Ariza Carles, Nebot Manel, Tomás Zoa, Giménez Emmanuel, Valmayor Sara, Tarilonte Visitación, De Vries Hein
Evaluation and Intervention Methods Service, Agència de Salut Pública de Barcelona (Public Health Agency, Barcelona), Barcelona, Spain.
Eur J Public Health. 2008 Oct;18(5):491-7. doi: 10.1093/eurpub/ckn050. Epub 2008 Jun 18.
To describe the effects of a Spanish smoking prevention programme in the context of an European project on regular smoking, in a sample of Barcelona adolescents.
A quasi-experimental design was conducted. An experimental group (EG) (1080 pupils) was exposed to programme and compared with a control group (CG) (872 students). The intervention included a school-based programme (16 sessions in 3 years), reinforcement of a smoke-free school policy, smoking cessation for teachers, brochures for parents and other community-based activities involving youth clubs and tobacco sales.
At 12 months, 4.5% of boys and 5.6% of girls were new smokers in the EG versus 6.7% and 11.7% in the CG (P < 0.001). At 36 months, 18.6% of boys and 31.2% of girls in the EG were regular smokers versus 21.6% of boys and 38.3% of girls in the CG (P < 0.001). The main factors associated with progression to regular smoking at 36 months were to be girl, to attend to a public school and to belong to the CG.
These results endorse the effectiveness of multi-modal smoking prevention programmes, which include strategies with adults who influence adolescents.
在一项关于欧洲定期吸烟项目的背景下，描述西班牙一项预防吸烟项目对巴塞罗那青少年样本的影响。
采用准实验设计。实验组（EG）（1080名学生）接受该项目，并与对照组（CG）（872名学生）进行比较。干预措施包括一项基于学校的项目（3年内共16节课程）、强化无烟学校政策、教师戒烟、给家长的宣传册以及其他涉及青年俱乐部和烟草销售的社区活动。
12个月时，实验组中4.5%的男孩和5.6%的女孩成为新吸烟者，而对照组中这一比例分别为6.7%和11.7%（P<0.001）。36个月时，实验组中18.6%的男孩和31.2%的女孩成为经常吸烟者，而对照组中男孩为21.6%，女孩为38.3%（P<0.001）。36个月时与发展为经常吸烟相关的主要因素是女孩身份、就读公立学校以及属于对照组。
这些结果证实了多模式预防吸烟项目的有效性，该项目包括针对影响青少年的成年人的策略。
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