[Effect evaluation of "Smoking cessation: Doctor first"program in China].

Objective: To evaluate the effect of "Smoking cessation: Doctor first" program on smoking medical staff. Methods: From December 2016 to September 2019, 1 747 smoking medical staff from 54 units of China Tobacco Cessation Alliance were enrolled into"Smoking cessation: Doctor first"program. Demographic characteristics, smoking characteristics, degree of tobacco dependence, willingness to quit smoking and other related factors were collected during the baseline survey. Multivariate logistic regression model was used to analyze the related factors of willingness to quit. The subjects were given intensive smoking cessation intervention from October 2017 to September 2019, including education on the hazards of smoking, methods of smoking cessation and giving smoking cessation drugs. After intervention, the subjects were investigated about their smoking cessation progress and the effect of the project was evaluated. Results: The subjects were (41±11) years old, 91.9% (1 609/1 747) were male and 62.2% (1 086/1 747) were daily smokers. The main reasons for smoking included the influence of friends [697 (39.9%)], the need for social entertainment [629 (36.0%)], the relief of mental stress [589 (33.7%)] and the refreshment [459 (26.3%)]. At baseline, 52.9% (885/1 672) and 43.2% (755/1 747) smokers had intention to quit smoking and had planned to quit within one year, respectively. Multivariate logistic regression model analysis showed that: low education level [OR (95%CI) of high school and junior high school and below were 2.42 (1.61, 3.63) and 1.57 (1.18, 2.11)], daily smoking [OR (95%CI): 1.38 (1.06, 1.78)], thinking quitting smoking is not important [OR (95%CI): 4.15 (3.33, 5.18)] and having no quitting experience [OR (95%CI): 3.21 (2.53, 4.05)] were associated with no intention to quit smoking. After intensive smoking cessation intervention, 81.0% (1 415/1 747) smokers started to quit and 36.6% (518/1 415) quit smoking with drugs, both higher than the baseline level (all P values<0.001). By the end of the program, 60.2% (852/1 415) of the medical staff had quit smoking successfully. Conclusion: "Smoking cessation: Doctor first"program can improve the willingness to quit and the proportion of using smoking cessation drugs of medical staff.目的： 探讨“戒烟：医者先行”项目在吸烟医务人员中的实施效果。 方法： 2016年12月至2019年9月对中国戒烟联盟54家单位1 747名吸烟医务人员实施“戒烟：医者先行”项目。基线调查时采集对象人口学特征、吸烟特点、烟草依赖程度、戒烟意愿及相关因素等资料，采用多因素logistic回归模型分析探讨戒烟意愿的相关因素。2017年10月至2019年9月进行强化戒烟干预，内容包括进行吸烟危害和戒烟方法宣教并给予戒烟药物，干预后调查戒烟情况，对项目效果进行评价。 结果： 基线时调查对象年龄为（41±11）岁，男性占91.9%（1 609/1 747），每日吸烟者占62.2%（1 086/1 747），主要吸烟原因包括受朋友影响［697名（39.9%）］、社会应酬需要［629名（36.0%）］、减轻精神压力［589名（33.7%）］和提神［459名（26.3%）］。基线调查时有戒烟意愿和1年内有戒烟计划的吸烟者分别占52.9%（885/1 672）和43.2%（755/1 747）。多因素logistic回归模型分析显示：教育程度低［高中和初中及以下的OR（95%CI）值分别为：2.42（1.61，3.63）和1.57（1.18，2.11）］、每日吸烟［OR（95%CI）：1.38（1.06，1.78）］、认为戒烟不重要［OR（95%CI）：4.15（3.33，5.18）］及没有戒烟经历［OR（95%CI）：3.21（2.53，4.05）］与无戒烟意愿相关。对所有对象进行强化戒烟干预后，有戒烟意愿并开始戒烟者占81.0%（1 415/1 747），药物戒烟比例为36.6%（518/1 415），均高于基线水平（均P<0.001）。项目结束时 60.2%（852/1 415）的医务人员戒烟成功。 结论： “戒烟：医者先行”项目可提高吸烟医务人员的戒烟意愿和药物戒烟比例。.