χ2检验。结果 加权后，浙江省中学生的尝试吸烟率为8.93%，现在吸烟率为2.10%。其中男生的尝试吸烟率（13.05%）和现在吸烟率（3.59%）均高于女生（4.32%、0.43%）；职业高中学生、普通高中学生、初中学生之间的尝试吸烟率（19.03%、9.97%、5.16%）和现在吸烟率（7.07%、1.36%、0.83%）的差异均有统计学意义（P<0.05）；父母至少有一方吸烟的学生的尝试吸烟率（11.12%）和现在吸烟率（3.10%）均高于父母均不抽烟的学生（6.74%、1.10%），差异均有统计学意义（P<0.05）。过去7 d，中学生在家里、封闭公共场所、室外公共场所、公共交通工具的二手烟暴露率分别为32.28%、48.82%、51.94%和21.56%...     

甘肃省初中生吸烟状况及影响因素分析

了解甘肃省初中学生吸烟现状及相关影响因素,为青少年控烟工作提供科学依据.方法 采用多阶段分层整群抽样的方法,从甘肃省8个县区抽取3 500名在校初中学生进行问卷调查,获得完整有效资料3 324份.结果 初中生现在吸烟率为7.7%,尝试吸烟率为22.2%,男生尝试吸烟率(37.2%)高于女生(6.8%),差异有统计学意义(x2=444.673,P<0.01).尝试吸烟的学生报告通常在学校、家庭和朋友家吸烟的比例分别为17.0%,10.7%和6.7%.多因素Logistic回归分析显示,男生、年级较高、朋友吸烟、认为吸烟使人更有吸引力、在室内公共场所暴露二手烟、过去30 d看到过烟草广告的初中学生尝试吸烟的风险较高,差异均有统计学意义(OR值分别为5.595,0.770,5.473,1.761,1.943,1.262,P值均<0.05).结论 甘肃省初中学生吸烟状况较严重,尝试吸烟的影响因素较为广泛.需要社会、学校和家庭共同干预,减少初中学生的吸烟行为.     

2021年云南省青少年烟草使用情况及影响因素分析

目的 通过对2021年云南省青少年烟草使用情况进行分析,了解云南省初高中学生烟草流行情况的相关影响因素,提出有针对性的建议措施,减少烟草对青少年的危害并为制定控烟政策提供科学依据。方法 采用分层多阶段整群概率抽样法分三阶段抽取云南省10个县区59所学校176个班级的8 818名初高中学生作为调查对象进行问卷调查,利用χ²检验分析不同特征的的青少年的尝试吸烟率以及现在吸烟率,应用logistic回归分析青少年现在吸烟率的影响因素。结果 2021年云南省青少年尝试吸烟率及现在吸烟率分别为24.87%和10.93%。单因素分析显示,不同性别、学校类型、年龄、城乡属性、零用钱水平、父母吸烟情况、好友吸烟情况、看过吸烟镜头情况、对吸烟让人有吸引力的看法、看过控烟信息情况的青少年尝试吸烟率及现在吸烟率的差异具有统计学意义(P均<0.05)。多因素logistic回归分析显示除年龄外其余均是青少年现在吸烟率的影响因素(P<0.05),其中男学生、职高学生(OR=1.933,95%CI:1.374～2.720)、农村学生(OR=1.756,95%CI:1.491～2....     

珠海市健康教育控制小学生被动吸烟效果评价研究

目的科学评价健康教育干预活动在控制小学生被动吸烟“知识、信念、行为”方面的效果，为控制小学生被动吸烟科学决策提供依据。方法本研究为流行病学干预实验研究，采用调查问卷方式进行，随机抽取珠海市4所小学的3、4、5年级学生为研究对象，两所小学为干预组，两所小学为对照组，先开展基线调查，然后开展健康教育干预活动，一年后再进行评估调查，比较干预前后及干预组与对照组小学生被动吸烟“知识、信念、行为”方面的变化。结果干预组小学生对被动吸烟知识的知晓率从基线调查时的55．5％（286／515）上升到评估调查时的84．5％（452／535），对被动吸烟危害健康的肯定认识率从基线调查时的70．3％（362／515）上升到评估调查时的83．4％（446／535），对有人在自己面前吸烟时提出反对意见的提意见率从基线调查时的66．1％（302／457）上升到评估调查时的75．3％（305／405），以上这些改变经统计学X^2检验，差异有显著性；由于本研究设立了平行对照，因此，可以推断小学生被动吸烟知信行方面的提高是与健康教育干预活动有关的。但干预组小学生被动吸烟率从基线调查时的49．1％（253／515）下降至评估调查时的43．4％（236／482），差异没有显著性（x。=3．505，P=0．061）。结论健康教育干预活动可以有效提高小学生对被动吸烟的知晓率和被动吸烟危害健康的认识率，增强学生的自我保护意识和采取积极的措施避免被动吸烟的发生，但对降低小学生被动吸烟率的发生效果不明显。     

