上海交通大学学报（医学版）

上海交通大学学报（医学版）

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上海市嘉定区外冈镇高血压老年患者吸烟现状调查

施莉莉 1，裴晟 2，蔡雨阳 2，黄红 2   

  1. 上海交通大学 1. 医学院附属新华医院科研部，上海 200092；2. 公共卫生学院，上海 200025
  • 出版日期:2017-02-28 发布日期:2017-02-28
  • 通讯作者: 蔡雨阳，电子信箱：caiyuyang@sjtu.edu.cn；黄红，电子信箱：huanghong@smhb.gov.cn。
  • 作者简介:施莉莉（1980—），女，助理研究员，博士；电子信箱：shi-lili@outlook.com。
  • 基金资助:

    国家社会科学基金青年项目（14CGL077）；上海市哲学社会科学规划课题（2015BGL011）

Investigation on smoking status of hypertensive elderly in Waigang Town of Shanghai: a cross-sectional study

SHI Li-li1, PEI Sheng2, CAI Yu-yang2, HUANG Hong2   

  1. 1. Research Department, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China; 2. Shanghai Jiao Tong University School of Public Health, Shanghai 200025, China
  • Online:2017-02-28 Published:2017-02-28
  • Supported by:

    National Social Science Fund (Youth Projects), 14CGL077; Shanghai Philosophy and Social Science Fund, 2015BGL011

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摘要：

目的 ·对患有高血压并且吸烟的老年患者进行调研，了解这部分人群的吸烟现状以及探寻有效的系统干预的思路。方法 ·以接受免费高血压药物的吸烟的高血压老年患者为研究对象，采用问卷调查的方法，对上海市嘉定区外冈镇享受高血压免费药物政策的老年患者开展其吸烟状况的调查，并采用描述性分析揭示其吸烟现状。结果 ·患有高血压的吸烟老年患者中77.6%在13~25岁的青少年时期开始吸烟，烟龄超过40年的有近七成。有59.5%的老年患者近3年中每日平均吸烟在11~29支。有41.6%的吸烟者每月吸烟花费在200~299元。结论 ·目前近七成享受免费高血压药物政策的吸烟老年患者烟龄超过40年，日均吸烟量较大，免费高血压药物政策所附带的健康教育并未发挥其应有的作用。因此，一方面仍需要医务人员将病情和吸烟的危害联系起来，帮助老年患者减少吸烟量；另一方面也证明了控烟应从年轻群体抓起，从早期入手控制烟草流行。

关键词: 吸烟, 高血压, 老年患者, 横断面研究

Abstract:

Objective · To investigate the smoking hypertensive elderly, find out the status of smoking in this population, and explore effective system intervention. Methods · The smoking hypertensive elderly in Waigang Town of Shanghai who received free antihypertensive drugs were recruited to investigate and descriptively analyze the smoking status of them with questionnaires. Results · There were 77.6% of the smoking hypertensive elderly who began to smoke in the age of 13 to 25, and nearly 70% smoking for more than 40 years. There were 59.5% of these people smoking 11 to 29 cigarettes daily in recent 3 years, and 41.6% spending 200-299 yuan on smoking monthly. Conclusion · Currently almost 70% of the smoking hypertensive elderly, who receives free antihypertensive drugs, have been smoking for more than 40 years, and the average number of cigarettes smoked daily is big. It is clear that the health education attached to the policy of providing free antihypertensive drugs has not changed the behavior. Therefore, medical personnel still needs to contact the illness and smoking hazards to help the elderly reduce smoking. Besides, it proves that tobacco control should be implemented in the young population to control epidemic at the early stage.

Key words: smoking, hypertension, elderly, cross-sectional study