| ObjectivesTo understand the cognition of knowledge about smoking endangerment, attitude toward tabocco control, smoking cessation, smoking-related behaviour and influence factors of doctors, teachers and civil servants in Gansu province, so as to provide evidence and guide for formulating policies and strategies on tobacco control.MethodsIn this study,3key populations for tobacco control such as doctors, teachers and civil servants in Gansu province was recruited as reaserch subjects by stratified random sampling method. Then face-to-face questionnaire survey was performed. The status and characteristics of smoking among the3population were analyzed. Additonally, chi-square test and non-conditional logistic regression model were used respectively to perform multiple factor analysis so as to deduce the most important factor affecting the smoking behaviour. Finally some measures and suggestions were put forward to enforce the tobacco control on the basis of the studies mentioned above.Results1. Smoking rates among different populationAmong three groups of key populations,the smoking rates for civil servants(43.0%) is the highest and it is followed by teachers(30.7%) and doctors(25.6%). For civil servants,57.9%of population over50years are smokers. The smoking rates of teachers from universities are much higher(53.8%) than those from high schools(37.3%) and primary schools(12.0%).Among doctors,46.6%surgeons are smokers.2. Smoking behaviour of different groups of populationsThe population with a smoking history of more than10yeas accounted for38.5%, and it was27.9%for those who smoked for6to10years. Heavy smokers who consumed20cigarettes per day were up to31.9%, and the proportion for civil servants was much higher than doctors and teachers. For cigarette consumption.63.4%of smokers consumed cigarette with the unit price ranging from6to20yuan.80%of respondents smoked during working time, and the smoking events happened mainly in office and bathroom. Half of respondents once quit smoking seriously,but only24.1%of the population succeeded,and doctors were more successful in quiting cigarette.During an appointment,74.1%of doctors would ask patients about smoking conditon and suggest smoking cessation, but only6.3%of doctors would make a prescription of antismoking medication. For doctors who were passive in surveying smoking conditions of patients, they think that the condition of a patient has no relationship with smoking and they had no obligation to ask the smoking condition of patients. Some doctors believe that the time for diagnosis was limited and they did not have enough time to ask patients about smoking conditions.81.7%of teachers propagandized different kinds of information about the detriment of smoking, but lacked effective propaganda techniques, because less than half of teachers acquired teaching material and data and are unaware of how to teach students to refuse cigarette.3. The rate of correct knowledge of smoking detriment among the three groups of populationsFor doctors and teachers, the rate of correct knowledge of smoking detriment is higher than that for civil servants. For non-smoker, it is higher than smoker, except for individual information.4. The attitude toward smoking ban in public place of different groups of populationsThe proportion of doctors and teachers supporting smoking ban in public place, meeting room, wine bar, schools and government agencies was higher than that of civil servants. But less population of doctors, teachers and civil servants supported overall smoking ban in restaurant. This stuation was particularly notable for wine bar, only25.4%of the population supported overall smoking ban. The proportion of smoking doctors and civil servants who supported overall smoking ban in wine bar were12.1%and14.0%respectively.5. Influence factors of smoking behaviourWe analyzed factors such as gender, educational levels, itles, institutions, whether smoking ban was performed in department and whether the member of family was smoker and found that department and hospital level were protective factors and gender, titles and whether smoking was permited at home were risk factors for doctors.School types were protective factors while gender, age and whether smoking was permitted at home were risk factors for teachers.Gender, age, titles and whether smoking was permitted at home were risk factors for civil servants.Conclusions1. The proportion of smokers among doctors, teachers and civil servants was still high. Aged civil servants, teachers from universities and surgeons were next target population of tobacco control intervention.2. Normalize smoking behaviour, decrease cigarette consumed by smokers per day step by step and ban smoking in public place.Enhance doctors and teachers’ awareness of tobacco control, allowed docotors to master information and technologies to help patients to quit smoking, at the same time, allowed teachers to learn how to teach students to refuse cigarette.3. The rate of correct knowledge of smoking detriment had a positive effect on tobacco control, so we need to propagandize the knowledge of tobacco detriment increasingly, particularly for civil servants.4. The proportion of three groups of smoking population supporting the smoking ban in public places was low, especially for restaurant and wine bar. So we should put more effort on the propaganda of Public Health Management Executive Detailed Rules and Regulations and publishment of laws and regulations of smoking ban.5. Health system should consolidate the achievements made by non-smoking health system and education system should launch smoke-free school activities. Government department should set an good example to creat a good atmosphere of tobacco control through publishing a series of policies and regulations on tobacco control. |
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