Objective To investigate the smoking behavior,knowledge and attitudes of tobacco danger among doctors,teachers and civil servants in Shanxi Province,and provide evidence for formulating relevant policies and smoking control intervention.Methods A total of 3042 doctors,teachers and civil servants from 221 departments were investigated by a questionnaire survey by face-to-face method.Epi Data 3.0 was used for data inputting and SPSS 17.0 for data analy-sis.Results The smoking rate was 16.44% .The smoking rate of male (31.81%) was higher than that of female (0.34%). Civil servants smoking rates was highest (20.94%), followed by teachers (14.81%) and doctors (13.54%).Key areas of the secondhand smoke exposure were indoor smoking areas designated in workplace (67.65%), bathroom (56.79%),office (49.14%),corridor (48.89%),classroom (6.31%) and family (43.43%).The awareness of tobacco danger was low (62.51%).More than half smokers had failure experience on quit smoking because of lacking smoking cessation service.Conclusion The consciousness of smoking control were poorer,management in work-place was weak,quantity and service skills of smoking cessation service was low.It is necessary to strengthen smoking con-trol education for key crowds,to advocate civilization of no-smoking and no-sending smoke,and to control exposure of sec-ondhand smoke and improve service ability to quit smoking.%目的:了解山西省医生、教师和公务员3类人群吸烟行为、烟草危害知识与态度,为制定控烟干预策略提供科学依据。方法采用面对面自填问卷调查的方法,对山西省11市13县(市、区)221个单位3042名医生、教师和公务员进行了调查。统计分析采用 Epi Data 3.0软件进行数据录入,SPSS 17.0软件对数据资料进行统计分析。结果3类人群吸烟率为16.44%,其中男性吸烟率(31.81%)明显高于女性吸烟率(0.34%),公务员吸烟率最高(20.94%),其次为教师(14.81%)和医生(13.54%);工作场所的室内指定吸烟区(67.65%)、洗手间(56.79%)、办公室(49.14%)、走廊(48.89%)、教室(6.31%)和家庭(43.43%)是二手烟暴露的主要地方;烟草危害认知度偏低(62.51%);曾有超过半数的吸烟者尝试过戒烟,但均未成功,其原因是缺乏戒烟服务。结论重点人群的控烟意识较差,工作场所控烟监管力度薄弱,戒烟服务机构数量和服务技能跟不上。需进一步加强重点人群控烟教育,倡导不吸烟、不敬烟、不送烟的文明社会风尚;促进减少二手烟暴露,规范戒烟门诊,提高戒烟服务能力。
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