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[目的]描述2007、2010、2013年上海市黄浦区居民吸烟、戒烟及被动吸烟的流行水平,判断烟草流行的变化趋势。[方法]采用多阶段分层随机抽样方法,对2007、2010和2013年黄浦区15~69岁居民吸烟、戒烟、被动吸烟水平的变化情况进行横断面调查,由经过统一培训的调查员采用问卷调查、以入户面对面询问的方式进行。各次调查完成人数为1 597、1 374、1 585人。[结果]2013年,人群总吸烟率、现在吸烟率、常吸烟率分别为24.4%、19.5%、17.9%,被动吸烟率为34.6%。2007—2013年,年龄标化总吸烟率(χ~2=9.86,P=0.007)、现在吸烟率(χ~2=15.66,P<0.001)、常吸烟率(χ~2=12.34,P=0.002)、重型吸烟率(χ~2=8.13,P=0.004)都呈现逐年降低的趋势,被动吸烟率先降后升(χ~2=39.23,P<0.001)。男性的吸烟水平在三次调查中均高于女性,2013年女性吸烟率较2010年出现明显上升(χ~2=4.84,P=0.028)。近年人群戒烟率出现上升,戒烟成功率在70%左右,而被动吸烟率仍然较高并且呈现先降后升的趋势(χ~2=39.23,P<0.001)。[结论]黄浦区吸烟率有所下降,但男性吸烟率和人群被动吸烟率仍较高,戒烟成功率较低,女性吸烟率有所上升。
[Objective] To describe the prevalence of smoking, smoking cessation and passive smoking among residents in Huangpu District of Shanghai in 2007, 2010 and 2013 and to determine the trends of tobacco prevalence. [Methods] The cross-sectional investigation was conducted on the changes of smoking, smoking cessation and passive smoking among residents aged 15-69 in Huangpu District in 2007, 2010 and 2013 by using a multi-stage stratified random sampling method. The questionnaire Survey, to households face to face way to ask questions. The number of completed surveys was 1 597,1 374,1 585. [Results] In 2013, the total population smoking rate, the current smoking rate and the regular smoking rate were 24.4%, 19.5% and 17.9% respectively, and the passive smoking rate was 34.6%. From 2007 to 2013, the total age-standardized smoking rate (χ ~ 2 = 9.86, P = 0.007) and the current smoking rate (χ ~ 2 = 15.66, P <0.001) 0.002). The heavy smoking rate (χ ~ 2 = 8.13, P = 0.004) showed a trend of decreasing year by year. The rate of passive smoking decreased first and then increased (χ ~ 2 = 39.23, P <0.001). Smoking prevalence in men was higher than that in women in all three surveys. In 2013, the smoking rate in women increased significantly from 2010 (χ ~ 2 = 4.84, P = 0.028). In recent years, the rate of quitting smoking in the population has risen, and the success rate of smoking cessation has been around 70%. However, the passive smoking rate is still high and shows a trend of decreasing first and then increasing (χ ~ 2 = 39.23, P <0.001). [Conclusion] The smoking rate of Huangpu District has declined, but the smoking rate of the male and the passive smoking rate of the crowd are still high, the success rate of quitting smoking is low, and the smoking rate of the female is increased.