目的了解厦门市卫生工作者对吸烟的认识、态度、行为现状,为进一步有针对性地制定控烟策略提供科学依据。方法2005年4~5月,采用整群抽样的方法,对厦门市十所三、二、一级医院和市、区两级疾病控制中心的业务人员进行自填式问卷调查。结果调查685人,卫生工作者总吸烟率20%,现在吸烟率16.2%,男性26.8%,女性0.8%,卫生工作者戒烟率3.8%。吸烟的卫生工作者认为吸烟的主要原因是可以自我放松(42.4%),作为工作紧张的减压方式,其次是社交需要(38.2%)及吸烟已经成为生活习惯(35.6%)。在给病人看病时只有12.2%的医生总是会询问病人的吸烟情况。如果病人吸烟,有54.3%的医生常常会建议病人戒烟或少吸。只有10.1%的卫生工作者认为病人会听从医生的戒烟建议。卫生工作者的戒烟方法和知识主要来源于大众媒体(39.4%)和医学书刊(26.9%),而专业的培训班只占1.3%。结论目前卫生工作者关注病人吸烟并帮助病人戒烟的意识、参与度和主动性都有待加强,卫生工作者的戒烟技能培训和专项知识课程缺乏,应进行有针对性、系统的控烟专项培训。 Objective To understand the awareness, attitudes and behavior of health workers in Xiamen City on smoking status and to provide a scientific basis for further targeted tobacco control strategies. Methods From April to May 2005, a cluster sampling method was used to carry out a self-administered questionnaire survey on the staffs of 10 third, second and first level hospitals and the CDC centers in Xiamen City. Results A total of 685 people were surveyed. The total smoking rate of health workers was 20%. The current smoking rate was 16.2%, male 26.8%, female 0.8%, and health workers 3.8%. Smoking health workers think the main reason for smoking is that they can relax themselves (42.4%) as a way to reduce stress, followed by social needs (38.2%) and smoking has become a habit (35.6%). Only 12.2% of physicians always asked the patient about the smoking status when they were presented to the patient. If the patient smokes, 54.3% of doctors often advise patients to quit or smoke less. Only 10.1% of health workers think the patient will follow the doctor’s advice on quitting smoking. Health workers quit smoking mainly from the mass media (39.4%) and medical books (26.9%), while professional training courses only accounted for 1.3%. Conclusions At present, the awareness, participation and initiative of health workers concerned with patient smoking and patient smoking should be strengthened. Health workers’ abstinence smoking skills training and special knowledge courses are lacking. Specific and systematic tobacco control training should be conducted.