浙江省卫生机构控烟实施及烟草暴露的现况调查

目的了解浙江省卫生机构的控烟措施实施情况及烟草暴露流行程度,为烟草控制及卫生决策提供依据。方法采用分阶段、按地理位置的随机抽样,对62家卫生机构开展知情人调查和现场观察法,对机构内1275名成年人开展拦截式问卷调查,收集机构的控烟措施及烟草暴露信息。结果医院和其他卫生机构的职工吸烟率分别为11.59%和23.26%。在62家卫生机构中,69.35%开展过无烟单位创建活动,70.97%有禁烟规定,32.26%为职工提供戒烟帮助。拦截调查发现,发现25.18%卫生机构内存在吸烟现象,发现11.06%机构内有工作人员制止吸烟行为。医院和其他卫生机构内的吸烟者是本单位工作人员的分别为41.86%和70.67%。结论浙江省卫生机构存在相当比例的烟草暴露现象,需进一步落实卫生机构控烟措施。

A Survey on Tobacco Control Interventions and Secondhand Tobacco Exposure in Health Institutions of Zhejiang Province

Objective To assess the tobacco control interventions and secondhand smoke exposure in health institutions of Zhejiang Province, and to provide the basis for tobacco control and health decision - making. Methods A survey was conducted involving 62 settings and 1275 adults in Zhejiang province who were selected by randomized multi - stage sampling based on geographic location. They were investigated with on - site observation and questionnaires, and data of local tobacco control activities and secondhand smoke exposure were also collected. Results Smoking rates of hospitals and the other health agencies were 11.59% and 23.26%, respectively. About 69. 35% of settings had proposed to create ＂ Non - smoking Agency＂ ; 70.97% of settings had completely indoor smoking ban; only 32. 26% of settings provided employees with smoking cessation assistance; 25. 18% of settings had found secondhand smoke exposure; and in 11.06% of settings, the staff had stopped customers from smoking. Among smokers in the hospital, 41.86% were the stuff; while 70. 67% of those in uther health institutions. Conclusion The results of this study showed that secondhand smoke exposure in health institutions was still serious, and tobacco control measures were relatively poor. It is indicated that implementation of tobacco control interventions should be strengthened.