Lee Pi-Hsia, Wu Der-Min, Lai Hsiang-Ru, Chu Nain-Feng
College of Nursing, Taipei Medical University, Taiwan.
Addict Behav. 2007 Oct;32(10):2099-107. doi: 10.1016/j.addbeh.2007.01.018. Epub 2007 Jan 23.
This study aimed at exploring the impacts of a school-wide no smoking strategy and a classroom-based smoking prevention curriculum on smoking-related knowledge, attitude, behavior, and skill of junior high school students.
Using a pre-post quasi-experimental design, 469 seventh-to ninth-grade students at four junior high schools in Taiwan, were selected and separated into three groups according to class unit. Experimental group A experienced a school-wide no smoking strategy and a six-session smoking prevention curriculum. Experimental group B experienced only the school-wide no smoking strategy. The control group experienced no intervention. The students were tested 1 week before intervention began and 1 week after it ended.
Experimental group A exhibited a better understanding than either experimental group B or the control group of the dangers of smoking and of techniques for refusing cigarettes; and in fact, group A indicated low smoking intention than experimental group B. Experimental group A also had a better attitudes towards resisting smoking than the control group. However, the intervention had no demonstrable effect on the smoking behavior and on the smoking substitution methods of students.
To reduce the smoking rates among junior high school students, diversified school-wide no smoking strategies and standardized, diversified instruments should be adopted so that outcomes of smoking prevention work may be assessed more objectively and effectively.
本研究旨在探讨全校无烟策略和以课堂为基础的吸烟预防课程对初中生吸烟相关知识、态度、行为和技能的影响。
采用前后准实验设计，选取台湾四所初中的469名七至九年级学生，按班级单位分为三组。A实验组实施全校无烟策略和为期六周的吸烟预防课程。B实验组仅实施全校无烟策略。对照组未接受干预。在干预开始前1周和结束后1周对学生进行测试。
A实验组比B实验组和对照组对吸烟危害及拒烟技巧有更好的理解；事实上，A组的吸烟意愿低于B实验组。A实验组对抵制吸烟的态度也比对照组更好。然而，干预对学生的吸烟行为和吸烟替代方式没有明显影响。
为降低初中生吸烟率，应采用多元化的全校无烟策略和标准化、多样化的手段，以便更客观有效地评估吸烟预防工作的成效。
