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Objective:To analyze the household smoking behavior of smokers in rural Taizhou City of Zhejiang Province， and to provide the basis for the intervention measures to reduce children's second-hand smoke （SHS） exposure. Methods:The investigation started in May 2018. A total of 418 smoking families in Luqiao and Linhai were included. Field face-to-face questionnaire survey was conducted and cotinine level in children's urine was measured. Kernel density estimation was used for curve fitting. The results were analyzed by Wilcoxon rank sum test and chi square test. Results:The age distribution of smokers in the family was bimodal. The younger smoker group was mainly the parents. The older group was mainly the other relatives such as grandfather. The age started smoking in the parent group was younger than that in relative group， but the average number of cigarettes smoked per day in relative group was higher than that in parent group （P<0.05）. The parent group had higher proportion than the relative group in having family smoking regulations or agreeing not to smoke in the room in the presence of children （P<0.001）.The proportion of the parent group who has heard about third hand smoke and electronic cigarette was higher than that of the relative group （P<0.001）.The detection rates of cotinine in urine of children were 91.05% and 86.96% in parent group and relative group， respectively. The urine cotinine level of the children in the parent group was higher than that in the grandfather group （P=0.049）. Conclusion:Children are more exposed to SHS when the smoker in the household are parents. In order to reduce children's SHS exposure， we should pay more attention to educate the parents with a family based tobacco control program.
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Preventive medicine is a required course for students majoring in clinical medicine, which is essential for them to understand public health. Teaching teams of Fudan University have focused on the curriculum reform of preventive medicine and kept innovating with the aim of improving the competence of future doctors. Flipped classroom approach was adopted to promote interaction between teachers and students. In addition, a variety of practice sectors were integrated into teaching process, such as diet calculation through graph cards, health risk appraisal practice, hospital visiting. In addition, a 4-weeks community-based practice further strengthened students' understandings of public health in the real world. Much attention was on cultivate scientific spirit, humanity and the capability to serve the people. A multi-dimension, whole-process evaluation is applied and the results shows that the students' comprehensive ability and literacy are significantly improved.
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The paper highlights the three key words:city, health and development.On the one hand, it is necessary to understand the city with systematic thinking, to focus on the health gap and health equity of different populations in the same city, and the continuous spectrum of health indicators or disease distribution in the same population.On the other hand, it is suggested to establish a "participatory governance" model in Healthy City development-government for health, to further promote the development of healthy cities.Finally, it briefly introduces the report of "Healthy City 2.0-Towards a Planet City" presented by Professor Hancock at the 23rd International Conference on Health Promotion of IUHPE, 2019 in New Zealand.
ABSTRACT
The paper highlights the three key words:city, health and development.On the one hand, it is necessary to understand the city with systematic thinking, to focus on the health gap and health equity of different populations in the same city, and the continuous spectrum of health indicators or disease distribution in the same population.On the other hand, it is suggested to establish a "participatory governance" model in Healthy City development-government for health, to further promote the development of healthy cities.Finally, it briefly introduces the report of "Healthy City 2.0-Towards a Planet City" presented by Professor Hancock at the 23rd International Conference on Health Promotion of IUHPE, 2019 in New Zealand.
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Objective To explore the methods of tobacco control through interactive sitcoms and evaluate its impact on audience in their empathy, knowledge acquisition and behavior, providing basis for health communication activities in relation to tobacco control. Methods Relevant knowledge and skills on tobacco control were integrated into the drama, which ran for 8 performances in Shanghai.Four of them were randomly selected for evaluation.All the audience were invited to complete a questionnaire. Results Over 90% of the audience gave affirmation to the design, performance and interaction of the drama.More than 70% smokers established their supportive attitude for smoke free environment.Audience who preferred interactive activities (OR=8.72, 95%CI:3.16-24.09) had higher education level (OR=2.10, 95%CI:1.06-4.14), and more empathy on roles (OR=6.63, 95%CI:2.38-18.51) thought psycho-scene drama had more effect than traditional ways on tobacco control.Smokers were curious to know the ending of the story (OR=3.90, 95%CI:1.73-8.79), wanted to learn more ways to discourage smoking (OR=4.00, 95%CI:1.88-8.49) and thought psycho-scene drama had more effect than traditional ways in this regard (OR=7.03, 95%CI:2.58-19.18).They came to have a stronger will to discourage smoking. Conclusion Psycho-scene drama proves to be a feasible way in tobacco control communication with a good effect on knowledge communication and behavior change.
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Objective To explore the relationship between social norms and smoking intention, among male smokers in China. Methods A total 3 621 (with 95.8% of effective response rate) male smokers were selected and investigated with questionnaires from August to November in 2013.Univariate logistic regressions and multivariate logistic regressions were conducted to find the associations between social norms, smoking intention and quitting attempts. Results Smokers perceived low pro-quitting social norms from their family members, friends and other people around.With a 1 point increase in pro-quitting social norms score, smokers′ willingness to quit in the next 6 months increased by 69% (OR=1.69, 95%CI:1.48-1.94), and smokers were 86% more likely to quit(OR=1.86, 95%CI:1.66-2.08). Conclusion Pro-quitting social norms is proved to be an independent predictor for smoking intention, quitting attempts among male smokers in China.Therefore, future intervention should aim to establish pro-quitting social norms for smoking cessation.
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Tobacco control research is of great significance in tobacco control.However, there are not many studies related to tobacco control policies and practices in China.This paper proposes research directions in six different aspects of MPOWER strategies which aimed to reduce the demand for tobacco, with regard to monitoring tobacco use and prevention policies, protecting people from second-hand smoking, offering help to quit smoking, warning about the dangers of tobacco, enforcing bans on tobacco advertising, promotion and sponsorship, as well as raising tobacco taxes.The suggestions provide reference for future research in the field of tobacco control.
