Health Inspectorate Directorate, Ministry of Health, Addis Ababa, Ethiopia.
Department of Biomedical Sciences, Faculty of Medicine, Jimma University, Southwest, Jimma, Ethiopia.
BMC Public Health. 2019 Jan 19;19(1):91. doi: 10.1186/s12889-019-6407-z.
In 2014, the Ethiopian government passed a new smoking legislation that banned smoking in public and workplaces including health care facilities. However, data's on level of non-compliance and associated factors with non-compliance towards smoke-free legislation in hospital settings of the country has not been studied yet.
Hospital-based Cross-sectional study design triangulated with observational study was conducted in five hospitals. Data were collected through direct observation and interviews using checklist, structured and pre-tested questionnaires for observational study and survey of hospital employee respectively. Nine data collectors and one supervisor were involved in data collection. Three hundred fifty (350) health care staffs were interviewed. Fifteen (15) buildings were purposively observed for observational non-compliance in the selected hospitals. Data were entered by Epi Info and analyzed using SPSS version 21 software. Logistic regression was used to compute the crude and adjusted odds ratios for the factors affecting employee non-compliance with the legislation. A p-value of < 0.05 at 95% CI was considered to be statistically significant.
Anti-smoking signs were absent from a high proportion of hospital areas (97% overall) although visible cigarette butts were generally not observed in most areas of the hospitals. Non-compliance level among health care staffs was 50(10.3%).Associated factors affecting to the non-compliance level of the staff were: being male (AOR = 5.89, p value = 0.001), having poor knowledge (AOR = 2.71, p-value = 0.022) and having Unfavorable attitudes (AOR = 6.15, p-value = 0.000).
Non-compliance level was high and needs careful implementation for 100% smoke-free legislation in addressing knowledge and attitudes of health care staffs.
2014 年，埃塞俄比亚政府通过了一项新的禁烟立法，禁止在公共场所和工作场所吸烟，包括医疗保健设施。然而，该国医院环境中无烟立法的不遵守程度及其相关因素的数据尚未得到研究。
本研究采用基于医院的横断面研究设计，并与观察性研究相结合。在五家医院进行研究。通过使用清单、结构和预测试问卷，分别对观察性研究和医院员工进行调查，通过直接观察和访谈收集数据。有 9 名数据收集员和 1 名主管参与了数据收集。对 350 名医护人员进行了访谈。在选定的医院中，有 15 栋建筑物被故意观察，以观察非合规行为。数据输入 Epi Info 并使用 SPSS 版本 21 软件进行分析。使用逻辑回归计算影响员工违反法规的因素的粗和调整比值比。在 95%置信区间，p 值<0.05 被认为具有统计学意义。
尽管医院的大多数区域都没有明显的烟头，但医院的很大一部分区域（总体 97%）都没有禁烟标志。医护人员的不遵守率为 50%（10.3%）。影响员工不遵守率的相关因素包括：男性（比值比=5.89，p 值=0.001）、知识水平差（比值比=2.71，p 值=0.022）和态度不佳（比值比=6.15，p 值=0.000）。
不遵守率较高，需要认真实施 100%无烟立法，以解决医护人员的知识和态度问题。
