学校工作人员对烟草控制政策的认知以及反烟草态度和行为

Awareness of tobacco control policies and anti-tobacco attitudes and behaviors among school personnel.

作者信息

Tan Yin-Liang, Chen Zi-Yue, He Ya-Ping, Xu Gang, Yu Zhi-Ping, Zhu Jing-Fen

机构信息

School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Department of Nutrition and Dietetics, University of North Florida, Jacksonville, United States.

出版信息

Tob Induc Dis. 2022 Jun 9;20:54. doi: 10.18332/tid/149926. eCollection 2022.

DOI:10.18332/tid/149926

PMID:35799622

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9179323/

Abstract

INTRODUCTION

Adolescent smoking is a serious public health concern, and the role of personnel in reducing students'tobacco use has been proven. Anti-tobacco policies are strong factors for tobacco control but most are newly implemented in China. This study aimed to examine the awareness of anti-tobacco policies among school personnel in a southern city of China, and assess its influence on personnel's anti-tobacco attitudes and behaviors towards students.

METHODS

An online cross-sectional study was conducted between September 2017 and January 2018 in schools of Shanghai, China. A total of 3194 subjects from 33 schools were selected by a two-stage stratified cluster randomized sampling design. Prevalence of anti-tobacco policy awareness is presented. Crude (ORs) and adjusted odds ratios (AORs) and their 95% confidence intervals (CIs) were estimated to assess the association between policy awareness and anti-tobacco attitudes or behaviors.

RESULTS

In all, 22.4% of surveyed participants knew four or five polices presented in the survey and 13.0% of personnel knew none of these policies. Most of the participants fully support prohibiting indoor (94.6%) and outdoor (86.3%) smoking in public places, bans on tobacco advertising (90.9%), and printing warning pictures on cigarette boxes (89.5%). Less than half of the personnel had taken action to stop students from smoking (45.7%), encourage students to quit smoking (42.4%) or participated in relevant educational activities held by schools (37.4%) in the previous year. The school personnel's anti-tobacco attitudes (AOR=1.28; 95% CI: 1.21-1.36) and behaviors (AOR=1.10; 95% CI: 1.03-1.17) were strengthened with increasing level of policy awareness.

CONCLUSIONS

The involvement of school personnel can be an important part of intervention to improve anti-tobacco campaigns on campus. The study calls for the implementation of projects or activities to improve anti-tobacco policy awareness in the school environment as part of school tobacco control strategy.

摘要

引言

青少年吸烟是一个严重的公共卫生问题，人员在减少学生烟草使用方面的作用已得到证实。反烟草政策是烟草控制的重要因素，但在中国大多数政策是新实施的。本研究旨在调查中国南方一个城市学校人员对反烟草政策的知晓情况，并评估其对人员针对学生的反烟草态度和行为的影响。

方法

2017年9月至2018年1月在中国上海的学校进行了一项在线横断面研究。通过两阶段分层整群随机抽样设计，从33所学校中选取了3194名受试者。呈现了反烟草政策知晓率。估计了粗比值比（ORs）和调整后的比值比（AORs）及其95%置信区间（CIs），以评估政策知晓与反烟草态度或行为之间的关联。

结果

总体而言，22.4%的调查参与者知道调查中列出的四项或五项政策，13.0%的人员对这些政策一无所知。大多数参与者完全支持在公共场所禁止室内（94.6%）和室外（86.3%）吸烟、禁止烟草广告（90.9%）以及在烟盒上印制警示图片（89.5%）。不到一半的人员在前一年采取行动阻止学生吸烟（45.7%）、鼓励学生戒烟（42.4%）或参加学校举办的相关教育活动（37.4%）。随着政策知晓水平的提高，学校人员的反烟草态度（AOR=1.28；95%CI：1.21 - 1.36）和行为（AOR=1.10；95%CI：1.03 - 1.17）得到加强。