无锡市城区社区卫生服务机构控烟效果调查分析

目的了解无锡市城区社区卫生服务机构在实施＂无烟城市-盖茨中国控烟项目＂前后控烟状况的变化,为在该市推进＂无烟城市＂的目标提供经验和借鉴。方法干预前后分别以问卷调查方式,对城区23家社区卫生服务中心全体在岗员工进行调查和结果对比。结果实施禁烟干预后,23家目标单位员工的总吸烟率由10.36%降至8.89%,男性吸烟率由39.94%降至34.69%,二手烟暴露率由47.24%降至14.12%,在工作单位吸烟员工的违禁吸烟率由60.87%降至31.09%,35.29%的吸烟员工在干预期间尝试戒烟;认为所在单位不应允许吸烟和知晓单位＂室内任何区域都禁止吸烟＂规定的由95.95%、69.67%上升至97.68%、79.31%;认可本单位对员工、对病人/来访者的禁烟规定执行彻底的分别为89.25%和78.27%;提供简短戒烟干预的情况有明显改善。结论禁烟干预对降低员工的现在吸烟率、违规吸烟率和二手烟暴露率有一定效果,仍需进一步加强禁控烟健康教育和干预力度。

Analysis on tobacco-control effect of community health service instituter in Wuxi urban area

Objective To learn the change of tobacco-control status before and after the implementation of "Tobacco-Free City-Gates China Tobacco Control Program" in community health service institutes of Wuxi urban area and provide experiences for realizing the goal of "tobacco-free city".Methods We investigated all on-post employee of 23 urban community health service centers by the way of questionnaire before and after intervention and compared with the results.Results After intervention,the overall smoking rate decreased from 10.36% to 8.89%,male smoking rate from 39.94% to 34.69%,secondhand smoking exposure rate from 47.24% to 14.12%.The proportion of smokers with violated smoking in working place reduced from 60.87% to 31.09%.35.29% of smoking employee attempted quitting smoking in the period of intervention.The proportion of those who think smoking should be forbidden in their own units and those who know the regulations of comprehensive tobacco ban anywhere indoor in their own units increased from 95.95% and 69.67% to 97.68% and 79.31%,respectively.The proportion of those who think tobacco ban regulations have been completely implemented to employee,patients/visitors in their own units were 89.25% and 78.27%,respectively.The situation of providing short tobacco ban intervention was also improved.Conclusion Tobacco ban intervention produces a certain effect to decrease the current smoking rate,violated smoking rate and secondhand smoking exposure rate.So,it is necessary to further strengthen the power of tobacco ban/control propaganda and intervention.