A brief smoking cessation intervention for Chinese and Korean American smokers

OBJECTIVE: This study evaluated changes in smoking-related beliefs and behavior following a brief, culturally adapted smoking cessation intervention for Chinese and Korean smokers. METHOD: From May 2002 to March 2003, 66 smokers residing in or around southeastern Pennsylvania were randomly assigned to a theory-based smoking cessation intervention or general health counseling. Participants completed assessments of perceived risks of smoking, pros and cons of quitting, quitting self-efficacy, and distress at baseline and follow-up time points. Sessions were conducted in the participant's native language (Korean, Cantonese, or Mandarin). Both groups received nicotine replacement therapy. RESULTS: Overall, 38% of participants reported quitting smoking at 3-month follow-up. Quit rates were higher (52.6% among Chinese, 60.0% among Korean) in the intervention condition compared to the control condition (23.5% among Chinese, 40.0% among Korean) at 1-month, but not 3-month, follow-up. There was a main effect of treatment condition for self-efficacy with intervention participants reporting significantly higher levels of self-efficacy compared to control participants. Further, a treatment x time interaction was observed for cons of quitting, reflecting fewer cons in the intervention group than the control group at 1-month and 3-month follow-up. CONCLUSION: A culturally adapted intervention for Chinese and Korean Americans can be effective in changing specific smoking-related cognitions and behavior. This study represents a promising first step toward advancing our understanding of the associations between smoking-related cognitions and behavior among Asian American smokers.     

医务人员控烟干预效果评价

目的评价对医务人员控烟干预的效果。方法对首都医科大学宣武医院不同科室的医生进行为期半年的控烟干预活动,采用自填问卷的方法,在干预前后分别进行调查,评价干预效果。结果医务人员的吸烟率由干预前的15.9%下降为干预后的6.3%,有戒烟打算者由基线的41.4%上升为72%,给病人使用戒烟药由3.8%上升为73.9%。认为医生应主动向病人提供戒烟服务的比例由69.5%上升为78.6%。结论在医务人员中开展控烟干预行动是可行的,值得进一步推广。     

A school nurse-delivered adolescent smoking cessation intervention: a randomized controlled trial

BACKGROUND: The aim of the present study was to evaluate the efficacy of a school nurse-delivered smoking cessation intervention to improve abstinence rates among adolescents interested in quitting. METHODS: Seventy-one high schools in Massachusetts were randomized to either a four-session one-on-one school nurse-delivered smoking cessation intervention (37 schools, n = 571) or usual smoking cessation care control condition (34 schools, n = 577). Adolescents in grades 9-12 who smoked in the past 30 days completed surveys at baseline, 6 weeks and 3 months. The study was conducted during the 2002-2003 school year. RESULTS: Thirty-day self-reported abstinence rates were significantly greater in students in the intervention compared to control condition at 6 weeks (18% vs. 2%, respectively) and 3 months (24% vs. 5%, respectively). After adjusting for school and potential confounders, students in the intervention schools had odds of quitting 8 times greater than students in the control schools at 6 weeks (OR = 8.4; 95% CI 3.7, 20.6) and 6 times greater at 3 months (OR = 6.4; 95% CI 3.4, 11.4). School nurses delivered intervention with a high degree of fidelity. CONCLUSIONS: A four-session smoking cessation intervention can feasibly be delivered by school nurses and increase self-reported short-term abstinence rates among students interested in quitting smoking.     

