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一项针对青少年多种危害健康行为的预防计划:一项整群随机对照试验的基线结果

A prevention program for multiple health-compromising behaviors in adolescence: baseline results from a cluster randomized controlled trial.

作者信息

Allara Elias, Angelini Paola, Gorini Giuseppe, Bosi Sandra, Carreras Giulia, Gozzi Cristina, Martini Andrea, Tamelli Marco, Storani Simone, Faggiano Fabrizio

机构信息

Department of Translational Medicine, Avogadro University, Novara, Italy; School of Public Health, University of Torino, Torino, Italy.

Public Health Unit, Emilia-Romagna Regional Authority, Bologna, Italy.

出版信息

Prev Med. 2015 Feb;71:20-6. doi: 10.1016/j.ypmed.2014.12.002. Epub 2014 Dec 10.

DOI:10.1016/j.ypmed.2014.12.002
PMID:25500201
Abstract

OBJECTIVE

To describe the design and present the baseline findings of the evaluation study of 'Paesaggi di Prevenzione', a school-based prevention program tackling smoking, alcohol misuse, dietary risks, and physical inactivity in 12- to 14-year-olds.

METHODS

The program was implemented from January 2011 to April 2012 in Emilia-Romagna, Italy, and comprised classroom activities and school-wide policies. A two-arm cluster randomized controlled trial was designed. Schools were the units of randomization and were matched by socioeconomic status, size, and type.

RESULTS

Data from 4700 middle school students and 2952 high school students were collected anonymously from October to December 2010. Past-30-day smoking prevalence was 1.9% among middle school students and 20.8% among high school students. Past-30-day prevalence of alcohol intoxication was 2.2% among middle school students and 11.4% among high school students. A total of 39.7% of middle school students and 48.0% of high school students drank sugar-sweetened beverages four or more times per week; 7.5% of middle school students and 7.1% of high school students had intense physical activity every day.

CONCLUSIONS

This study seems adequately powered and baseline variables appear evenly distributed between study groups. Findings are in line with those of the WHO Health Behaviour in School-Aged Children study.

摘要

目的

描述“预防景观”评估研究的设计并展示其基线研究结果,该研究是一项针对12至14岁青少年吸烟、酗酒、饮食风险和缺乏身体活动问题的校本预防项目。

方法

该项目于2011年1月至2012年4月在意大利艾米利亚 - 罗马涅实施,包括课堂活动和全校范围的政策。设计了一项双臂整群随机对照试验。学校是随机分组单位,并按社会经济地位、规模和类型进行匹配。

结果

2010年10月至12月,从4700名中学生和2952名高中生中匿名收集了数据。过去30天的吸烟率在中学生中为1.9%,在高中生中为20.8%。过去30天的酒精中毒率在中学生中为2.2%,在高中生中为11.4%。共有39.7%的中学生和48.0%的高中生每周饮用含糖饮料四次或更多次;7.5%的中学生和7.1%的高中生每天进行剧烈体育活动。

结论

本研究似乎有足够的效力,且基线变量在研究组之间分布均匀。研究结果与世界卫生组织学龄儿童健康行为研究的结果一致。

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