Translated Abstract
Objective:
This project aimed to monitor the status of tobacco use among adults in Xi’an ,to explore effective tobacco control strategies , to promote the introduction of tobacco control policies by scientific basis.
Methods:
A multi-stage cluster sampling design and A study of epidemiological prevalence was used in the survey to select 24 PSU from 538 urban districts of Xi’an City. A simple random sampling method was used to select 100 families from each PSU and select 100 respondents from each family.
TQS was used as an investigative tool.Investigators entered the family to ask the respondents, and the data was collected using a tablet computer.The survey lasted from November 2015 to March 2016.
SPSS22.0 was used for data cleaning, establishment of database and statistical analysis (test level is 0.05), and multivariate Logistic regression analysis was used to explore the influencing factors of smoking.
Results:
Of the 2, 400 samples, 2049 completed the questionnaire.The current smoking rate of residents aged 15 and above was 20.60% in Xi’an. The smoking rate of male was 42.83% and for female was 0.92%. It is estimated that there are more than 1.2 million smokers in the main urban area of Xi ＇an.In addition, 30.94% of smokers had tried to quit in the past 12 months. Only 13.74 percent of smokers planned to quit in the next year.Adults smoke an average of 10 cigarettes a day.The median cigarette consumption of smokers was 12 yuan/bag and 174.35 yuan/month respectively.
The respondents reported that in the past 30 days, smoking did exist in the following places such as workplaces (49.57%), household homes (69.06%), government buildings (22.55%), bars/night clubs (81.43%), restaurants (69.06%), schools (43.35%), university buildings (26.09%), health-care facilities (18.12%), and public transportation (9.16%).
Some of the hazards of smoking and passive smoking are low, such as smoking caused stroke (48.07%), heart disease (59.78%), impotence (28.34%), and passive smoking caused adult heart disease (59.23%), and some of the hazards of smoking and passive smoking are higher,such as smoking causes lung cancer (90.02%), passive smoking causes lung disease in children (81.45%) and adult lung disease (83.98).
In the past 30 days,adults have noticed anti-smoking information in print (38.34%) and television (62.87%),but 11.50% of adults have noticed cigarette advertisements / promotions in various places.
Most adult believe that smoking should be banned in primary / secondary schools (98.12%), hospitals(98.57%), universities(95.25%),workplaces(92.74%), public transports (89.43%) and hotels (75.09%).
Logistic regression analysis indicated that the risk factors for smoking are gender and passive smoking (home and workplace).In addition, the age of 25-44 and 45-64, the occupation for farmers are also risk factors affecting residents＇ smoking behavior. Student population and noticing anti-smoking information are protective factors for smoking behavior.
Conclusion:
Male smoking rate was high in Xi’an. Exposure to secondhand smoke was serious.The indoor passive smoking rate was high.The majority of the public supports indoor smoke-free policies in public places, but the awareness of the dangers of tobacco smoke is not comprehensive.Reducing tobacco advertising and passive smoking while promoting the dangers of tobacco is helpful in reducing smoking rates among the population.There are four Suggestions for tobacco control in Xi ＇an.
1) Smoking cessation competition should be carried out for men with high smoking rate;
2) Non-smoking households and non-smoking enterprises should be established for the high exposure rate of second-hand smoke in homes and workplaces.
3) Promote the legislation on tobacco control in public places to reduce the exposure rate of second-hand smoke in public places.
4) Carry out the tobacco revolution to promote the tobacco control of the whole city.
Translated Keyword
[Adult, Strategy, Survey, Tobacco]
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