Daughton D M, Andrews C E, Orona C P, Patil K D, Rennard S I
Department of Internal Medicine, University of Nebraska Medical Center, Omaha 68198-2465.
Prev Med. 1992 Sep;21(5):670-6. doi: 10.1016/0091-7435(92)90073-q.
To assess smoking policy support and effects, 1,083 hospital employees (203 smokers) were surveyed by anonymous questionnaire 1 year after the announcement (5 months after implementation) of a new total indoor smoking ban. A second follow-up, limited to smoker respondents only, was conducted 2 years postannouncement.
A total indoor smoking ban was supported by the vast majority of nonsmokers (89%) and ex-smokers (86%) and by nearly half of the then-smoking population (45%). Consistent with previous reports, the smoking ban was associated with a significant decrease in cigarette use during work hours, particularly among moderate to heavy smokers. However, the ban did not result in increased institutional quit rates. Light smokers (< 10 cig/day), compared with heavy smokers (> or = 30 cig/day), were more likely to support the no-smoking policy and had fewer problems observing the ban. They were also less apt to report a decrease in work productivity.
A total indoor smoking ban had little effect on overall institutional quit rates. Heavy smokers will, predictably, experience the greatest difficulty complying with a total indoor nonsmoking policy.
为评估吸烟政策的支持情况及效果，在一项新的全面室内禁烟令宣布后1年（实施5个月后），通过匿名问卷对1083名医院员工（203名吸烟者）进行了调查。在宣布禁烟令2年后，仅对吸烟者受访者进行了第二次随访。
绝大多数非吸烟者（89%）和已戒烟者（86%）以及近一半当时的吸烟者（45%）支持全面室内禁烟令。与先前报告一致，禁烟令与工作时间内吸烟量显著减少有关，尤其是在中度至重度吸烟者中。然而，该禁令并未导致机构戒烟率上升。与重度吸烟者（≥30支/天）相比，轻度吸烟者（<10支/天）更有可能支持禁烟政策，遵守禁令时遇到的问题也更少。他们也不太容易报告工作效率下降。
全面室内禁烟令对机构总体戒烟率影响甚微。可以预见，重度吸烟者在遵守全面室内禁烟政策方面将面临最大困难。
