目的调查济南市市中区市区及市郊三所小学被动吸烟现状,为控制儿童被动吸烟提供针对性的政策建议。方法采用分层整群抽样的方法,对市中区3~6年级儿童进行问卷调查,收集儿童被动的吸烟情况、烟草危害认知情况及控烟态度等相关信息。结果全体儿童被动吸烟率20.8%,市郊儿童26.2%,市区儿童18.4%,两地区儿童被动吸烟率差异有统计学意义(P<0.01)。市区及市郊儿童被动吸烟场所构成比差异有统计学意义(P<0.05)。市区儿童对被动吸烟认知及态度、行为均好于市郊儿童,市区学校及父母对儿童被动吸烟教育情况好于市郊。市区儿童最容易接受的被动吸烟健康教育方法依次为父母或老师讲解,图书报刊或宣传海报,广播电视;市郊儿童则为父母或老师讲解,医生个别讲解,广播电视/上网调查。结论降低儿童的被动吸烟率,市区及市郊儿童应该有针对性的开展控烟教育工作,才能取得较满意的效果。 Objective To investigate the status quo of passive smoking in three primary schools in urban area and suburban area of ​​Jinan City, and to provide targeted policy suggestions for controlling passive smoking in children. Methods A stratified cluster sampling method was used to conduct questionnaire survey on children aged 3-6 in Shizhong District to collect information on passive smoking, cognition of tobacco hazard and tobacco control attitude among children. Results The passive smoking rate of all children was 20.8%, that of suburban children was 26.2% and that of urban children was 18.4%. There was significant difference (P <0.01) between the two groups. There were significant differences in the composition of passive smoking between urban areas and suburban children (P <0.05). Children in urban areas had better cognition, attitude and behavior toward passive smoking than children in suburban areas, and urban schools and parents had better passive smoking education than children in suburbs. The most acceptable methods of passive smoking and health education for children in urban areas are followed by parents or teachers, books and newspapers or promotional posters and radio and television; suburban children are explained by parents or teachers, and the doctors give individual explanations and broadcast TV / Internet surveys. Conclusions To reduce the children’s passive smoking rate, urban and suburban children should be targeted to carry out tobacco control education in order to achieve more satisfactory results.