同领导的预防计划 (P2P) 对职业高中学生吸烟的影响:来自为期两学年的集群随机试验的结果
Olivier Lareyre1,2, Florence Cousson-Gélie1,2, Bruno Pereira3
1Epidaure-Prevention Department of the Montpellier Cancer Institute, Montpellier Cancer Institute, Montpellier, France.
同行对同行 (P2P) 吸烟预防计划在16个月内显著减少了法国职业高中学生的日常吸烟. 这种同行主导的干预措施在防止青少年吸烟方面表现出有效性.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 预防吸烟 预防吸烟
背景情况:
- 青少年吸烟仍然是一个重大的公共卫生问题.
- 需要有效的,可扩展的干预措施来制高中吸烟的开始和流行.
研究的目的:
- 评估由同行领导的P2P (同行对同行) 吸烟预防干预对青少年日常吸烟患病率的影响.
- 在2个学年期间评估干预措施的有效性.
主要方法:
- 在法国的15所职业高中进行了一个集群随机对照试验.
- 招募了2010名学生 (15-16岁),在基线时评估了1573名学生.
- P2P干预涉及培训学生同行教育者,与被动对照组相比,在基线,4,10和16个月进行评估.
主要成果:
- 与对照组相比,P2P干预组在4,10和16个月后显示出每日吸烟率的统计显著下降.
- 在16个月后,每天吸烟的几率比为0.33 (95% CI:0.20,0.53).
- 在干预期间没有报告任何不良事件.
结论:
- 同行领导的P2P吸烟预防干预措施有效地减少了职业高中学生的日常吸烟.
- 这项研究为青少年吸烟预防计划中同行领导策略的成功实施提供了证据.
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