2007-2013年上海市黄浦区居民吸烟、戒烟及被动吸烟状况变化趋势

Changing Trends of Smoking, Smoking Cessation, and Passive Smoking among Residents in Huangpu District, Shanghai, 2007-2013

  • 摘要:
    目的 描述2007、2010、2013年上海市黄浦区居民吸烟、戒烟及被动吸烟的流行水平,判断烟草流行的变化趋势。
    方法 采用多阶段分层随机抽样方法,对2007、2010和2013年黄浦区15~69岁居民吸烟、戒烟、被动吸烟水平的变化情况进行横断面调查,由经过统一培训的调查员采用问卷调查、以入户面对面询问的方式进行。各次调查完成人数为1 597、1 374、1 585人。
    结果 2013年,人群总吸烟率、现在吸烟率、常吸烟率分别为24.4%、19.5%、17.9%,被动吸烟率为34.6%。2007-2013年,年龄标化总吸烟率(χ2=9.86,P=0.007)、现在吸烟率(χ2=15.66,P < 0.001)、常吸烟率(χ2=12.34,P=0.002)、重型吸烟率(χ2=8.13,P=0.004)都呈现逐年降低的趋势,被动吸烟率先降后升(χ2=39.23,P < 0.001)。男性的吸烟水平在三次调查中均高于女性,2013年女性吸烟率较2010年出现明显上升(χ2=4.84,P=0.028)。近年人群戒烟率出现上升,戒烟成功率在70%左右,而被动吸烟率仍然较高并且呈现先降后升的趋势(χ2=39.23,P < 0.001)。
    结论 黄浦区吸烟率有所下降,但男性吸烟率和人群被动吸烟率仍较高,戒烟成功率较低,女性吸烟率有所上升。

     

    Abstract:
    Objective To describe the prevalence of smoking, smoking cessation, and passive smoking among residents in Huangpu District of Shanghai in 2007, 2010, and 2013, and evaluate the trend of tobacco use.
    Methods By multi-step stratified random sampling, a cross-sectional study on the prevalence rates of smoking, smoking cessation, and passive smoking was carried out among residents aged 15-69 years old in Huangpu District in 2007, 2010, and 2013. Data were collected by trained investigators using questionnaires via face-to-face household interviews. Each interview enrolled 1 597, 1 374, and 1 585 participants, respectively.
    Results The prevalence rates of ever smoking, current smoking, regular smoking, and passive smoking were 24.4%, 19.5%, 17.9%, and 34.6%, respectively, in 2013. The age standardized prevalence rates of ever smoking (χ2=9.86, P=0.007), current smoking (χ2=15.66, P < 0.001), regular smoking (χ2=12.34, P=0.002), and heavy smoking (χ2=8.13, P=0.004) decreased year by year from 2007 to 2013, whereas the prevalence rate of passive smoking decreased in 2010 and then increased in 2013 (χ2=39.23, P < 0.001). Male presented higher smoking levels than female in the three investigations. Female smoking prevalence rate in 2013 was obviously higher than that in 2010 (χ2=4.84, P=0.028). In recent years, the prevalence rate of smoking cessation was on the rise and the successful smoking cessation prevalence rates were around 70%. However, the prevalence rate of passive smoking was still high and presented a reducing-and-then-rising tendency (χ2=39.23, P < 0.001).
    Conclusion Despite the decreased smoking prevalence rate in Huangpu District, the male smoking prevalence rate and the passive smoking prevalence rate are still at a high level, the prevalence rate of successful smoking cessation is low, and female smoking prevalence rate is rising.

     

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