基于学校的多组件预防吸烟干预措施对职业学生吸烟行为的实施忠实性的影响:一个集群随机控制试验
Marie Pil Jensen1, Rikke Fredenslund Krølner2, Lau Caspar Thygesen2
1The National Institute of Public Health, University of Southern Denmark, Studiestræde 6, 1455, Copenhagen K, Denmark. mapj@sdu.dk.
实施全面的学校烟草政策有效地减少了职业学生在学校时间内的经常吸烟和吸烟. 高度的执行忠实性是实现青少年吸烟预防所需的公共卫生结果的关键.
科学领域:
- 公共卫生 公共卫生
- 教育研究教育研究
- 行为科学 行为科学
背景情况:
- 青少年吸烟,特别是在职业环境中,是一个重大的公共卫生挑战.
- 有效的学校烟草政策需要强有力的实施,才能成功地减少吸烟.
研究的目的:
- 检查多组件吸烟预防干预措施的实施忠实性对学生吸烟结果的影响.
- 评估干预的不同组成部分如何影响职业和预科教育学生的吸烟行为.
主要方法:
- 一个集群随机对照试验 (集群RCT) 涉及职业和预备教育机构在丹麦.
- 使用多级回归模型分析了调查问卷数据,以评估实施忠实度和吸烟结果 (每日,定期,在上学时间) 之间的关联.
- 分析包括分层评估学校类型和检查单个组件的忠实性.
主要成果:
- 高实施忠实度与减少经常吸烟 (OR:0.37) 和在学校时间吸烟的几率显著相关.
- 没有发现与日常吸烟有显著的关联.
- 实施忠实度和吸烟结果之间的关联在不同的学校环境中各不相同.
结论:
- 支持学校烟草政策的实施过程对于实现学生吸烟的预期减少至关重要.
- 多组件干预的整体忠实性,而不是单个组件,对特定的吸烟行为产生了重大影响.
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