首页|2022年上海市卫生健康系统控烟效果暗访评价

2022年上海市卫生健康系统控烟效果暗访评价

扫码查看
目的 了解上海市卫生健康系统控烟措施的实施效果和不足之处,为相关政策制定提供参考依据.方法 于2022年9-10月,采用全面调查方法、多阶段随机抽样方法调查上海市卫生健康系统各机构控烟措施实施状况.采用Kruskal-Wallis H检验、x2检验分析卫生健康系统的控烟水平差异.结果 2022年上海市卫生健康系统控烟暗访得分的中位数为98.00(90.01,100.00)分.Kruskal-Wallis H检验结果显示,公立妇幼保健院/妇产儿科专科医院控烟暗访得分的中位数为100.00(99.00,100.00)分,高于其他类型医疗机构的控烟暗访得分;公立二级/三级综合性医院所属区域禁止吸烟指标得分的中位数为17.33(12.33,20.00)分,低于其他医疗机构的禁止吸烟指标得分;以上差异均有统计学意义(P<0.05).x2检验结果显示,在各类环境指标、执行指标满分率中,公立二级综合性医院/三级综合性医院在所属区域禁止吸烟方面的满分率为31.25%(5/16),低于其他机构(P<0.05).结论 上海市卫生健康系统各机构控烟效果总体较好,未来需重点关注医疗机构控烟情况,通过规范室外吸烟点设置、提高禁烟标识覆盖率、加强控烟宣传等方式继续提高本市控烟水平.
Effect evaluation on tobacco control in health care institutions by unannounced visits in Shanghai,2022
Objective To understand the implementation effectiveness and shortcomings of tobacco control in health care institutions in Shanghai system,and to provide reference basis for policy formulation.Methods From Septem-ber to October 2022,a comprehensive survey method and a multi-stage random sampling method were used to investigate the implementation of tobacco control measures in various health care institutions in Shanghai.Kruskal Wallis H test and x2test were used to analyze the difference of tobacco control effect.Results In 2022,the median score of tobacco control effect by unannounced visits in health care institutions was 98.00(90.01,100.00).The results of Kruskal Wallis H test showed that the median score of public maternal and child health hospitals/maternity and pediatric hospitals was 100.00(99.00,100.00),which was higher than that of other types of medical institutions.The median score of smoking ban index in the ar-ea of public secondary/tertiary general hospitals was 17.33(12.33,20.00),which was lower than that of other medical institutions.The above differences were statistically significant(P<0.05).x2 test results showed that in the full mark rate of various environmental indicators and implementation indicators,the full mark rate of public secondary general hospitals/terti-ary general hospitals in the area of smoking ban was 31.25%(5/16),which was lower than that of other institutions(P<0.05).Conclusion The overall effectiveness of smoking control in various health care institutions in Shanghai is good.In the future,it is necessary to focus on the smoking control situation in medical institutions,and continue to improve the smoking control level in this city by standardizing the setting of outdoor smoking points,increasing the coverage of smoking ban signs,and strengthening smoking control publicity.

Health care institutionTobacco controlMonitor

段旭昶、贾晓娴、吴萍、罗力、陈德

展开 >

复旦大学公共卫生学院,上海 200032

上海市健康促进中心,上海 200040

卫生健康系统 烟草控制 监测

国家重点研发计划资助项目

2022YFC3600901

2024

中国健康教育
中国健康教育中心 中国健康促进与教育协会

中国健康教育

CSTPCD北大核心
影响因子:1.261
ISSN:1002-9982
年,卷(期):2024.40(10)