上海交通大学学报（医学版）

›› 2012, Vol. 32 ›› Issue (7): 857-.doi: 10.3969/j.issn.1674-8115.2012.07.008

• 专题报道（上海市青少年烟草使用调查研究） • 上一篇    下一篇

上海市中学教职员工吸烟现状及学校控烟环境分析

朱静芬, 何亚平, 李 娜, 蔡 泳, 陶婧婧, 马 进   

  1. 上海交通大学 公共卫生学院, 上海 200025
  • 出版日期:2012-07-28 发布日期:2012-08-17
  • 通讯作者: 马 进, 电子信箱: majin@shsmu.edu.cn。
  • 作者简介:朱静芬（1976—）, 女, 讲师, 硕士；电子信箱: zhujingfenjt@163.com。
  • 基金资助:

    美国Emory大学卓越控烟项目；上海市卫生局项目(20114093)

Prevalence of smoking and tobacco control environment among middle school personnel in Shanghai

ZHU Jing-fen, HE Ya-ping, LI Na, CAI Yong, TAO Jing-jing, MA Jin   

  1. School of Public Health, Shanghai Jiaotong University, Shanghai 200025, China
  • Online:2012-07-28 Published:2012-08-17
  • Supported by:

    Emory University Foundation；Shanghai Municipal Health Bureau Foundation, 20114093

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摘要：

目的 对上海市中学教职员工的吸烟现状以及学校的控烟管理进行调查和分析。方法 采用分层整群随机抽样的方法，选取上海市4个区的38所中学（28所初中，7所高中，3所职校）的2 696名教职员工作为调研对象，使用问卷进行现场匿名调查，调查内容包括吸烟情况、认知态度、控烟培训和学校控烟环境等，对调查结果进行统计学分析。结果 上海市中学教职员工的总吸烟率为13.2%，男性吸烟率显著高于女性（35.9%和1.6%）(P<0.001）。随着年龄的增长，吸烟率呈现逐渐上升趋势；与40岁以下者比较，40岁以上男性的吸烟率明显升高（P<0.001）。男性调研对象中，教师的吸烟率（30.2%）明显低于行政管理（45.6%）和其他人员（50.0%）（P<0.001）。调研对象对于吸烟会上瘾、会导致肺癌和心脏病的认识正确率仅为64.1%，且吸烟者显著低于不吸烟者（43.1%和67.3%）（P<0.001）。认为学校严格执行禁止教职员工吸烟相关规定的调研对象仅占54.5%；严格执行规定学校的吸烟率显著低于未严格执行规定学校（9.8%和14.0%）（P<0.05）。41.7%吸烟者报告在过去的1年内在学校内吸过烟。结论 上海市中学教职员工的吸烟率低于中国成人吸烟率的平均水平，但对于吸烟危害认识不足，学校对于教职员工的控烟管理，尤其对于40岁以上男性及非教学岗位的教职员工的控烟教育有待加强。

关键词: 教职员工, 吸烟, 控烟环境, 中学

Abstract:

Objective To investigate and analyse the prevalence of smoking and tobacco control environment among middle school personnel in Shanghai. Methods Stratified cluster random sampling method was adopted, and 2 696 personnel were selected from 38 middle schools (28 junior middle schools, 7 senior high schools and 3 vocational schools) in 4 districts of Shanghai. On-the-spot questionnaire survey was conducted, which was concerned with smoking condition, knowledge and attitude, tobacco control training and tobacco control environment in schools, and the survey findings were statistically analysed. Results The prevalence of smoking among school personnel was 13.2%. The prevalence of smoking in males was significantly higher than that in females (35.9% vs 1.6%, P<0.001). The prevalence of smoking increased with age, and the prevalence of smoking in males aged more than 40 was significantly higher than that in males aged less than 40 (P<0.001). For males, the prevalence of smoking in teachers (30.2%) was significantly lower than those in administrative staff (45.6%) and staff on other positions (50.0%)(P<0.001). Only 64.1% of respondents were aware of the harm of smoking such as addiction, lung cancer and cardiac diseases, and the percent of smokers was significantly lower than that of non-smokers (43.1% vs 67.3%, P<0.001). Only 54.5% of respondents believed that smoking ban was thoroughly implemented in their schools, and the smoking rate in schools with strict smoking ban was significantly lower than that in schools without strict smoking ban (9.8% vs 14.0%, P<0.05). About 41.7% of smokers reported that they had smoked in schools in the past year. Conclusion The smoking rate among middle school personnel in Shanghai is lower than that of adult population in China. Promotion should be implemented among school personnel to increase their awareness of harm of smoking and to improve their tobacco control skills, especially for males aged more than 40 and administrative staff.

Key words: school personnel, smoking, tobacco control environment, middle school