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Objective To explore the methods of tobacco control through interactive sitcoms and evaluate its impact on audience in their empathy, knowledge acquisition and behavior, providing basis for health communication activities in relation to tobacco control. Methods Relevant knowledge and skills on tobacco control were integrated into the drama, which ran for 8 performances in Shanghai.Four of them were randomly selected for evaluation.All the audience were invited to complete a questionnaire. Results Over 90% of the audience gave affirmation to the design, performance and interaction of the drama.More than 70% smokers established their supportive attitude for smoke free environment.Audience who preferred interactive activities (OR=8.72, 95%CI:3.16-24.09) had higher education level (OR=2.10, 95%CI:1.06-4.14), and more empathy on roles (OR=6.63, 95%CI:2.38-18.51) thought psycho-scene drama had more effect than traditional ways on tobacco control.Smokers were curious to know the ending of the story (OR=3.90, 95%CI:1.73-8.79), wanted to learn more ways to discourage smoking (OR=4.00, 95%CI:1.88-8.49) and thought psycho-scene drama had more effect than traditional ways in this regard (OR=7.03, 95%CI:2.58-19.18).They came to have a stronger will to discourage smoking. Conclusion Psycho-scene drama proves to be a feasible way in tobacco control communication with a good effect on knowledge communication and behavior change.
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Objective To explore the relationship between social norms and smoking intention, among male smokers in China. Methods A total 3 621 (with 95.8% of effective response rate) male smokers were selected and investigated with questionnaires from August to November in 2013.Univariate logistic regressions and multivariate logistic regressions were conducted to find the associations between social norms, smoking intention and quitting attempts. Results Smokers perceived low pro-quitting social norms from their family members, friends and other people around.With a 1 point increase in pro-quitting social norms score, smokers′ willingness to quit in the next 6 months increased by 69% (OR=1.69, 95%CI:1.48-1.94), and smokers were 86% more likely to quit(OR=1.86, 95%CI:1.66-2.08). Conclusion Pro-quitting social norms is proved to be an independent predictor for smoking intention, quitting attempts among male smokers in China.Therefore, future intervention should aim to establish pro-quitting social norms for smoking cessation.
ABSTRACT
Tobacco control research is of great significance in tobacco control.However, there are not many studies related to tobacco control policies and practices in China.This paper proposes research directions in six different aspects of MPOWER strategies which aimed to reduce the demand for tobacco, with regard to monitoring tobacco use and prevention policies, protecting people from second-hand smoking, offering help to quit smoking, warning about the dangers of tobacco, enforcing bans on tobacco advertising, promotion and sponsorship, as well as raising tobacco taxes.The suggestions provide reference for future research in the field of tobacco control.
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Objective To investigate passive smoking status and to analyze health influencing factors among infants in Minhang District of Shanghai.Methods All 1 686 infants in Minhang District from May 2011 to May 2013 were recruited to be the subjects,and a questionnaire-based survey was conducted among their parents to collect the characteristics,passive smoking and health status of the infants.Results The prevalence of passive smoking in infants during their mothers' pregnancy and within one year after birth was 52.7％ and 19.2％,respectively.Total of 571 (33.9％) infants surveyed were reported to suffer from health problems.The investigated infants who suffered from passive smoking during mothers' pregnancy (OR =1.920,P＜0.001) and within one year after birth (OR=1.596,P＜0.001) were more likely to get health problems.Compared to the infants with six-month exclusive breast feeding,the infants with six-month artificially feeding were more likely to get health problems (OR=1.710,P＜0.001).Conclusions The prevalence of passive smoking for the investigated infants was high.Passive smoking during mothers' pregnancy as well as after birth were the risk factors for the infants' health.
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Objective To investigate passive smoking status and to analyze health influencing factors among infants in Minhang District of Shanghai.Methods All 1 686 infants in Minhang District from May 2011 to May 2013 were recruited to be the subjects,and a questionnaire-based survey was conducted among their parents to collect the characteristics,passive smoking and health status of the infants.Results The prevalence of passive smoking in infants during their mothers' pregnancy and within one year after birth was 52.7％ and 19.2％,respectively.Total of 571 (33.9％) infants surveyed were reported to suffer from health problems.The investigated infants who suffered from passive smoking during mothers' pregnancy (OR =1.920,P＜0.001) and within one year after birth (OR=1.596,P＜0.001) were more likely to get health problems.Compared to the infants with six-month exclusive breast feeding,the infants with six-month artificially feeding were more likely to get health problems (OR=1.710,P＜0.001).Conclusions The prevalence of passive smoking for the investigated infants was high.Passive smoking during mothers' pregnancy as well as after birth were the risk factors for the infants' health.
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<p><b>OBJECTIVE</b>To evaluate the effectiveness of a school-based smoking prevention and control intervention program among elementary school students.</p><p><b>METHODS</b>Through two phase cluster sampling, 566 pupils in grade 4 and grade 5 of two schools were assigned to intervention group and control group. One year comprehensive smoking intervention was conducted in the intervention group. The assessment was carried out through three questionnaires: pre- and post-intervention, 6-month after intervention.</p><p><b>RESULTS</b>After one year intervention, pupils in the intervention group significantly improved their knowledge and attitudes related to tobacco use. The rate of attempting smoking decreased form 7.8% to 2.6% and the rate of passive smoking from 53.6% to 41.8%. The difference between the intervention and control groups was statistically significant. However, several index started to decline at 6-month follow up survey.</p><p><b>CONCLUSION</b>The result demonstrated the effectiveness and feasibility of tobacco control in elementary school and the positive effect must be developed.</p>