Dino G, Horn K, Goldcamp J, Fernandes A, Kalsekar I, Massey C
Prevention Research Center, West Virginia University, Morgantown, West Virginia 26506, USA.
Prev Med. 2001 Dec;33(6):600-5. doi: 10.1006/pmed.2001.0932.
Adolescent smoking has been an issue of major concern in the United States. This has led to a need for the development, evaluation, and dissemination of effective youth cessation programs. The purpose of this paper is to report the results of a 2-year demonstration study (1999-2000) of the American Lung Association's teen smoking cessation program, the Not On Tobacco (NOT) program.
The study used a "matched" design wherein each NOT school was matched to a brief intervention (BI) school. The study consisted of 20 NOT and 20 BI Florida high schools encompassing 627 students. The primary outcome measures were carbon monoxide-validated quit and reduction rates for NOT and BI schools at 5.2 months postprogram.
NOT smoking cessation and reduction outcomes were significantly better than those of the brief intervention. Further, data indicate that NOT was more effective than the brief intervention for females compared with males; males showed successful quit attempts in both intervention groups. Overall, more NOT youth either quit or reduced smoking than did BI youth.
These positive smoking behavior changes suggest that NOT is an effective teen smoking cessation option.
青少年吸烟一直是美国备受关注的问题。这导致需要开发、评估和推广有效的青少年戒烟项目。本文旨在报告美国肺脏协会青少年戒烟项目“拒吸烟草”（NOT）项目为期两年（1999 - 2000年）的示范研究结果。
该研究采用“匹配”设计，即每所实施NOT项目的学校与一所实施简短干预（BI）的学校相匹配。该研究包括佛罗里达州的20所实施NOT项目的高中和20所实施BI项目的高中，共有627名学生。主要结局指标是项目结束后5.2个月时，经一氧化碳验证的NOT项目学校和BI项目学校的戒烟率和吸烟减少率。
NOT项目的戒烟和吸烟减少效果显著优于简短干预。此外，数据表明，与男性相比，NOT项目对女性的效果比对男性更显著；在两个干预组中，男性都有成功的戒烟尝试。总体而言，实施NOT项目的青少年中戒烟或减少吸烟的人数比实施BI项目的青少年更多。
这些积极的吸烟行为变化表明，NOT项目是一种有效的青少年戒烟选择。
