Li Y Q, Shi J H, Cao Y, Qi L, Liu X R
Health Education Institute of Beijing Center for Disease Control and Prevention, Health Education Institute of Beijing Preventive Medicine Research Center, Beijing 100020, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2018 Sep 10;39(9):1188-1192. doi: 10.3760/cma.j.issn.0254-6450.2018.09.009.
To understand the current status of smoking and smoking cessation in persons aged 15 years and over in Beijing and evaluate the effect of 2015 Beijing Tobacco Control Regulation. In 2014 and 2016, based on the principles and methodology of the Global Adult Tobacco Survey. A total of 50 communities or townships were selected from 324 communities or townships in Beijing through multistage cluster sampling, and 2 community (village) committees from each community or township were selected with the method of probability proportional to size (PPS). A total of 100 surveillance sites were set, and 100 households were selected from each surveillance site by using simple random sampling. Data were collected through face-to-face interview from the eligible family members aged 15 years and over with the assistance of a tablet computer. Statistical analyses were conducted by using complex sampling analyses module of SPSS 20.0, with weights as a combination of sampling weights, non-response weights and post- stratification weights, for the calculation of current smoking prevalence, daily smoking prevalence, smoking cessation rate, . A total of 8 484 and 9 372 valid questionnaires were obtained, respectively, in 2014 and 2016, with the response rate of 86.5 and 96.5. The current smoking prevalence in persons aged 15 years and over was 23.4 in 2014, and 22.3 in 2016. According to the 6(th) national census data, the current smoking population decreased by 199 000 in Beijing. The proportion of daily smokers declined from 20.7 in 2014 to 19.2 in 2016. The daily number of cigarettes consumed by current smokers increased from 14.6 in 2014 to 15.4 in 2016. The smoking cessation rate was 14.9 in 2014 and 16.8 in 2016. The proportion of current smokers who had at least one smoking cessation attempt in the past 12 months increased from 22.3 in 2014 to 23.2 in 2016, and the proportion of current smokers who planned to quit smoking increased from 11.6 to 15.5. Among the current smokers who had visited doctors in the past 12 months, the proportion of those having smoking cessation advice was 58.9 in 2014 and 59.2 in 2016. In 2016, among the current smokers who had attempted to quit in the past 12 months, 36.8 were aware of the smoking cessation clinics, and 29.5were aware of the quitline. Among those who were aware, only 7.7 had actually visited the cessation clinics, and 5.5 had used the quitline. After the implementation of 2015 Beijing Tobacco Control Regulation for 1 year, the current smoking prevalence in persons aged 15 years and over showed decreasing. It is necessary to further prompt the expansion of smoking cessation service to cover more current smokers.
了解北京市15岁及以上人群吸烟及戒烟现状,评估《北京市控制吸烟条例(2015年)》的效果。2014年和2016年,基于全球成人烟草调查的原则和方法,通过多阶段整群抽样从北京市324个社区或乡镇中选取了50个社区或乡镇,再采用规模比例概率抽样(PPS)方法从每个社区或乡镇中选取2个社区(村)委会,共设置100个监测点,从每个监测点采用简单随机抽样选取100户家庭。在平板电脑辅助下,通过面对面访谈收集符合条件的15岁及以上家庭成员的数据。使用SPSS 20.0的复杂抽样分析模块进行统计分析,权重为抽样权重、无应答权重和事后分层权重的组合,用于计算当前吸烟率、每日吸烟率、戒烟率等。2014年和2016年分别获得有效问卷8484份和9372份,应答率分别为86.5%和96.5%。15岁及以上人群当前吸烟率在2014年为23.4%,2016年为22.3%。根据第六次全国人口普查数据,北京市当前吸烟人口减少了19.9万。每日吸烟者比例从2014年的20.7%降至2016年的19.2%。当前吸烟者每日吸烟支数从2014年的14.6支增加到2016年的15.4支。戒烟率在2014年为14.9%,2016年为16.8%。过去12个月内至少尝试过一次戒烟的当前吸烟者比例从2014年的22.3%增至2016年的23.2%,计划戒烟的当前吸烟者比例从11.6%增至15.5%。在过去12个月内看过医生的当前吸烟者中,接受戒烟建议的比例在2014年为58.9%,2016年为59.2%。2016年,在过去12个月内尝试戒烟的当前吸烟者中,36.8%知晓戒烟门诊,29.5%知晓戒烟热线。在知晓者中,实际前往戒烟门诊的仅7.7%,使用过戒烟热线的为5.5%。《北京市控制吸烟条例(2015年)》实施1年后,15岁及以上人群当前吸烟率呈下降趋势。有必要进一步推动扩大戒烟服务,覆盖更多当前吸烟者。