| 文孝忠,陈维清,卢次勇,梁彩花,张彩霞,韩轲,区永军,凌文华.健康促进学校预防和控制初中生吸烟的过程评估[J].Chinese journal of Epidemiology,2007,28(3):224-228 |
| 健康促进学校预防和控制初中生吸烟的过程评估 |
| Process eValuation on a health prOmotion model regarding smoking preVention锄ong Chinese secondarysch∞l students |
| Received:October 16, 2006 Revised:October 16, 2006 |
| DOI： |
| KeyWord: 吸烟 青少年 干预 随机对照试验 |
| English Key Word: smoking Adolescents Intervention Randomized control trial |
| FundProject:中华医学基金会(CMB)资助项目(00-729) |
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| Abstract: |
| 目的对健康促进学校预防和控制初中生吸烟的干预措施进行过程评估。方法在2所中学开展控烟干预试验(n=1361)，通过学生报告和工作记录评价各干预措施。结果一年内共开展了18项干预活动，涉及学生、教师、家长和烟贩等。学生知晓率前6名的活动为尼古丁毒性实验(90.7%)、无烟家庭协议书(77.7%)、致家长一封信(77.1%)、禁烟标志(76.5%)、黑板报(75.0%)和无烟日签名(70.2%)。学生参与率前6名的活动为尼古丁毒性实验(88.5%)、致家长一封信(73.6%)、无烟家庭协议书(69.8%)、实验健教课(68.6%)、多媒体健教课(65.7%)和无烟日签名(65.6%)。学生感兴趣程度前7名的活动是尼古丁毒性实验(64.5%)、无烟日签名(33.0%)、实验健教课(31.2%)、多媒体健教课(29.8%)、主题班会(26.8%)、小册子(26.6%)和专用教材(25.9%)。学生对控烟工作的总体满意度为52.4%，认为最大的不足是“学生参与少”。结论干预措施只覆盖了部分学生。有必要精简干预措施，建议保留尼古丁毒性实验、多媒体健教、学生参与性强和以活动为载体的措施，而减少文字材料、展板和说教类的形式。 |
| English Abstract: |
| Objective To evaluate the process of smoking prevention and contml among chinese adolescent with a model on health promotion in junior high sch001. Methods A cluster—randomized， contl。olled and schooled—based trial on smoking prevention was conducted among 2343 students at four secondary sch00ls in Huangpu District of Guangzhou. Students ‘reports and investigators’ daily records were used to evaluate the intervention measures.Results During the one—year period of intervention(Dec.2004 through Dec. 2005)，eighteen activities had been implemented among students，teachers，parents and cigarette retailers. Ranked by the rate of awareness，the top six activities were shown as follows：“the nicotine toxicity experiment”(90.7%)， “agreement of building families free of smoking”(77.7%)， “a letter to parents”(77.1%)， “no—smoking signs”(76.5%)， “BIackboard information about heaIth and smoking’(75.0%)，and“signature on the 18th world Day of No smoking”(70.2%).Among aU the activities，“the nicotine toxicity experiment”had the highest rate of participation(88.5%)，followed by“a letter to parents”(73.6%)，“agreement of building families free of srnoking”(69.8%)，“health education through experiments”(68.6%)，“health education through multimedia”(65.7%)and“signature on the 18th World Day of No Smoking”(65.6%).The top seven activities in which students showed greatest intereSts were“the nicotine toxicity experiment”(64.5%)， “signature on the I 8th WorId Day of№ Smoking”(33.0%)， “health education through experiments”(3 1.2%)， “health education through multimedia”(29.8%)，“class meetings with a thesis of srnoking”(26.8%)，“health pamphlets”(26.6%)， “specific textbooks”(25.9%).The extent of students’general satisfaction to the work of tobacco control in sch001 during the last year was 52.4%.The biggest perceived shortcoming for the intervention plan was the low participation of students. Conclusion!如me intervention measures had not been fuUy carried out among the students and only covered part of them. It is necessary to adjust the previous intervention measures through keeping the nicotine toxicity experiment，health education through multimedia and other measures with extensive participation of students and at the same time，to avoid literal materials，exhibition boards and traditional single—way health education program. |
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