甘肃省20～80岁汉族男性吸烟和饮酒的交互作用对γ – 谷氨酰转肽酶的影响

  目的  了解浙江省杭州市居民在新版《杭州市公共场所控制吸烟条例》（简称“《条例》”）实施2年后的室内公共场所二手烟暴露情况及其对室内公共场所控烟的满意度，为新版《条例》的推进提供参考。  方法  于2021年1月采用分层随机抽样方法在杭州市下城区、余杭区和桐庐县抽取1320名15～75岁居民进行问卷调查。  结果  杭州市最终纳入分析的1315名居民中目前不吸烟者1101人，不吸烟者中有303人近1周内在公共场所吸入过二手烟，二手烟暴露率为27.52 %；杭州市居民对室内公共场所控烟的总体满意度为67.76 %，其中对控烟宣传的满意度为64.49 %，对控烟监督执法的满意度为59.54 %，对党政机关无烟示范的满意度为65.63 %；在控制了性别、年龄、文化程度、婚姻状况、职业、居住地、是否自报慢性病患病、目前吸烟情况、控烟条例核心知识知晓情况、烟草危害知晓情况和控烟参与意愿等混杂因素后，多因素非条件logistic回归分析结果显示，对控烟宣传满意度（OR = 2.293，95 % CI = 1.507～3.491）、控烟监督执法满意度（OR = 3.960，95 % CI = 2.793～5.615）和党政机关无烟示范满意度（OR = 3.911，95 % CI = 2.534～6.036）越高的杭州市居民，其对室内公共场所控烟的总体满意度越高。  结论  杭州市居民室内公共场所二手烟暴露率较低且对控烟的满意度较高，新版《条例》的实施取得了一定效果，相关部门应重点加强监督执法力度和巩固党政机关的无烟示范作用以提高居民对室内公共场所控烟的总体满意度。

Second-hand smoke exposure in in-door public places and satisfaction to tobacco control among residents in Hangzhou city: a cross-sectional survey

  Objective  To examine the prevalence of second-hand smoke exposure (SHS) in indoor public places and the satisfaction to tobacco control in residents two years after the implementation of the Tobacco Control Regulation – 2019 in Hangzhou city of Zhejiang province, and to provide references for the promotion of the regulation.   Methods  Using stratified random sampling and a self-designed questionnaire, we conducted an on-site self-administered survey among 1 320 residents aged 15 – 75 years at 26 public places (administrative departments, hospitals, training centers, places of entertainment, restaurants, hotels and shopping malls) in two districts and one county of Hangzhou city during January 2021.   Results  Among the 1315 valid respondents, 1 101 were non-smokers; of the non-smokers, 27.52% (303) reported being exposed to SHS during the past week. For all the respondents, 67.76% reported an overall satisfaction to tobacco control in indoor public places and 64.49%, 59.54%, and 65.63% reported the satisfaction to tobacco control propaganda, supervision on tobacco control, and government agencies′ smoke-free demonstration, respectively. The results of unconditional multivariate logistic regression analysis showed that after adjusting for gender, age, education, marital status, occupation, place of residence, self-reported chronic disease, current smoking status, awareness of core knowledge about tobacco control regulations, awareness of tobacco hazards, and willingness to participate in tobacco control, the residents reporting the satisfaction to tobacco control propaganda, tobacco control supervision and law enforcement in public places, and government agencies′ smoke-free demonstration were more likely to report a higher overall satisfaction to tobacco control.   Conclusion  The prevalence of secondhand smoke exposure in indoor public places was relatively low and the satisfaction to tobacco control was high among residents in urban and rural Hangzhou after the implementation of updated tobacco control regulation.