Vieira S, Cheruel F, Sancho-Garnier H
Fondation JDB, 2-4, rue du Mont-Louvet, 91640 Fontenay-Lès-Briis, France.
Fondation JDB, 2-4, rue du Mont-Louvet, 91640 Fontenay-Lès-Briis, France; Université Paris-Sud Paris Saclay, 91400 Orsay, France.
Rev Epidemiol Sante Publique. 2019 Apr;67(2):114-119. doi: 10.1016/j.respe.2018.11.018. Epub 2019 Jan 25.
Many programs which aim to reduce tobacco consumption in young people are carried out in the school environment, addressing a "captive audience" and monitoring the actions over a period of several years. The approaches identified as promising involve putting in place a tobacco prevention program throughout the entire school years incorporated in the school program. Several studies showed that early initiation to psychoactive substances is a strong predictor of addiction. Considering the above points, an intervention trial on tobacco prevention covering the four years of secondary school (±11-15 years old) was implemented in the Essonne area, in France.
This study was based on a cluster randomized trial comparing three groups: two intervention groups and a control group. The present paper describes the school children (1st year in six secondary schools) included in the trial. It studies the national representativity of this population, the comparability between the control and intervention groups and the items link to tobacco initiation.
When considering tobacco behavior in 2014, the included population was representative of the school children in 1st year of secondary school in France with 11.5% of tobacco initiation and 2.5% of regular smokers. The groups were comparable except for four items (family and friends smoking, only child, sensitive urban areas). With this knowledge on factors linked to smoking behaviors this population can be included in the trial analysis.
The study of the included population will help to perform the trial analysis and authorize the transferability of the trial results if positive.
许多旨在减少年轻人烟草消费的项目在学校环境中开展,针对的是“受控制的受众群体”,并在数年时间内监测相关行动。被认为有前景的方法包括在整个学年实施纳入学校课程的烟草预防项目。多项研究表明,过早开始使用精神活性物质是成瘾的一个有力预测因素。考虑到上述几点,在法国埃松省开展了一项针对中学四年(约11 - 15岁)的烟草预防干预试验。
本研究基于一项整群随机试验,比较三组:两个干预组和一个对照组。本文描述了试验中纳入的学童(六所中学的一年级学生)。研究了该人群的全国代表性、对照组与干预组之间的可比性以及与开始吸烟相关的项目。
在考虑2014年的烟草行为时,纳入的人群代表了法国中学一年级学童,其中11.5%开始吸烟,2.5%为经常吸烟者。除了四个项目(家人和朋友吸烟、独生子女、敏感城市地区)外,各组具有可比性。基于对与吸烟行为相关因素的了解,该人群可纳入试验分析。
对纳入人群的研究将有助于进行试验分析,并在试验结果为阳性时批准其可转移性。