星级宾馆客人公共场所被动吸烟认知现况调查

目的了解宾馆客人对上海公共场所控烟状况和被动吸烟认知态度，为上海制定控烟政策与法规提供依据，并为今后开展公共场所控烟干预提供基础数据。方法通过目的性抽样，在上海市长宁区抽取13家四星级以上涉外宾馆，对中外客人811人进行问卷调查。结果62．1％的客人认为上海公共场所吸烟情况严重。酒吧、火车站、餐厅成为宾馆客人评价被动吸烟最为严重的公共场所。有72．9％的客人赞成上海应该在公共场所完全禁烟。《上海市公共场所禁止吸烟暂行条例》在中国大陆与非中国大陆客人中的知晓率不足半数。多因素分析结果表明：不吸烟者和所在地区执行无烟政策者更赞成公共场所完全禁烟政策，其OR值分别达4．42（95％CI：2．58—7．58）和3．92（95％CI：2．03～7．56），中年组（30～49岁）更赞成上海公共场所完全禁烟政策，其OR值为1．81（95％CI：1．01～3．26）。75．8％的客人同意“公共场所无烟会提升城市的形象”，54．8％的客人表示在上海实施公共场所完全禁烟会更愿意来上海，28．0％表示不受影响。结论目前上海公共场所被动吸烟状况仍然存在，在上海现有的控烟规定不足以创建室内清新环境，维护国际性大都市的形象，亟需有效的控烟立法。

Survey on the cognition status of star-rated hotel clients toward passive smoking in public places

Objective To understand the knowledge and attitude of star-rated hotel clients about the secondhand smoke as well as tobacco control status in the public places in Shanghai, and to provide the evidence to establish the smokefree policies for public places in Shanghai. Methods Thirteen four-star and five-star hotels were selected as the study sites, and 811 hotel clients participated in the questionnaire survey. Results 62. 1% of respondents considered that the environmental smoke exposure in the public places in Shanghai was serious. Bars, railway stations, and restaurants were the most frequently mentioned public places by the respondents where they were substantially exposed to secondhand smoke. There were 72. 9% of respondents supporting smoking ban in public places. Less than half of clients did not know the current tobacco control regulations in Shanghai. The result of logistic regress analysis indicated that the non-smokers and clients who came from nations （areas） with smoke-free policies in public places showed more supportive attitude to smoking ban. The correspondent OR values were 4.42 （95% CI： 2. 58 - 7.58） and 3.92 （95% CI： 2. 03 - 7. 56） respectively. The middle aged respondents （30 -49 years） showed more supportive attitude to smoking ban in the public places in Shanghai. The correspondent OR was 1.81 （95% CI： 1. 01 -3.26）. There were 75. 8% of respondents agreeing that ＂smoke-free public place can promote the image of the city＂. 54. 8% of respondents expressed that they were more likely to come to Shanghai if there was a total smoking ban in public places. 28.0% of respondents reported that such a measure would not have any impact on their willingness to visit Shanghai. Conclusion Exposure to environmental smoking in public places was serious in Shanghai. The current tobacco control polices in Shanghai could not protect public from being exposed to secondhand smoke. There was an urgent need to establish smoke-free policies in Shanghai.