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关于青少年饮酒问题的全社区研究项目的背景、概念形成与设计:“北国计划”

Background, conceptualization and design of a community-wide research program on adolescent alcohol use: Project Northland.

作者信息

Perry C L, Williams C L, Forster J L, Wolfson M, Wagenaar A C, Finnegan J R, McGovern P G, Veblen-Mortenson S, Komro K A, Anstine P S

机构信息

Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis 55454-1015, USA.

出版信息

Health Educ Res. 1993 Mar;8(1):125-36. doi: 10.1093/her/8.1.125.

Abstract

Project Northland is a community-wide research program funded by the National Institute on Alcoholism and Alcohol Abuse, for a 5-year period (1990-95). The aim of the study is to prevent or delay onset of alcohol use among young adolescents, as well as to reduce use among those who are already drinkers. Twenty communities were recruited in northeastern Minnesota, an area referred to as the Northland, Arrowhead or Iron Range region, and then were randomly assigned to either Education or Delayed Program conditions. The 10 Education school districts have agreed to participate in 3 years of intervention programs in schools, with parents and in the community-at-large. One group of young adolescents, the Class of 1998 (sixth grade students in the 1991-92 school year), form the study cohort. Surveys (1991-94) of the Class of 1998, their parents, community leaders and alcohol merchants are the primary components of the program's evaluation. Many conceptual and methodological questions emerged during the development of the research protocols for Project Northland over the past 2 years. These questions are the impetus for this article. Specifically, the focus on young adolescents and alcohol use was selected, as contrasted with older adolescents or with multiple problem behaviors. The project was designed using a community-wide model that addresses both supply and demand issues, rather than limited to a school-based model. Intervention strategies and evaluation methods were chosen that could address community-level as well as individual-level behavior change, which required the development and application of new technologies. The rationale for these decisions may be useful to others considering community-wide health promotion efforts.

摘要

“北国计划”是一项由美国国立酒精滥用与酒精中毒研究所资助、为期5年(1990 - 1995年)的全社区研究项目。该研究的目的是预防或延缓青少年饮酒行为的发生,同时减少已饮酒者的饮酒量。在明尼苏达州东北部一个被称为北国、箭头地区或铁矿区的区域招募了20个社区,然后将它们随机分配到教育组或延迟项目组。10个教育学区已同意参与为期3年的学校、家长及整个社区的干预项目。一组青少年,即1998届(1991 - 1992学年的六年级学生),构成了研究队列。对1998届学生、他们的家长、社区领袖和酒类商人进行的调查(1991 - 1994年)是该项目评估的主要组成部分。在过去两年“北国计划”研究方案的制定过程中出现了许多概念和方法上的问题。这些问题是撰写本文的动力。具体而言,与年龄较大的青少年或多种问题行为相比,本文选择关注青少年与饮酒行为。该项目采用了一种全社区模式进行设计,该模式同时解决供应和需求问题,而不是局限于基于学校的模式。所选择的干预策略和评估方法能够解决社区层面以及个人层面的行为变化问题,这需要开发和应用新技术。这些决策的基本原理可能对其他考虑开展全社区健康促进工作的人有所帮助。

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