健康促进学校干预模式对学校和家庭控烟环境的影响

目的了解健康促进学校模式预防和控制青少年吸烟对学校和家庭环境的影响,为评价干预效果提供参考。方法在广州市4所中学开展为期1a的初中生吸烟干预试验,评价指标为与吸烟相关的学校物质环境和社会环境、对学生家庭的辐射作用和父母参与学生控烟的积极性。结果52.7%的学生能感觉到拒烟的校风在过去1a中增加,46.1%报告教师当面吸烟的情况减少,40.2%报告厕所内烟蒂减少,39.2%报告后勤人员吸烟减少,38.4%报告校道操场烟蒂减少,35.5%报告来访人员在校内吸烟减少,而报告班上吸烟同学减少和学校吸烟同学减少的分别为35.0%和32.7%。62.2%的学生家长报告“孩子在家提及了学校控烟工作”,71.5%报告“孩子携带控烟资料回家”,68.4%“阅读了孩子带回的资料”,69.8%和孩子“签订了无烟家庭协议书”。干预后,家长“教育孩子不要吸烟”的比例有所上升,“向孩子讲述吸烟危害健康知识”的也有所增加。家长“自己参与控烟的意愿”在干预后有明显的上升(P<0.05)。结论干预项目的实施对吸烟相关的学校环境产生了积极的作用,还部分辐射到学生家庭,一定程度上提高了父母参与控烟的积极性。     

组织改变理论在工厂戒烟干预中的应用研究

目的探索组织改变理论模型在中国工厂戒烟干预应用的可行性和效果。方法于2008～2009年对上海市两家工厂进行对照研究。对照组246人(男204,女42),平均年龄(34.7±13.2)岁,干预组233人(男203,女30),平均年龄(31.1±11.9)岁。将组织改变理论模型的4个阶段应用到干预组的戒烟干预中。分别在干预前和干预后,以问卷调查表的形式收集员工每日吸烟量、吸烟率、危害认知和戒烟意愿等方面的改变。在干预6个月后以戒烟者尿液中可的宁浓度的生物学检测判定是否成功戒烟。结果干预组的现在吸烟率由干预前的59.8%下降到干预后的39.1%(P<0.01),每日吸烟量由(15.0±8.6)支/天下降到(11.9±7.9)支/天(P<0.01)。对照组则无显著改变;干预组吸烟者中愿意接受同事戒烟帮助的比例由干预前的3.7%上升到干预后的15.6%(P<0.01),认为吸烟对健康有严重危害的比例也由干预前的36.5%上升到干预后的64.4%(P<0.05),对照组则均无显著改变(P>0.05);干预组吸烟者中打算在1个月内戒烟的比例由干预前的11.0%提高到干预后的41.5%(P<0.01),而对照组则无显著改变(8.5%vs9.5%);干预组和对照组6个月的戒烟成功率分别为24.6%和6.4%(P<0.01)。结论组织改变理论模型在中国工厂开展戒烟干预中的应用是可行的;该模型的应用对降低工人的吸烟率和每日吸烟量,提高吸烟者的戒烟意愿是显著的,6个月的戒烟成功率也显著提高。     

Can non-prosecutory enforcement of public health legislation reduce smoking amonq hiqh school students?

Background: Smoking by adolescents has been identified as a major public health issue. Raising the legal age of cigarette purchase from 16 to 18 years has attempted to address the issue by restricting adolescents? access. Methods/Strategy: A prospective study evaluating the impact of non-prosecutory enforcement of public health legislation involving ‘beat police’ was conducted in the Northern Sydney Health region. Secondary students, aged 12 to 17 years, from both intervention and control regions were surveyed about cigarette smoking habits by means of a self-completed questionnaire administered pre- and post-intervention. Results: 12,502 anonymous questionnaires were completed. At baseline, 19.3% of male students and 21.2% of female students indicated they were current smokers. Age and sex stratified chi-squared analysis revealed significantly lower post-intervention smoking prevalence for year 8 and 10 females and year 7 males among the intervention group. Higher post-intervention smoking prevalences were demonstrated for year 7 and 9 females and year 8 males among the intervention group and in year 10 males and year 11 females among the control group. The analysis of combined baseline and follow-up data from coeducational schools with logistic regression techniques demonstrated that the intervention had a significant effect in reducing smoking prevalence among year 7 students only (OR=0.54). Conclusion: Our study demonstrates the difficulties in restricting high school students? access to cigarettes. Isolated non-prosecutory strategies are likely to only have a limited impact on reducing smoking prevalence among high school students.     

