Odukoya O O, Odeyemi K A, Oyeyemi A S, Upadhyay R P
Department of community health and primary care, College of Medicine, University of Lagos, Nigeria.
Niger Postgrad Med J. 2014 Jun;21(2):128-35.
This study aimed to assess the effect of a short school-based anti-smoking program on the knowledge, attitude and practice of cigarette smoking among students in secondary schools in Lagos State.
A non-randomized, controlled intervention study was done among respondents selected using multi-stage sampling. Baseline data was collected using self-administered questionnaires. An anti-smoking awareness programme was carried out among students in the intervention group using health talks, information leaflets and posters. Post-intervention data collection took place three months later.
There were significant increments in the mean knowledge and attitude scores after the intervention. There was however no statistically significant change in the current smoking habits of respondents (4% vs. 3%; p=0.41)in the intervention group. Nevertheless, in the intervention group, the number of never- smokers who reported that they were likely to initiate cigarette smoking within the next year significantly reduced. There was also a significant increase in the proportion of current smokers who desired to quit smoking.
Even brief anti-smoking programs of this nature are effective at improving the knowledge and modifying the attitude of the respondents but do not improve smoking habits. It however motivated the desire to quit among current smokers. Health education sessions and periodic anti-smoking programmes should be introduced into the secondary school curriculum. More intensive approaches may be needed to influence the smoking behaviour of adolescent smokers.
本研究旨在评估一项基于学校的短期戒烟计划对拉各斯州中学生吸烟知识、态度和行为的影响。
采用多阶段抽样选取受访者,进行非随机对照干预研究。使用自填式问卷收集基线数据。通过健康讲座、宣传册和海报对干预组学生开展戒烟意识计划。干预三个月后进行干预后数据收集。
干预后平均知识和态度得分有显著提高。然而,干预组受访者目前的吸烟习惯无统计学显著变化(4%对3%;p = 0.41)。尽管如此,在干预组中,报告称未来一年内可能开始吸烟的从不吸烟者数量显著减少。目前吸烟者中希望戒烟的比例也显著增加。
即使是这种性质的简短戒烟计划也能有效提高受访者的知识水平并改变其态度,但不能改善吸烟习惯。不过,它激发了目前吸烟者的戒烟意愿。应将健康教育课程和定期戒烟计划纳入中学课程。可能需要更强化的方法来影响青少年吸烟者的吸烟行为。