1. Smoke-free or not: a pilot evaluation in selected Beijing Hospitals
- Author
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Anjie Zhen, Na Zhao, Frances A. Stillman, Jingyan Yang, Michelle R. Kaufman, and Jiangbo Wang
- Subjects
Male ,Policy development ,medicine.medical_specialty ,China ,Nicotine ,Attitude of Health Personnel ,Smoking Prevention ,(MeSH terms) ,Hospitals, Urban ,Beijing ,Environmental health ,Surveys and Questionnaires ,Medical Staff, Hospital ,Prevalence ,Medicine ,Humans ,Secondhand smoke ,Evaluation ,Policy Making ,Passive nicotine monitors ,Smoke ,business.industry ,Public health ,Data Collection ,Tobacco control ,Smoking ,Public Health, Environmental and Occupational Health ,Hospitals ,Organizational Policy ,Smoke-Free Policy ,Female ,Tobacco Smoke Pollution ,Biostatistics ,business ,Smoke-free ,Research Article ,Policy assessment - Abstract
Background China enacted a policy to ban smoking in hospitals. The Chinese Association for Tobacco Control (CATC) developed a program to help hospitals implement this policy. They conducted a program and an assessment in 3 Chinese cities (Beijing, Shanghai and Guangdong). A more in-depth evaluation was implemented with a sub-sample of hospitals in Beijing (N = 7) to provide an independent assessment. This independent assessment focused on evaluating policy development and an assessment of secondhand smoke (SHS) to determine compliance with the smoke-free policy initiative. Methods Pre- and post-survey data were collected at each of the selected hospitals with a total sample of 2835 physicians at pre-intervention and 2812 at post-intervention. Smoking rates pre- and post-policy implementation, change in knowledge, attitudes and practices among physicians, and compliance with policy were assessed. Measurements of airborne nicotine concentrations in selected locations in each hospital were taken: main hospital lobby; main outpatient center; emergency waiting room; and stairwell adjacent to a large inpatient ward. Hospital policies were collected, translated and rated for incorporated components necessary to implement a smoke-free policy. Results Physicians’ smoking rates decreased and attitudes towards tobacco control improved significantly from pre-to post-intervention. Smoking was still reported in certain areas of the hospital with 96% of passive nicotine monitors as well as self-report indicating continued smoking. Nicotine levels ranged from
- Published
- 2013