Modifiable family and school environmental factors associated with smoking status among adolescents in Guangzhou, China

OBJECTIVE: To identify modifiable family and school environmental factors associated with Chinese adolescent smoking behaviors including never-smoking, experimental smoking, regular smoking, and attempting to quit. METHODS: A cross-sectional survey using self-reported questionnaires was conducted in Huangpu, Guangzhou in December of 2004. A total of 3957 pupils agreed to complete the questionnaires. The prevalence odds ratio (risk) of experimental smoking was compared to never-smoking, adjusting for gender and age in unconditional logistic regression analysis. The risk of regular smoking was compared to experimental smoking, and the risk of attempting quitting was analyzed in regular smokers. RESULTS: The cigarette smoking of peers, mothers, fathers, brothers, and supervising teachers, passive smoking, and seeing someone smoking on campus increased the risk of experimental smoking vs. nonsmoking, while no-smoking signs, perceived anti-tobacco atmosphere in school, and being taught smoking-related health knowledge decreased the risk. The factors associated with regular smoking compared to experimental smoking included the smoking of peers, brothers, fathers and supervising teachers, teacher's tolerance, and passive smoking. Being taught smoking-related knowledge, perceived anti-tobacco atmosphere and no-smoking signs in school were positively associated with regular smoker's attempt to quit, while supervising teacher's smoking, parents' and teachers' tolerance could delay it. CONCLUSIONS: These modifiable family and school environmental factors as well as their interaction with gender and age should be highly considered in adolescent smoking prevention in China.     

A randomized controlled trial of group intervention based on social cognitive theory for smoking cessation in China

BACKGROUND: New training programs need to be developed to help Chinese smokers achieve quitting. The objective of this study was to assess the effectiveness of a group smoking cessation intervention based on social cognitive theory among Chinese smokers. METHOD: A total of 225 smokers were eligible for the study and were randomly assigned to an intervention group (n=118) and a control group (n=107). The intervention group received the course soon after a baseline survey, whereas the control group received routine training in the first 6 months, and then took the same course. Effectiveness was evaluated at 6-month and 1-year follow-up from baseline. RESULTS: After 6 months, 40.5% (47/116) in the intervention group and 5.0% (5/101) in the control group quit smoking (absolute risk reduction: 35.5% [95% confidence interval (CI): 24.2-46.8%]). The 6-month continuous abstinence rate was 28.4% (33/116) in the intervention group and 3.0% (3/101) in the control group (absolute risk reduction 25.4% [95% CI: 15.6-35.2%]). At 1-year follow-up, the proportion of quitting and the 6-month abstinence rate in the intervention group were 35.8% and 22.0%, respectively. The factors associated with smoking cessation during the 6 month period were intervention (adjusted odds ratio [OR]=6.42 [95% CI: 2.46-13.28]), as well as anticipation of quitting (adjusted OR=1.46 [95% CI: 1.12-1.91]) and skill self-efficacy score in the baseline (adjusted OR=1.04 [95% CI: 1.01-1.07]). The same intervention was conducted in the control group after the 6-month study, in which a similar intervention effect was observed. CONCLUSION: A smoking cessation intervention based on social cognitive theory among Chinese smokers is highly effective.     

北京市房山区医务人员控烟干预效果评价

目的了解北京市房山区医务人员的吸烟状况和参与控烟的态度及控烟能力,为制定医务人员参与控烟工作提供措施依据。方法以询问和自填问卷相结合的方式对本区4所医院600多名医护人员进行调查,并对干预组实施一系列控烟干预措施,评价干预效果。结果经过干预,干预组医务人员在院内随意吸烟的现象较干预前下降了18．8％,在劝导患者戒烟和为吸烟者制定戒烟计划方面分别比基线高出14．9％和25．8％,也明显优于对照组（P〈0．01）;对烟草相关知识的认知程度较干预前和对照组明显提高（P〈0．01）。结论针对医务人员开展的控烟干预是可行的,以医务人员为切人点进行控烟健康教育能提高医务人员的控烟能力。