Study On The Current Status Of Somking And Secondhand Smoke Exposure In Guangdong

Objective To explore the status of smoking, secondhand smoke(SHS) exposure, tobacco control in home and workplace, tobacco-related media propaganda, tobacco-related knowledge and attitudes towards smoking ban in residents of Guangdong Province. Analysis of relation factors associated with smoking behavior and exposure to SHS, to provide the basis for strategies and measures for tobacco control.Methods A multi-stage cluster sampling method was used to select samples. Selected aged 15 and over all residents household survey. Collect demographic information, the status of smoking and secondhand smoke, tobacco control in indifferent venues, tobacco-related media propaganda, tobacco-related knowledge and attitudes towards smoking ban in residents of Guangdong Province. Compile statistics tobacco usage to, reveal the status of SHS exposure. Use descriptive statistics and chi-square test of single factor analysis of the demographic characteristics of the sample, tobacco control in indifferent venues, tobacco-related media, tobacco-related knowledge and attitudes towards smoking ban. Use multivariate Logistic regression to analysis the relation factors of smoking and SHS exposure.Results 1. Smoking and SHS exposure status: The current smoking rate was 24.95% in Guangdong Province. For male, current smoking rate was 44.81%; while for female, smoking rate is 2.52%; Smoking rate rises with increasing age, fall with the rise of cultural level. Smoking rates in rural areas is higher than urban. Smoking rates vary in differentoccupations residents, Current smoking rate was the highest among workers(34.48%), and the lowest among students(4.08%), and the difference were both statistically significant. This survey found that the rate of secondhand smoke exposure in non-smokers was 57.65%. The presence of different cultures, occupation, venues, urban and rural areas of SHS exposure rates are also different, there were significant between each other; the highest exposure to SHS among junior high school education(69.05%), career commercial / service personnel(70.27%). The exposure to SHS in urban(46.29%) is higher than rural(70.50%). Among different venues, the highest rate of exposure to SHS is in restaurant(71.28%).2. The status of tobacco control in indifferent venues and tobacco-related media: The home and workplace smoking rules are different in Smokers and non-smokers, exposure to SHS and non-exposure to SHS, the differences were both statistically significant. There were 34.61% of families and 59.15% of the workplace who have any smoking ban, in which the proportion of non-smokers were higher than smokers. In the absence of smoking bans in the home and workplace, the proportion of SHS exposure is higher. The situation for tobacco-related media there are also differences between smokers and non-smokers, exposure to SHS and non-exposure to SHS in the past 30 days for Guangdong residents.3. Tobacco-related knowledge and attitudes towards smoking ban: The awareness of tobacco-related in non-smokers is generally higher than smokers, there are also differences between SHS exposure and non-exposure,the differences were both statistically significant. There were 72.06% and 61.27% know that smoking and SHS can cause serious disease. There are 61.04% of residents support the comprehensive somking ban for the indoor public places, and 70.64% support the comprehensive somking ban in office. The support of comprehensive smoking ban in the school is highest(76.58%), but the lowest in the restaurant(41.27%) and bars(35.04%).4. The relation factors of smoking and SHS exposure: Logistic regression analysis showed that gender, the different of urban and rural, age, educational level, occupation, smoking ban in home and workplace, the situation of access to the tobacco-related media propaganda, the tobacco-related knowledge and attitudes towards smoking ban are the relation factors of smoking behavior. The different of urban and rural, age, educationallevel, occupation, smoking ban in families and workplace are the relation factors of SHS exposure.Conclusions 1. The current smoking rate still remained at a high leve for male; while for female, the current smoking rate are rising and higher than the national average in Guangdong. 2. Focus on the workers, peasants and lower cultural level of residents in tobacco control can achieve better results to reduce residents’ current smoking rates and exposure to SHS. 3. A comprehensive ban on tobacco advertising, sponsor and promotion can reduce smoking residents. 4. The rate of SHS exposure remaind high and the support of smoking ban is lower in restaurant, the state is difficult to control. 5. Establishment of a comprehensive smoking ban in home and workplace can reduce the rate of somking and the exposure to SHS.