Evaluation Of Tobacco Control Intervention In Medical And Health Institutions In Jilin Province

Tobacco, which is closely connected to epidemics and the increasing death rate, iscurrently the most serious global problem that threats public health. Lots of studiesindicate that smoking may lead to lung cancer, coronary disease, chronic respiratorydisease,etc. If people don’t take effective measures, the world death toll from tobaccowill rise from4million in1998to10million in2030.This number has even exceed thetotal number of people who dead of malaria, maternal disease and tuberculosis. China isthe largest tobacco production and consumption country. Among1.35billion people,there are about350million smokers. The death number of smoker or passive smoke isincreasing every year. This makes tobacco control become our greatest primary task.Because of the special connection between medical institution and health, themedical staff smoke or not will certainly influence the ordinary people. Medicalinstitution should under tobacco control work ahead of other public places to set anexample of building smoking-free environment. By investigating the effect of tobaccocontrol work in medical institutions and evaluating the intervention effect of medicalstaff’s smoking behavior, the awareness of dangers of tobacco, service on stop smokingand building of smoking-free environment, we can give more reasonable advices. Andthis is quite important to the tobacco control work in Jilin Province.【Objective】Through effectiveness evaluation of tobacco control in medical andhealth institutions in Jilin province, to give advices for improvement. To promotetobacco control measures, push forward the development of tobacco control, and laygood foundation for it.【Methods】 Implement a six-month tobacco interventions for the medical personnelof medical institutions before and after the intervention to carry out a survey,using thesurvey data to evaluate the effect on tobacco control. First, choose3787medical personnel for the survey, through the medical staff ’s smoking and tobacco controlbehavior, their knowledge of tobacco, smoking cessation service capabilities and othersto evaluate the effectiveness of tobacco control interventions; Secondly, by observing on50medical and health institutions to evaluate intervention effects of smoke-freeenvironment; Finally, by way of intercepting investigation randomly selecting medicalpatients, to evaluate the effect of intervention of the doctor cessation services and ofsmoke-free environment.【Results】Through six months of tobacco control interventions, medical staff’soverall smoking rate fell from15.4%to13.5%, male’s smoking rate from44.2%droppedto37.6%, female smoking rates stayed still0.4%; Smoking rate of people aged between30and40years old fell from15.6%to11.3%. Among40to50-year-old smokers, thenumber dropped from24.3%to17.1%; Marital Status married smoking rate down15.2%before intervention14.1%; degree of secondary or less before interventionsmoking rate dropped to17.0%from19.7%, college before the intervention of thesmoking rate dropped to12.5%from13.8; logistical positions of the medical staffsmoking rate of37.6before the intervention%to29.5%; medical staff in smokingquitters by a44.8percent rise to51.5%after the intervention; their health before andafter intervention were the main reason for quitting smoking, account for more than90%after the intervention; doctors recommend patients to quit smoking increased from33.8%up to54.7%, the proportion of recommended smoking cessation clinic increasedfrom0.7%to18.8%; but on the correlation between smoking and disease understanding,smoking and osteoporosis, acute gingival necrosis or ulceration and male sexualfunction disorder awareness is relatively low. After the intervention agencies proportionof smoke-free places from the previous20percent to40percent, agencies have smokingand non-smoking signs required by the pre-intervention rates were18%and74%, roseto100%, institutions proportion of tobacco promotional materials increased from28%to96%, the proportion of sales of tobacco within the organization before the interventionto26%to2%, the CDC after the intervention agencies fully meet the non-standard.【Conclusion】By6months of tobacco control interventions, medical staff’s overallsmoking rate decreased and showed an increase in the proportion of smoking cessation, but smoking situation among male medical personnel still need to control. medicalpersonnel’s knowledge on the dangers of tobacco-related is still insufficient. The abilityof doctors to provide smoking cessation services need to be strengthened. After theintervention agencies have smoking and non-smoking signs required ratio can reach100%of the institutions have some control over the sale of tobacco, tobacco healthinstitutions to create work made great progress. Through the intervention shouldtherefore be evaluated, targeted from the department, job and gender factors to startsmoking, and promote tobacco control knowledge, make full use of available resources,to strengthen the enforcement of tobacco control, better medical institutions to carry outtobacco control work.