| ObjectivesUnderstand the key population's knowledge of the health hazards of tobacco, the related behaviors of smoking and passive smoking, the attitude on smoking control policies and the capacity of tobacco control and other relevant information in Henan Province, which can provide the basis for developing targeted intervention strategies in the future.MethodsThe two-stage random sampling method was used in this research, the doctors, teachers and the civil servants are distilled form all levels agencies in Henan, and they were investigated by the questionnaire. Described and analyzed the people's health knowledge, attitudes and the relevant action of controlling smoke, then analyzed the relevant factors and the ability to control smoking of the three groups in Henan by the logistic regression model and Chi-square test.Results1 The basic conditions of smokedA total of 1501 doctors were investigated, and 809 (53.90%) were male,692 (46.10%) were females. The total smoking rate was 24.18%, the current smoking rate was 18.52%, the male smoking rate was 33.99%, and the female smoking rate was 0.43%. The male smoking doctors average smoke 10.9±7.9 branches every day, the rate of heavy smokers was 22.66%, 59.71% of smoking doctors smoked at the working hours,19.78% of smoking doctors smoke when they are talking to a patient. And 42.44% of smoking doctors smoke outside the building; the smoking cessation rate was 23.42%. Non-conditional Logistic regression analysis showed that male, working-age were risk factors for smoking doctors'behavior, while bachelor degree or above and high title of the doctor is a protective factor for smoking doctors' behavior.A total of 902 teachers were investigated, and 292 (32.4%) were male,610 (67.6%) were females. The total smoking rate was 14.63%, the current smoking rate was 11.97%; the male smoking rate was 44.9%, the current smoking rate of male was 36.9%; and the female smoking rate was 0.2%, the current smoking rate of female was 0.2%. The male smoking teachers average smoke12.9±8.9 branches every day, the rate of heavy smokers is 22.22%,47.22%of smoking teachers smoke at the working hours,20.37%of smoking teachers smoke in front of students. And 42.37% of smoking teachers smoke at the offices; the smoking cessation rate was 18.18%. Non-conditional Logistic regression analysis showed that male and working-ages are risk factors for smoking teachers'behavior.A total of 603 civil servants were investigated, and 351 (58.21%) were male,252 (41.79%) were females. The total smoking rate was 34.00%, the current smoking rate was 28.03%, the male smoking rate was 58.40%, and the female smoking rate was 0. The male smoking civil servants average smoke 14.8±12.1 branches every day, the rate of heavy smokers is 39.65%,85.8%of smoking civil servants smoke at the working hours. And 67.45%of smoking civil servants smoke at the offices; the smoking cessation rate was 17.56%. Non-conditional Logistic regression analysis showed working-age is a risk factor for smoking civil servants'behavior.2 The relevant knowledge and attitude of smokingIn the study of the basic health hazards knowledge of smoking:the three tyPes' awareness rate of smoking is low:on the "low tar, low nicotine cigarettes less harmful for the body",65.95%of the doctors,69.73%of the teachers and 64.84%of the civil servants are wrong; for the "filter tip to reduce the hazards of smoking",54.23%of the doctors,48.55%of the teachers and 47.09%of the civil servants are also wrong; and only 12.65%of the doctors,4.10%of the teachers and 5.30%of the civil servants recognized that the nicotine in tobacco is addictive substances, but not the chemicals that can cause cancer.In the cognition of the relationship between smoking and some diseases:the three groups have high cognitive rate of lung diseases caused by smoking, while some other cognitive rates are low. About the prostate has nothing to do with smoking, only 35.44%of the doctors,26.38%of the teachers and 28.35%the civil servants have a correct cognition; for the problem of the relationship between smoking and osteoporosis,47.36%of the doctors,26.71%of the teachers and 29.85%of the civil servants are right; and for the problem of the relationship between smoking and male sexual dysfunction,71.15%of the doctors,48.33%of the teachers and 47.42%of the civil servants are right.3 The relevant action of controlling smokeThere were 1330 (88.61%) doctors could ask the patient's smoking status when the patients see the doctor, and 34.36%of these doctors ask the status is because the patient's condition has a relationship with smoking; of which only 70.95%of the doctors have heard of smoking cessation drugs, and 23 doctors (1.53%) have used the drugs to quit the patients'smoking.In the year prior to the survey,77.94%of the teachers promoted the health hazards knowledge of smoking to the students,27.94%of the teachers taught the skills of refusing smoke to students; 42.12%of teachers received the teaching materials on tobacco knowledge And 44.90%of the teachers received prevention materials or information about youth smoking; only 7.88%of the teachers received the training on the prevention of youth smoking; 55.43%of schools where the teachers work had undertaken smoke extracurricular activities to prevent smoking.Conclusions1 The current smoking rates of doctors, teachers and civil servants are still high, and the highest smoking rate of the three groups is the civil servant, the three groups average smoke more than 10 every day; male and long working-ages are risk factors for smoking behavior.2 In the basic knowledge of health hazards of smoking survey, the Correct recognition rate of the three groups were low; in some diseases of the relationship between smoking and cognition, the three groups have higher cognitive accuracy of smoking and lung disease, while low about some other cognitive diseases.3 Doctors are lack in tobacco control knowledge and ability, with 70.95%of doctors have heard of smoking cessation drugs, only 1.53%of patients used the doctor to the smoking cessation drug; teachers received less training in tobacco control, tobacco control knowledge and ability Is also inadequate, with only 7.88%of the teachers received training on the prevention of youth smoking,55.43%of the schools where the teachers had carried out extra-curricular activities to prevent smoking. 4 The quitting smoking number of the three groups are less. Smoking doctors, teachers, civil servants who quit smoking are respectively 85,24,36; smoking cessation success rate was 23.42%,18.18%,17.56%. |
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