An Dao Thi Minh, Kibria Naseeb, Huy Nguyen Van, Hai Phan Thi, Stillman Frances
a Institute of Preventive Medicine and Public Health , Hanoi Medical University , Hanoi , Vietnam.
Glob Public Health. 2015;10 Supppl 1:S5-20. doi: 10.1080/17441692.2014.986155. Epub 2014 Dec 18.
In Vietnam, a pilot 'smoke-free hospital' model was implemented in nine hospitals in 2009-2010 to supply lessons learned that would facilitate a replication of this model elsewhere. This study aimed to assess smoking patterns among health professionals and to detect levels of second-hand smoke (SHS) exposure within hospital premises before and after the 'smoke-free hospital' model implementation. A pre- and post-intervention cross-sectional study was conducted in nine purposively selected hospitals. Air nicotine levels were measured using passive nicotine monitors; smoking evidence was collected through on-site observations; and smoking patterns were assessed through interviews with health workers. Despite the 'smoke-free hospital' intervention, smoking continued among health-care workers who were former smokers. Specifically, self-reported smoking prevalence significantly decreased post-intervention, but the number of daily cigarettes smoked at workplaces among male health workers remained unchanged. Post-intervention, smoking was more likely to take place outside buildings and cafeterias. However, air nicotine levels in the doctors' lounges and in emergency departments did not change post-intervention. Air nicotine levels at other sites decreased minimally. Tailored tobacco cessation programmes, targeting current smokers and mechanisms to enforce non-smoking, should be established to meet requirements of Vietnam's comprehensive National Tobacco Control Law effective in May 2013.
2009年至2010年期间，越南在9家医院实施了试点“无烟医院”模式，以积累经验教训，便于在其他地方推广该模式。本研究旨在评估卫生专业人员的吸烟模式，并检测“无烟医院”模式实施前后医院场所内二手烟暴露水平。在9家经过有目的选择的医院开展了一项干预前后的横断面研究。使用被动式尼古丁监测仪测量空气中的尼古丁水平；通过现场观察收集吸烟证据；通过与卫生工作者访谈评估吸烟模式。尽管实施了“无烟医院”干预措施，但曾经吸烟的医护人员仍继续吸烟。具体而言，自我报告的吸烟率在干预后显著下降，但男性卫生工作者在工作场所的每日吸烟量保持不变。干预后，吸烟更有可能发生在建筑物外和食堂。然而，医生休息室和急诊科的空气中尼古丁水平在干预后没有变化。其他场所的空气中尼古丁水平略有下降。应制定针对当前吸烟者的量身定制的戒烟计划以及执行禁烟的机制，以符合2013年5月生效的越南全面《国家烟草控制法》的要求。
