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《上海市公共场所控制吸烟条例》实施半年的效果评价
作者:李翔  郑频频  傅华  张之幸  沈隽  尉敏琦  宋华  田安敏  
单位:复旦大学公共卫生学院公共卫生安全教育部重点实验室  上海市长宁区卫生监督所  上海市闵行区疾病预防控制中心  上海市静安区卫生监督所  上海市黄浦区爱卫会  
关键词:条例  公共场所  二手烟  
分类号:R193
出版年,卷(期):页码:2011,27(10):735-739
摘要:

目的评价《上海市公共场所控制吸烟条例》(以下简称《条例》)实施半年后公共场所工作人员被动吸烟水平、个人吸烟情况、认知态度、健康效应等方面的影响。方法采用重复横断面调查。通过多阶段分层整群随机抽样,对上海市5个区的5大类公共场所工作人员在条例实施前以及实施6个月后进行问卷调查。结果《条例》实施半年后,公共场所工作人员被动吸烟率为35.6%,比基线暴露率48.9%下降了13.3%,差异有统计学意义(P<0.05);暴露时间从每天1.16±1.97小时下降为0.94±1.69小时,差异有统计学意义(P<0.05);吸烟率从21.6%下降为17.8%,差异有统计学意义(P<0.05);部分场所工作人员呼吸系统症状有所缓解,差异有统计学意义(P<0.05);对《条例》的持赞同态度的比例升高,差异有统计学意义(P<0.05)。结论《条例》对于上海市控烟立法发挥了积极的作用。宾馆、商场控烟执行情况需有待提高。

Objective To estimate the impact of Shanghai Smoking Control Regulation on second-hand smoking exposure(SHS) level,personal smoking behavior,attitude,the effect of health among employees in public places after half a year’s implementation.Methods Repetitive cross-section survey were conducted before and six months after the ban,using multistage stratified cluster sampling from employees in 5 types of public places from 5 districts of Shanghai.Results After half a year’s the implementation of the regulation,the percentage of exposing to SHS decreased by 13.3%,from 48.9% to 35.6%,there is significant difference(P<0.05) while the exposing time decreased from 1.16±1.97 h/d to 0.94±1.69 h/d there is significant difference(P<0.05);the smoking rate decreased from 21.6% to 17.8%,there is significant difference(P<0.05).The results also showed lower percentage of suffering from respiratory system symptom among employees in some workplaces and higher supporting rate to smoking free policy,there is significant difference(P<0.05).Conclusion The regulation has played a active role on Shanghai smoking control.However,smoking control in the hotels and shopping malls should be enforced. 

基金项目:
Bloomberg彭博全球降低烟草危害项目(China2-29)
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