摘要
目的评价倡导促进理论在高校开展控烟工作的效果。方法采用干预研究设计,从2015年参加浙江省大学生烟草使用调查的21所高校中抽取4所高校作为试点学校,运用倡导促进理论对全体在校学生开展为期2年的控烟干预工作;干预前调查1007人,干预后调查991人;运用卡方检验比较干预前后的学生烟草使用、二手烟暴露以及烟草知识的差异。结果通过戒烟干预行动后,4所高校的大学生尝试吸烟率从干预前34.36%(346/1007)下降到22.30%(221/991),现在吸烟率从干预前12.12%(122/1007)下降到7.87%(78/991),二手烟暴露情况由干预前75.47%(760/1007)下降到70.53%(699/991),差异均有统计学意义(χ^2=37.73、9.99、6.18,P均<0.05);在过去30 d内,"看到过烟草广告"的学生比例由干预前60.38%(608/1007)下降到54.49%(540/991),"在视频媒体上看到吸烟镜头"的学生比例由干预前25.02%(252/1007)下降到19.58%(194/991),"在课堂上学过控烟知识"的学生比例由干预前14.20%(143/1007)上升到18.16%(180/991),差异均有统计学意义(χ^2=7.08、8.55、5.79,P均<0.05)。结论通过"倡、联、宣、行"的倡导促进理论在高校的实施,可以帮助高校建立无烟校园环境,增强大学生控烟相关知识,降低其尝试吸烟率和现在吸烟率。
Objective To evaluate the effect of a tobacco control intervention for college students under the advocate-promoting model,and to provide evidence for methods to improve smoking control and health decisions.Methods Four colleges were selected from the list of colleges that participated in a survey of college student tobacco use in Zhejiang Province in 2015,and we conducted a tobacco control intervention with them under the advocate-promoting model for two years.A total of 1007 students were selected using a random sampling method and surveyed before intervention,and 991 students were selected using a random sampling method and surveyed after the intervention.A chi-square test was used to compare the differences between tobacco use,second-hand smoke exposure,and tobacco knowledge among students before and after the intervention.Results After the tobacco control intervention,the attempted smoking rate among students in the four colleges dropped from 34.36%to 22.30%,the current smoking rate dropped from 12.12%to 7.87%,the second-hand smoke exposure rate decreased from 75.47%to 70.53%,the difference was statistically significant(χ^2=37.73,9.99,6.18,P<0.05).After intervention,the proportion of students who had seen tobacco advertisements in the past 30 days decreased from 60.38%to 54.4%,the proportion of students who"saw smoking scenes in video media"decreased from 25.02%to 19.58%,and the proportion of students who"learned smoking control knowledge in class"increased from 14.20%to 18.16%,the difference was statistically significant(χ^2=7.08,8.55,5.79,P<0.05).Conclusion The advocate-promoting model of"advocacy alliance"can help colleges to establish a smoke-free campus environment and improve college students’tobacco knowledge and reduce their attempted and current smoking rates.
作者
徐越
徐水洋
吴青青
陈赫妮
吕巧红
Xu Yue;Xu Shuiyang;Wu Qingqing;Chen Heni;Lyu Qiaohong(Zhejiang Provincial Control for Disease Control and Prevention,Hangzhou 310051,China)
出处
《中华健康管理学杂志》
CAS
CSCD
2019年第6期510-515,共6页
Chinese Journal of Health Management
关键词
大学生
控烟
效果评价
College student
Smoke-free policy
Evaluation
