一个非正式的学校为青少年吸烟预防的同行主导干预 (ASSIST):一个集群随机试验
R Campbell1, F Starkey, J Holliday
1Department of Social Medicine, University of Bristol, Bristol, UK. Rona.Campbell@bristol.ac.uk
Lancet (London, England)
|May 13, 2008
概括
作为一个由同行领导的吸烟预防干预计划,ASSIST计划在中学显著降低了青少年吸烟率. 这种方法显示了减少年轻人吸烟率的公共卫生影响的潜力.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 行为科学 行为科学
背景情况:
- 关于学校吸烟预防计划的证据是混合的.
- 对同行领导的,非课堂干预措施的严格评估很少.
- 这项研究评估了一项在中学开展的新型同行领导的吸烟预防计划.
研究的目的:
- 评估ASSIST (学校戒烟试验) 计划的有效性.
- 为了确定同行支持者是否可以减少青少年吸烟的吸收.
- 评估干预措施对吸烟率的影响,直接和干预措施后最多两年.
主要方法:
- 集群随机对照试验涉及10730名12至13岁的学生,来自英格兰和威尔士的59所学校.
- 干预组在课堂外获得同行领导的支持;对照组接受了通常的禁烟教育.
- 治疗意图分析与随访在基线,干预后立即,并在1年和2年后.
主要成果:
- 与对照组相比,干预组的吸烟几率在1年随访后降低了 (OR 0.77,95% CI 0.59-0.99).
- 在2年的随访后,在整体队列中观察到吸烟患病率的显著降低 (OR 0.85,95% CI 0.72-1.01).
- 所有随访的多级建模表明,干预学校的吸烟几率降低 (OR 0.78,95% CI 0.64-0.96).
结论:
- 由同行主导的ASSIST干预措施在减少青少年吸烟方面表现出有效性.
- 在人口基础上实施可能会对青少年吸烟率产生重大公共卫生影响.
- 在课堂之外的同行支持是学校吸烟预防的可行策略.
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