摘要
目的探讨导致中国医务人员自身吸烟状况的主要危险因素,为研究和干预主要吸烟危险措施提供理论依据。方法采用Meta分析系统评估方法综合定量分析中国1979—2010年累计涉及180030例的71篇共涵盖34个关于医务人员吸烟因素的文献研究。结果分别对有相同统计内容且可以合并计算的9种危险因素:性别、文化程度、年龄、职称、科别、行政管理归属、月收入、吸烟动机为社交需要、吸烟动机为缓解压力合并OR值并计算95%CI,有统计学意义的前4位主要危险因素分别为:性别68.71(53.46～88.30)、科别2.17(1.85～2.55)、职称2.01(1.29～3.13)、年龄1.83(1.55～2.17)。结论男性、手术科室、具有中高级职称及中年人群是中国医务人员吸烟的主要危险因素;吸烟动机为社交需要、缓解压力以及医务人员的月收入、文化程度、医院行政管理归属等因素,故影响吸烟的作用尚不确定。
Objective To investigate the major risk factors correlated with cigarette smoking among Chinese medical workers and to provide academic evidence for the exploration and intervention of smoking-related risk factors. Methods Seventy-one articles which included 180030 people and thirty-four factors related to cigarette smoking among medical workers, published between 1979 and 2010, were reviewed by meta-analysis. Results Merger OR value and 95% CI were calculated of nine factors identified to have the same category of statistical data that can be used for pooled analysis. These included sex, education, age, professional title, affiliated departments, administration attribution, monthly income, smoking for social needs and smoking for stress-relaxing. The first four major risk factors were sex （ OR = 68. 71,95 % CI 53.46 - 88. 30） , affiliated departments （ OR = 2. 17, 95% CI1. 85 - 2. 55 ） , professional titles （OR= 2.01,95%CI 1.29 -3.13） and age （OR =1.83,95%CI 1.55 -2. 17 ） with statistical significance. Conclusion Male gender, surgery department, senior professional titles and middle age were major risk factors for smoking among Chinese medical workers;Since the 95 % CIs of OR value of smoking for social needs or stress-relaxing, monthly income, education and hospital administration attribution included 1, these factors were not established as protective or risk ones and therefore appeared uncertain in terms of their effects to cigarette smoking.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2010年第8期708-710,共3页
Chinese Journal of Practical Internal Medicine
基金
国家科技支撑计划课题(2007BAI24B04)
中华医学会基金项目(070103200400
08020680146)
辽宁省教育厅基金项目(2009A760)
