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Effectiveness of school-based smoking intervention in middle school students of Linzhi Tibetan and Guangzhou Han ethnicity in China

机译:在中国林芝藏族和广州汉族中学生进行学校吸烟干预的有效性

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Purpose: The purpose of this paper is to assess the effectiveness of school-based intervention aimed to increase knowledge, to change attitudes and to reduce smoking-related behavior in both Linzhi Tibetan and Guangzhou Han middle school students in China. Design: A concurrent intervention study was conducted in both Linzhi and Guangzhou. Two schools were randomly chosen and one was randomly assigned to the intervention group and the other to the control group in both settings. Setting/participants: Participants were grade one and grade two middle school students drawn from two schools in Linzhi, Tibet Autonomous Region (southwest China) and two schools in Guangzhou, Guangdong Province (south China). Intervention: The intervention program lasted for one year and covered three aspects: health policies in school, health environment in school and personal health skills. Main outcome measures: Primary outcomes were smoking-related knowledge, attitudes and behavior (including ever smoking, daily smoking, weekly smoking and current smoking) and were measured by a self-administered questionnaire before and after the intervention. Results: This intervention increased smoking-related knowledge in both Tibetan (β=1.32, 95% CI (0.87-1.77)) and Han ethnic groups (β=0.47, 95% CI (0.11-0.83)). It changed attitudes toward smoking in Tibetan (β=1.47, 95% CI (0.06-2.87)) but not so in Han (β=0.33, 95% CI (1.68-1.01)). The intervention changed the prevalence of smoking in neither ethnic groups (P>. 0.05). Conclusions: The impact of school-based smoking intervention is different among Tibetan and Han students. This intervention was more effective for Tibetans when compared with the Han ethnic group. More research is needed on how intervention can be adapted to address ethnic and cultural differences.
机译:目的:本文旨在评估在中国林芝藏族和广州汉族中学生以学校为基础的干预措施的有效性,这些干预措施旨在增加知识,改变态度并减少与吸烟有关的行为。设计:在林芝和广州进行了一项同时干预研究。在这两种情况下,随机选择两所学校,将一所随机分配给干预组,另一所随机分配给对照组。设置/参与者:参与者是来自西藏自治区林芝市(中国西南)的两所学校和广东省广州市(中国南方)的两所学校的一年级和二年级学生。干预:干预计划持续了一年,涵盖了三个方面:学校的健康政策,学校的健康环境和个人健康技能。主要结局指标:主要结局指标是与吸烟有关的知识,态度和行为(包括曾经吸烟,每天吸烟,每周吸烟和现在吸烟),并在干预前后通过自我调查问卷进行测量。结果:该干预措施增加了藏族(β= 1.32,95%CI(0.87-1.77))和汉族(β= 0.47,95%CI(0.11-0.83))的吸烟相关知识。它改变了藏族的吸烟态度(β= 1.47,95%CI(0.06-2.87)),而汉族则没有改变(β= 0.33,95%CI(1.68-1.01))。干预措施改变了两个种族的吸烟率(P> 0.05)。结论:在藏族和汉族学生中,学校吸烟干预的影响是不同的。与汉族相比,这种干预对藏人更有效。需要进一步研究如何使干预措施适应种族和文化差异。

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