“CMB中华医学控烟行动”项目基线调查结果---GHI-CTP课件

1、The report on the baseline survey of CMB-China Medical Tobacco Initiative School of Public Health, Sichuan UniversityContents1 Background2 Methods 3 Results4 Conclusions5 Suggestions6 ChallengesTobacco consumption is a critical public health problem in China. Behaviors of doctors, teachers, politica

2、l leaders and celebrities play a very important role in tobacco controlCMB initiated “China Medical Tobacco Initiative” in 2010, interventional means of tobacco consumption were carried out in medical college of 13 universities around China, to support further implementation of tobacco control aroun

3、d China 1 Background2 Methods 3 Results4 Conclusions5 Suggestions6 ChallengesSubjects ：Universities :13 CMB-grantee universities3 Control universitiesPopulations :Male students (2nd and 3rd-year students major in medicine) Male teachers (work on teaching or researching)Male doctors (physician, surge

4、on, gynecologist, pediatrician) Sampling ： Questionnaire survey : cluster sampling Environmental observation: simple random sampling Survey methods：questionnaire survey environmental observation tobacco control material reference group discussion on specific topics Contentstobacco use cessationexpos

5、ure to second-hand smoking awareness of tobacco harmattitude to tobacco controltobacco control regulationtobacco advertisement and sponsorshipQuestionnaire survey Environmental observationPolicy evaluationcampus environmenthospital environmentestimation on smokersimplementation of tobacco controlPop

6、ulationSurvey numberResponse rate (%)Student772894.4Teacher287286.6Doctor266496.5Table1. The response rate of each population The response rate of questionnaire survey for each population is showed in the following table:1 Background2 Methods 3 Results4 Conclusions5 Suggestions6 ChallengesTobacco Us

7、eUniversitiesStudentTeacherDoctorCMB-grantee UniversitiesTibetan University50.546.959.3Ningxia Medical University26.041.137.7Xian Jiaotong University8.349.534.5Sichuan University14.435.636.0Jiujiang College19.552.047.5Zhongnan University8.442.139.2Harbin Medical University12.819.325.8Fudan Universit

8、y8.818.820.6China Medical University8.132.624.3Peking Union Medical College3.530.311.7Zhongshan University3.533.328.0Peking University4.423.3Zhejiang University0.937.512.7Control UniversitiesChengdu Medical College21.745.735.1Beijing TCM Medical College10.531.334.9Hangzhou Normal University2.133.331

9、.8Table 1: Smoking Prevalence of differnt Groups(%)Smoking rates of all groups from most CMB-grantee universities is lower than general male, while the smoking rates from several universities are comparatively high (compared with the result of the fourth National Health Service Survey, the smoking r

10、ate of male population aged between 15-24 years old is 14.9%, and that of the general male population is 48.0%). （%）Smoking Prevalence among all population groups in CMB-grantee universities are all lower than those in control universitiesAmong the CMB-grantee universities , the smoking rate in pres

11、tige schools is lower than that in non-prestige schools(%)In CMB-grantee universities ：More than half students have experience of smoking, among which 30% have smoked a whole cigarette after their entry in college. Regional Difference E.g among medical students from prestige universities: smoking ra

12、te in western region is the highest, and then the north-eastern region. Cessationmore than 60% smokers of all groups plan to quit smokingrates of quiting from smoking or quitting for more than 2 years among smokers of all groups is lowThe relapse rates of all groups are about 79%（%）In CMB-grantee un

13、iversities:Second-hand Smoking Exposure The second-hand smoking exposure rate among students from CMB-grantee universities is lower than that from control universities. （%）Among CMB-grantee universities: second-hand smoking exposure rate among students from prestige universities is lower than that f

14、rom non-prestige universities （%）In CMB-grantee universities, Teaching Building and Administration Building are the main location of students and teachers second-hand smoking exposure （%）In the affiliated hospital of CMB-grantee universities, Outpatients Department /Inpatients Building are the main

15、location of second-hand smoking exposure （%）Awareness of tobacco harm（%）（%）In CMB-grantee universities: Only 27.6% students are aware that smoking can cause stroke, heart attack and lung cancer; 44.2% students are aware that second-hand smoking can cause adult heart attack, lung cancer and children

16、lung diseases In CMB-grantee universities: 47.4% teachers are aware that smoking can cause stroke, heart attack and lung cancer; 52.9% teachers are aware that second-hand smoking can cause adult heart attack, lung cancer and children lung diseases （%）（%）In affiliated hospitals of CMB-grantee univers

17、ities, about 30% doctors are not fully aware the harm of smoking and second-hand smoking exposure（%）（%）Attitude toward tobacco control 76.8% students, 84.5% teachers and 87.5% doctors agree that it is their own responsibility to reject smoking 83.2% students, 89.4% teachers and 91.7% doctors agree t

