Study On Smongking Status And Influencing Factors Among Medical Staff In A Tertiary Hosital Of Bengbu

BackgroundIn China, the number of deaths from smoking-related diseases is up to one million per year. If no effective control measures taken, two million people will die from smoking-related diseases by the year 2020. There are 740 million people suffer from second-hand smoking in China, and more than 100 thousand die each year because of second-hand smoking. Medical staff, especially doctors are Health advocates and positive leader in leading health-related behavior, who are should be the example of healthy life style. World Health Organization and the health sectors of many countries encourage and motivate medical staff to put more efforts in tobacco control. Although the China government has issued regulation to ban smoking in public places and established smoke-free hospital, many of them put up the notice such as establishing a smoke-free hospital and no smoking signs. But we see that medical staff still smoke in the hospital. Therefore conducting such a study has an important practical significance under such background.ObjectivesThe objectives of this study intend to understand the current status of smoking among medical staff of a tertiary hospital through making such a survey by using questionnaire, and then get the information about the current situation of medical staff smoking and passive smoking, analyze its influencing factors, put forward relevant measures to cope with smoking in hospital, and offer a baseline data for the establishment of smoke-free hospitals and relevant recommendations for no-smoking in hospitals.Materials and MethodsThe research objects are the medical staff who have worked in a tertiary hospital more than one year, and the samples are selected by using stratified sampling method. The study is carried out by investigators with unified training. Survey content mainly includes:the general condition of medical staff, smoking status, etc. Epidata3.1 is used to build a database and the software SPSS 17.0 is used for statistical analysis. We made a descriptive analysis based on the general conditions of medical staff, smoking status, passive smoking status, and then we used chi-square test and Logistic regression model for univarite and multivariate analysis respectively. Combined with the actual work, put forward strategy of smoking-control among medical staff by literature consultation and expert advice.ResultsThis survey involves 628 medical staff, the smoking rate was 10.2%, among which the rate for male medical staff is 36.5%, the rate for female was only 0.4%. The difference of smoking rate of different medical staff with different gender, marital status, age, literacy, occupation, departments, work seniority, income, professional title, drinking status, father’s smoking status, has statistical significance. Multivariate analysis revealed that the significant factors of smoking were gender, work seniority, drinking status, the father’s smoking status. Smokers whose daily smoking less than 10 branches accounted for the highest proportion of smokers, the rate was 46.9%. The rate of smoking cessation of medical staff was 12.5%. The rate of passive smoking of medical staff was 63.65%, and the rate of male(76.9%) is higher than the female(60.5%).The main places where male and female medical staff conduct passive smoking are public places, respectively, 60.2%,45.3%. All the difference of the rate of passive smoking in different gender, literacy, occupation, drinking status, the mother’s smoking status, has statistical significance. Multivariate analysis revealed that the significant influence factors of passive smoking were occupation, drinking status, the mother’s smoking status.ConclusionFirstly, the total, male and female rate of smoking of medical staff is lower than the national average level, but the total and male rate of smoking of medical staff still remain at a high level. Secondly, the rate of smoking cessation of medical staff is lower than the national average level. Thirdly, the rate of passive smoking is lower than the national average level, but still remain at a high level. Fourthly, focus on male, the medical staff who drinks,whose working seniority more than 20 years, whose father is a smoker in tobacco control can achieve better results to reduce the medical staffs’smoking rate. Fifthly, focus on doctor, the medical staff who drinks, whose mother is a smoker in passive smoking control can achieve better results to reduce the medical staffs’ passive smoking rate. Finally, reducing the rate of passive smoking in public places.Recommendations and suggestionsBased on the results, the following recommendations and suggestions are put forward. Firstly, to establish smoke-free hospital and no smoking social atmosphere. Secondly, to reinforce health education on smoking control. Thirdly, to strengthen prevention and control work on passive smoking. Fourthly, to build Smoking cessation clinic. Fifthly, to combine smoking control with hospital culture development. Sixthly, to conduct health education on smoking control for medical students. Finally, to improve smoking control regulations and to reinforce the population’s awareness towards smoking control.