医学生控烟能力调查分析

    The cross-sectional study on the capacity of tobacco control among medical students in Bengbu Medical College

    • 摘要: 目的:了解医学生的控烟能力,为建立医学生控烟模型提供参考依据。方法:横断面调查法。采用分层整群抽样方法进行自我管理式问卷调查,共完成864份有效问卷。结果:调查对象的现在吸烟率为20.3%(175/864),男生高于女生(男生31.7%,女生3.9%)。在不同的专业,男生现在吸烟率的差异无统计学意义(P>0.05)。但生源地来自于农村的男生现在吸烟率34.6%高于生源地为城市的25.3%。被调查学生对于烟草危害知识缺乏:87.8%的医学生知道吸烟者更易患肺癌,但只有30%~40%的医学生知道吸烟是心脏病、骨质疏松症的危险因素;大约50%的医学生赞同这三种错误说法:尼古丁是引起大多数癌症的化学物质,低焦油、低尼古丁的烟对身体的危害小,过滤嘴可以降低吸烟的危害。调查对象对公共场所禁烟的态度并不积极:只有约1/3的调查对象赞成医院、学校、工作场所、会议室完全禁烟;赞成候车室、饭馆或餐厅、网吧或卡拉OK厅完全禁烟的比例不足20%;对在各类公共场所完全禁止吸烟均赞成的比例仅占调查人群的12.3%(106/864)。结论:医学院校的学生对于烟草危害知识明显缺乏,禁烟态度也不积极,控烟能力薄弱。作为未来的医务工作者,相关知识的缺陷会成为执业中的一个问题。医学院校应尽快开展控烟健康教育,发展有效的干预策略以提高其控烟能力。

       

      Abstract: Objective:To investigate the capacity of tobacco control among medical students,and to provide the basis for promoting tobacco control model among medical students.Methods:In a cross-sectional survey,self-administered questionnaires were completed by 864 medical students.Results:The current smoker rate among respondents was 20.3% (175/864),and was higher among male medical students than among female students (31.5% vs 4.2%).There was no significant difference in the current smoker rate of male students among different specialties.But rural respondents were more likely to be current smokers (34.6%) than urban respondents (25.3%).The respondents students were lack of knowledge about smoking hazards:87.8% of medical students knew that smoking increased the risks of lung cancer,but only 30% -40% of respondents knew that smoking increased the risks of heart disease and osteoporosis,and about 50% of respondents agreed with these three myth conceptions:Nicotine is the chemical substance which increases the risks of multiple cancers,smoking low-tar or low-nicotine cigarettes is less harm,the filter can reduce the hazards of smoking.With respect to attitudes towards tobacco control in public places,most medical students did not feel positive:1/3 of respondents supported a total smoking ban in hospitals,schools,workplaces and meeting-rooms,and less than 20% of respondents supported a total smoking ban in waiting rooms,restaurants,KTV rooms,and 12.3% (106/864) of respondents supported a total smoking ban in different public places.Conclusions:The study showed that medical students had deficiencies in their knowledge of smoking-associated adverse effects,the attitude for tobacoo control was not positive,and the capacity of tobacco control among medical students was weak.Since medical students are future health promoters,misconceptions in this regard probably will become a major professional problem.In general,this indicates it is needed for medical schools to put more priorities on developing health education programm and effective intervention plan to enhance the tobacco control ability.

       

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