Anuar Norlina, Idris Nur Suhaila, Mohd Zin Faridah, Abdul Rahman Razlina, Ahmad Imran, Ibrahim Mohd Ismail
Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Asian Pac J Cancer Prev. 2019 Nov 1;20(11):3353-3359. doi: 10.31557/APJCP.2019.20.11.3353.
To study the effectiveness of the smoking prevention module towards knowledge on smoking and its harmful effects and smoking refusal skills among secondary school students in Kelantan, Malaysia.
A quasi experimental interventional study involving 166 non-smokers adolescents, aged 13 to 14 years old were carried out in two schools located in two different suburbs. Both schools had equal number of participants. One school was given the smoking prevention module for intervention while the control school only received the module after the study had been completed. The knowledge on smoking and its harmful effects and smoking refusal skill score were assessed using a set of validated Malay questionnaires at baseline, two weeks and eight weeks after the intervention. Repeated measure ANCOVA was used to analyse the mean score difference of both groups at baseline and after intervention.
Baseline analysis shows no significant difference in knowledge score between the study groups (p = 0.713) while post intervention, it shows significant inclination of knowledge score in intervention group and the difference was significant after controlling the gender [F(df) = 15.96(1.5), p <0.001]. The mean baseline for refusal skills score in the control and intervention groups were 30.89(6.164) and 28.02(6.241) respectively (p= 0.003). Post intervention, there is a significant difference in the crude mean and the estimated marginal means for smoking refusal skills score between the two groups after controlling for sex [F(df) = 5.66(1.8), p = 0.005].
This smoking prevention module increased the level of knowledge on smoking and its harmful effects and smoking refusal skill among the secondary school students. Thus, it is advocated to be used as one of the standard modules to improve the current method of teaching in delivering knowledge related to harmful effects of smoking and smoking refusal skill to the adolescents in Malaysia.
.
研究吸烟预防模块对马来西亚吉兰丹州中学生吸烟知识及其危害以及吸烟拒绝技巧的效果。
在位于两个不同郊区的两所学校开展了一项准实验性干预研究，涉及166名13至14岁的不吸烟青少年。两所学校的参与者数量相等。一所学校接受吸烟预防模块进行干预，而对照学校仅在研究完成后才收到该模块。在基线、干预后两周和八周时，使用一套经过验证的马来语问卷评估吸烟知识及其危害以及吸烟拒绝技巧得分。采用重复测量协方差分析来分析两组在基线和干预后的平均得分差异。
基线分析显示研究组之间的知识得分无显著差异（p = 0.713），而干预后，干预组的知识得分有显著上升，在控制性别后差异显著[F(df) = 15.96(1.5)，p <0.001]。对照组和干预组拒绝技巧得分的平均基线分别为30.89(6.164)和28.02(6.241)（p = 0.003）。干预后，在控制性别后，两组吸烟拒绝技巧得分的原始均值和估计边际均值存在显著差异[F(df) = 5.66(1.8)，p = 0.005]。
该吸烟预防模块提高了中学生对吸烟及其危害的知识水平以及吸烟拒绝技巧。因此，提倡将其用作标准模块之一，以改进当前向马来西亚青少年传授吸烟危害相关知识和吸烟拒绝技巧的教学方法。
