Badri Farid, Sajiai Hafsa, Amro Lamyae
Service de Pneumologie, Hôpital Arrazi, CHU Mohammed VI, Marrakech, Maroc.
Pan Afr Med J. 2017 Jan 31;26:45. doi: 10.11604/pamj.2017.26.45.10872. eCollection 2017.
Smoking is a major public health problem. Doctors and paramedical staff are not excluded from this plague. Smoking ban in hospitals originated from government effort to reduce passive smoking. The objectives were to evaluate smoking habits among doctors and paramedical staff in order to implement tobacco control strategy in this study population and to refer them to the smoking-cessation counselling. We conducted a descriptive cross-sectional study of the entire staff of the Hospital University Center Mohammed VI, Marrakech based on the distribution of anonymous questionnaires. A total of 530 questionnaires were distributed, and 380 were returned, a response rate of 71.7%. The study population consisted of 58.2% women (n=221) and 41.8% men (n=159). Doctors (n=220) were the most represented occupational category (57.9%) followed by nurses (31.8%). Smokers (n=62) accounted for 16.3% of our study population; the ex-smokers (n=31) accounted for 8.1% and the non-smokers (n=287) 75.5%. The average age of smokers was 31.1 years, ranging from 22 to 56 years. The prevalence of smoking was 16.3% (n=62) of study population, of whom 32.7% (n=52) among men compared to 4.5% (n=10) among women. The average age of smoking onset was 19 years with a range from 11 to 29 years and with a mean consumption of 9 cigarettes/day. 13% (n=50) of people even smoked narguilé, 9% (n=34) consumed alcohol, and 3% (n=21) cannabis. 67.7% of smokers (n=42) were planning to quit, of whom 30.9% (n=13) in the next 3 months, 52.4% (n=22) in the next 6 months and 16, 7% (n=16) were planning to quit in the year. Several activities encouraged smoking, including night shift, coffee breaks and meals in 90.3% (n=56), 64.3% (n=40) and 61.3% (n=38) of cases respectively. This survey highlights the need to carry out awareness-raising actions to strengthen people motivation to quit smoking and help them during their withdrawal.
吸烟是一个重大的公共卫生问题。医生和医护人员也未能幸免于此。医院禁烟源于政府减少被动吸烟的努力。本研究的目的是评估医生和医护人员的吸烟习惯，以便在该研究人群中实施烟草控制策略，并为他们提供戒烟咨询。我们基于匿名问卷的发放，对马拉喀什穆罕默德六世大学医院中心的全体员工进行了一项描述性横断面研究。共发放了530份问卷，回收380份，回复率为71.7%。研究人群中女性占58.2%（n = 221），男性占41.8%（n = 159）。医生（n = 220）是占比最高的职业类别（57.9%），其次是护士（31.8%）。吸烟者（n = 62）占我们研究人群的16.3%；曾经吸烟者（n = 31）占8.1%，不吸烟者（n = 287）占75.5%。吸烟者的平均年龄为31.1岁，年龄范围在22岁至56岁之间。吸烟率在研究人群中为16.3%（n = 62），其中男性为32.7%（n = 52），女性为4.5%（n = 10）。开始吸烟的平均年龄为19岁，年龄范围在11岁至29岁之间，平均每日吸烟量为9支。13%（n = 50）的人甚至吸食水烟，9%（n = 34）的人饮酒，3%（n = 21）的人吸食大麻。67.7%的吸烟者（n = 42）计划戒烟，其中30.9%（n = 13）计划在未来3个月内戒烟，52.4%（n = 22）计划在未来6个月内戒烟，16.7%（n = 16）计划在一年内戒烟。有几种活动会促使人们吸烟，包括上夜班、喝咖啡休息和用餐，分别有90.3%（n = 56）、64.3%（n = 40）和61.3%（n = 38）的情况。这项调查凸显了开展提高认识行动的必要性，以增强人们戒烟的动力，并在他们戒烟过程中提供帮助。
