Establishing smoke-free hospitals in Vietnam: a pilot project.

Autor: An DT; a Institute of Preventive Medicine and Public Health , Hanoi Medical University , Hanoi , Vietnam., Kibria N, Huy NV, Hai PT, Stillman F
Jazyk: angličtina
Zdroj: Global public health [Glob Public Health] 2015; Vol. 10 Supppl 1, pp. S5-20. Date of Electronic Publication: 2014 Dec 18.
DOI: 10.1080/17441692.2014.986155
Abstrakt: In Vietnam, a pilot 'smoke-free hospital' model was implemented in nine hospitals in 2009-2010 to supply lessons learned that would facilitate a replication of this model elsewhere. This study aimed to assess smoking patterns among health professionals and to detect levels of second-hand smoke (SHS) exposure within hospital premises before and after the 'smoke-free hospital' model implementation. A pre- and post-intervention cross-sectional study was conducted in nine purposively selected hospitals. Air nicotine levels were measured using passive nicotine monitors; smoking evidence was collected through on-site observations; and smoking patterns were assessed through interviews with health workers. Despite the 'smoke-free hospital' intervention, smoking continued among health-care workers who were former smokers. Specifically, self-reported smoking prevalence significantly decreased post-intervention, but the number of daily cigarettes smoked at workplaces among male health workers remained unchanged. Post-intervention, smoking was more likely to take place outside buildings and cafeterias. However, air nicotine levels in the doctors' lounges and in emergency departments did not change post-intervention. Air nicotine levels at other sites decreased minimally. Tailored tobacco cessation programmes, targeting current smokers and mechanisms to enforce non-smoking, should be established to meet requirements of Vietnam's comprehensive National Tobacco Control Law effective in May 2013.
Databáze: MEDLINE