Study On Present Situation Of Smoking And Strategies Of Smoking Control Among Male Medical Personnel In Yunnan Province

One of the successful experiences to control smoking in some developed countries is that doctors do not smoke themselves and do persuade others not to smoke as well. At present, as the smoking rate is very high among male medical personnel, to study on the strategies of smoking control among this population has realistic meanings for smoking control program in China. In this thesis, the strategies on smoking control among medical personnel have been explored, based on the presentation and analysis on the current situation, motives, psychological characters, behaviors and influencing factors among male medical personnel in Kunming City and other five districts of Yunnan Provice. The findings showed: 1) the incidence of smoking was 61.94% among male medical personnel in Yunnan, a rather high level around China; the surgeons had the highest rate (67.9%), and the pediatricians had the lowest one (50.0%); the whole society tolerated the doctors' smoking behaviors, the health departments usually lacked the responsibility to control smoking in the society, and the people understood less knowledge on "smoking is harmful" and "developing tobacco economy"; so these factors hindered the development of control smoking. 2) The key causes for initiating smoking were social needs, pressure relief and getting rid of depression; the main inducements were involved in friends gathering, tensions, exchanging cigarettes, and low spirit; the main smoking places included public entertainment sites, offices, houses, so the problem of passive smoking was serious; the dissemination, publicity and implementation on Regulation on forbidding smoking in public places of Kunming City were not far enough, so the mass populations were riding the fence. 3) The survey of knowledge, attitude and practices (KAP) showed that the score about knowledge was the highest among the smokers, then about the attitude, and the lowest score was related to the practices. The attitudes and believes about smoking and smoking control were various, complicated and ambivalent so that their knowledge and behaviors were separate. The results indicated that the indicators of knowledge and attitude showed significant difference among different ethnic groups but the indicator of practices had no significant difference; smokers with higher education had higher scores in knowledge, with significant difference, but there were no significant differences in the scores of attitude and practices among the smokers with different education level; the first smoking age was positive correlation to scores of attitude and practices, with significant difference, but it has no significant difference with the knowledge score; the total scores of KAP among the people giving up smoking successfully was higher than the ones unsuccessfully, and the scores of people who had never tried to conduct smoking cessation were the lowest, with significant difference (p<0.01). 4) With 30.51%, the rate of smoking cessation successfully, the key cause (58.0%) was the self-awareness about the harm and the main means to conduct smoking cessation was to self-restrict (84.1%).The suggestions were offered: firstly, the medical personnel should be integrated into the whole society for smoking control to develop good circumstance for smoking control; secondly, focusing on the professional characteristics of medical personnel, smoking control should be developed from three sides: hospital culture construction, the combination of health education with administrative intervention, and to hinder the newcomer in medicine field to join the smokers.