18、hat their own group should play a main role in tobacco control campaign 80.6% students, 79.8% teachers and 88.3% doctors agree that their own group are responsible for persuading public to quit smoking In CMB-grantee universities:31HoweverMore than 80% students agree that smoking can ease stress and

19、 anxiety More than 60% students agree that smoking can bring excitement and pleasure About 30% students agree that smoking can express their personality Tobacco Advertisement and Sponsorship Within previous 30 days, 22.0% students, 13.8% teachers and 19.2% doctors of project colleges have noticed to

20、bacco advertisements or events sponsored by tobacco companies on campus/in hospitalsResults of Environmental Observation Campus environment In CMB-grantee universities: rare to find smokers at tobacco control focus locationsThe proportion of finding cigarette butts in the following locations are hig

21、her than that of other locations:corridors/stairs of teaching buildingoutside the teaching building gatescorridors/stairs of the teachers office buildingoutside the male students dorm building In CMB-grantee universities: corridors/stairs and male bathrooms in teaching buildings are main locations f

22、or tobacco control signal displaying, less are found in other locationsTeachers office and meeting rooms of teaching building in some CMB-grantee universities are placed with ash tray Hospital EnvironmentIn the affiliated hospitals of CMB-grantee universities, it is rare to find smokers at tobacco c

23、ontrol focus locations, except for the hospital yardsIn the affiliated hospitals of CMB-grantee universities, the proportion of finding tobacco control signals are higher at the corridors/stairs of the outpatients department and in-patients departmentIn the affiliated hospitals of CMB-grantee univer

24、sities, the proportion of finding cigarette butts are higher at corridors/stairs of the outpatient department and in-patients department and the hospital yardsIn the CMB-grantee universities: ash trays are placed in a few offices and meeting rooms within the outpatient department and in-patients dep

25、artment buildings37Estimation of different groups smoking status and policy evaluation Estimation of different groups smoking statusIn most CMB-grantee universities, the smoking rates of students are low, except for some overseas students from few universities The smoking rate of older teachers is h

26、igher than that of the younger ones. The smoking rate of the administrative staff is higher than that of teachers in lecturing and researching positions Within hospitals, doctors with more pressure smoke more, for example, surgeons smoke more than internal medicine physicians Situation of tobacco co

27、ntrol Most CMB-grantee universities and their affiliated hospitals have held tobacco control campaign before this projectWorks after the initiation of this projects include:Established and improved the organizing committee for tobacco controlEstablished certain tobacco control policies, evaluation,

28、rewards and punishment systemEstablished policies to encourage and help smokers to quit smokingRejected inquiries from tobacco companies on campus and in hospitalsOther special tobacco control activitiesAnalysis of factors related with smoking behavior Factors which influenced students smoking behav

29、ior include: Nationality prestige universities or not Smoking behavior of parents Smoking behavior of best friends attitude toward smoking of people around Factors which influenced teachers smoking behavior include: institutions (departments) prestige universities or not own attitude toward tobacco

30、control co-workers attitude toward smoking Factors which influenced doctors smoking behavior include: Whether the affiliated hospitals is of prestige universities or not own attitude toward tobacco control co-workers attitude toward smoking 1 Background2 Methods 3 Results4 Conclusions5 Suggestions6

31、ChallengesGeneral smoking rates of different groups from CMB-grantee universities are lower than that of general public, but some subject groups in CMB-grantee universities have serious smoking problemThere are regional and prestige or non-prestige difference among CMB-grantee universities Non-smoke

32、rs are seriously exposed to second-hand smoking, teaching building, office building and hospital outpatient/inpatient department buildings are the main locations of second-hand smoking exposureThe situation of relapse is serious among subjects who have quitted smoking Our survey subjects have certai

33、n awareness of the harm of smoking and second-hand smoking exposure, but their knowledge is not comprehensiveThe attitude towards tobacco control of our survey subjects is inconsistentThe awareness and attitude toward harm of smoking are inconsistent with their behaviorsSome non-smoking students may

34、 become smokersSome of the CMB-grantee universities and their affiliated hospitals need to improve their policy on tobacco control, and strength policy promotion and implementationSome CMB-grantee universities and their affiliated hospitals environment need to reinforce tobacco control Problems duri

35、ng the tobacco control campaign in universitiesFocus on advocating and persuading, lack in constrain by policy and policy implementation Campus tobacco control focus on students, but neglect teachers Smoking rate among administrative staff is comparatively high Tobacco control activities are scatter

36、ed, without consistence 1 Background2 Methods 3 Results4 Conclusions5 Suggestions6 ChallengesPut tobacco control campaigns in western and non-prestige medical universities as priorityFurther Planning and integration on tobacco control strategy and policiesUniversity leaders should be good examples o

37、n tobacco control, administrative staff should be the focus of the campaignTobacco control activities targeting teachers and doctors should be prior to those to studentsUse evidence-based and vivid health education to improve teachers, doctors and students awareness of the harm of smokingOpen tobacco control courses and lectures and adapt them into teaching plan of the universitiesUse effective measures to prevent people