重庆市机关事业单位慢性病高风险人群吸烟干预效果

陈婷; 白雅敏; 丁贤彬

doi:10.16462/j.cnki.zhjbkz.2019.11.016

重庆市机关事业单位慢性病高风险人群吸烟干预效果

doi: 10.16462/j.cnki.zhjbkz.2019.11.016

1.
400042 重庆, 重庆市疾病预防控制中心慢性病非传染性疾病预防控制所
2.
100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心

基金项目:

全国慢性病高风险人群健康管理项目 MBGY-2017-003

详细信息

通讯作者:
丁贤彬, E-mail: 784702780@qq.com

中图分类号: R163
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- 被引次数: 0
出版历程
- 收稿日期: 2019-02-25
- 修回日期: 2019-06-01
- 刊出日期: 2019-11-10

Effectiveness of tobacco-control intervention program among high risk population of chronic non-communicable diseases in institutions from Chongqing

1.
Institute of Non-communicable Disease Prevention and Control, Chongqing Center for Disease Prevention and Control, Chongqing 400042, China
2.
National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China

Funds:

National Health Management Project for High Risk Populations of Chronic Non-communicable Diseases MBGY-2017-003

More Information

Corresponding author: DING Xian-bin, E-mail: 784702780@qq.com

摘要

摘要: 目的探讨分类管理干预模式对机关事业单位慢性病高风险人群吸烟状况的干预效果，为慢性病高风险人群管理工作提供科学依据。方法对重庆市四个区县机关事业单位的职工进行整群抽样，筛查出的慢性病高风险人群分别纳入干预组和对照组，干预组根据危险因素进行分级管理，对照组不主动采取任何形式的干预活动，评估采取一年的干预措施后干预组和对照组吸烟和吸烟危害认知的变化情况。结果利用倍差法回归模型分析干预措施的净效果得到，干预措施可以使研究对象吸烟率、现在吸烟率、现在每日吸烟率降低（OR=0.32，95% CI：0.21~0.49；OR=0.31，95% CI：0.20~0.48；OR=0.34，95% CI：0.21~0.54），同时，干预措施可以使研究对象对吸烟会造成严重疾病、吸烟会造成中风、吸烟会造成肺癌的知晓率提高（OR=2.19，95% CI：1.08~4.42；OR=1.73，95% CI：1.17~2.57；OR=2.17，95% CI：1.25~3.77），差异均有统计学意义（均有P < 0.05）。结论对机关事业单位慢性病高风险人群采取分类管理的干预模式可以有效地提高研究对象吸烟危害的认识水平，进而降低慢性病高风险人群的吸烟率，该干预模式是一种值得推广和应用的干预模式。
- 慢性病 /
- 高风险人群 /
- 烟草危害 /
- 认知 /
- 干预研究
Abstract: Objective To explore the effect of the classified management intervention model on the smoking status of high risk population of chronic non-communicable diseases in institutions from Chongqing, so as to provide scientific basis for the management of high risk population of chronic non-communicable diseases. Methods Workers from governments and institutions of four districts in Chongqing were sampled by cluster sampling. High risk population of non-communicable disease were screened and enrolled into the intervention group and control group. The intervention group were intervened by classified management. And the control group weren't intervened. To evaluate the change of smoking and smoking hazard cognition in intervention group and control group after one year intervention. Results The result of analysis of the net effect of intervention measures using difference in difference regression model showed that the intervention measures could reduce the smoking rate, the current smoking rate and the daily smoking rate in subjects (OR=0.32, 95% CI: 0.21-0.49; OR=0.31, 95% CI: 0.20-0.48; OR=0.34, 95% CI: 0.21-0.54). The intervention measures could increase the awareness rates of smoking causing serious diseases, stroke and lung cancer in subjects (OR=2.19, 95% CI: 1.08-4.42; OR=1.73, 95% CI: 1.17-2.57; OR=2.17, 95% CI: 1.25-3.77), the difference was statistically significant (all P < 0.05). Conclusion The intervention model of classified management for high risk population of chronic non-communicable diseases in institutions can effectively improve the awareness rate of smoking hazards among the subjects, and then reduce the smoking rate. Therefore, this intervention model is worth popularizing and applying.
- Chronic non-communicable diseases /
- Population with high risk /
- Tobacco hazards /
- Cognition /
- Intervention study

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表 1 研究人群基线人口学特征[n(%)]

Table 1. Baseline demographic characteristics of the study population[n(%)]

变量	干预组 (n=380)	对照组 (n=576)	χ²值	P值
年龄(岁)			7.372	0.061
20~	43(11.31)	88(15.28)
30~	113(29.74)	183(31.77)
40~	136(35.79)	207(35.94)
50~	88(23.16)	98(17.01)
性别			7.246	0.007
男性	182(47.89)	327(56.77)
女性	198(52.11)	249(43.23)
民族			1.478	0.224
汉族	376(98.95)	564(97.92)
其他	4(1.05)	12(2.08)
文化程度			5.327	0.255
小学及以下	11(2.89)	9(1.56)
初中	14(3.69)	36(6.25)
高中/中专/技校	48(12.63)	67(11.63)
大专	96(25.26)	154(26.74)
本科及以上	211(55.53)	310(53.82)
婚姻状况			5.713	0.017
已婚	312(82.11)	505(87.67)
其他	68(17.89)	71(12.33)
慢性病高风险因素(个)			0.002	0.965
1~	323(85.00)	489(84.90)
3~	57(15.00)	87(15.10)

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表 2 干预对研究对象吸烟及吸烟危害认知情况改变的净效果

Table 2. Net effect of intervention on the changes of smoking and smoking hazard cognition

变量	β_E	s_x^-	Wald值	OR(95% CI)值	P值
吸烟	-1.15	0.22	26.58	0.32(0.21~0.49)	< 0.001
现在吸烟	-1.16	0.22	27.19	0.31(0.2~0.48)	< 0.001
现在每日吸烟	-1.09	0.24	20.91	0.34(0.21~0.54)	< 0.001
吸烟会造成严重的疾病	0.78	0.36	4.74	2.19(1.08~4.42)	0.030
吸烟造成中风	0.55	0.20	7.46	1.73(1.17~2.57)	0.006
吸烟造成心脏病发作	0.27	0.20	1.91	1.31(0.89~1.93)	0.167
吸烟造成肺癌	0.77	0.28	7.52	2.17(1.25~3.77)	0.006

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