Wang Xiaowen, Zou Wenjing, Zhang Xinyue, Yang Nongnong, Zheng Yuying, Meng Runtang, Ma Haiyan
School of Public Health, Hangzhou Normal University, Hangzhou, China.
Wenzhou Center for Disease Prevention and Control, Wenzhou, China.
Tob Induc Dis. 2024 Dec 27;22. doi: 10.18332/tid/196676. eCollection 2024.
Secondhand smoke (SHS) exposure is a serious public health problem. This study aims to collect data on tobacco control since the implementation of the new version of the Smoke Control Ordinance in Public Places of Hangzhou (the Ordinance), combined with questionnaire surveys to understand the SHS exposure situation in public places, relevant knowledge and attitudes of residents in Hangzhou.
We used data from a population-based tobacco control survey of 2746 adults aged 15-75 years conducted in Hangzhou, Zhejiang Province in March 2023. Data were collected using a self-administered questionnaire consisting of demographic characteristics, exposure to tobacco, awareness of tobacco hazards, knowledge of the Ordinance, and behaviors and attitudes towards tobacco control in public places. Chi-squared tests were performed to examine the differences in knowledge and attitudes related to tobacco control in indoor public places among residents with different characteristics in Hangzhou. Multivariable logistic regression was used to identify variables affecting satisfaction with the effectiveness of tobacco control in public places.
Of the 2155 non-smokers, 1006 (46.68%) had been exposed to SHS in public places. More than 89.00% of participants supported the Ordinance. Satisfaction with effectiveness of tobacco control in public places in Hangzhou was 68.54%, and the subcomponents that influenced it were satisfaction with tobacco control publicity campaigns (AOR=1.85; 95% CI: 1.19-2.88), satisfaction with tobacco control surveillance and enforcement (AOR=3.91; 95% CI: 2.43-6.30), satisfaction with the smoke-free demonstration for government departments (AOR=5.79; 95% CI: 3.96-8.47), and satisfaction with individual tobacco control behavior (AOR=11.68; 95% CI: 8.53-15.99).
It is necessary to strengthen tobacco control publicity to increase the participation of residents and to gain a deeper understanding of the subjective willingness and needs of residents to participate in tobacco control campaigns in order to improve residents' individual satisfaction.
接触二手烟是一个严重的公共卫生问题。本研究旨在收集自杭州市新版《公共场所控制吸烟条例》（以下简称《条例》）实施以来的控烟数据，并结合问卷调查了解公共场所二手烟接触情况、杭州市居民的相关知识和态度。
我们使用了2023年3月在浙江省杭州市对2746名15 - 75岁成年人进行的基于人群的控烟调查数据。通过自行填写问卷收集数据，问卷内容包括人口统计学特征、烟草接触情况、对烟草危害的认知、对《条例》的了解以及在公共场所对控烟的行为和态度。采用卡方检验来检验杭州市不同特征居民在室内公共场所控烟知识和态度方面的差异。使用多变量逻辑回归来确定影响对公共场所控烟效果满意度的变量。
在2155名非吸烟者中，1006人（46.68%）在公共场所接触过二手烟。超过89.00%的参与者支持《条例》。杭州市对公共场所控烟效果的满意度为68.54%，影响满意度的子因素包括对控烟宣传活动的满意度（比值比[AOR]=1.85；95%置信区间[CI]：1.19 - 2.88）、对控烟监督执法的满意度（AOR = 3.91；95% CI：2.43 - 6.30）、对政府部门无烟示范的满意度（AOR = 5.79；95% CI：3.96 - 8.47）以及对个人控烟行为的满意度（AOR = 11.68；95% CI：8.53 - 15.99）。
有必要加强控烟宣传，以提高居民的参与度，并更深入地了解居民参与控烟活动的主观意愿和需求，从而提高居民的个人满意度。
