French Monitoring Centre for Drugs and Drug Addiction, 75018 Paris, France.
Oppelia NGO, 75012 Paris, France.
Int J Environ Res Public Health. 2021 Apr 7;18(8):3852. doi: 10.3390/ijerph18083852.
Alcohol and tobacco use is a major health problem and one of the first causes of the burden of disease and mortality. School-based alcohol and tobacco use prevention programmes that have demonstrated efficacy are most often based on psychosocial skill development, individuals' experiential learning strategies, and community resources. Furthermore, early and prolonged interventions have been recommended. Primavera is a pluri-annual, generic, multimodal, experiential-oriented prevention program. It runs over a three-year period from the last year of primary school to the second year of secondary school. This randomized controlled cluster study aimed at assessing the effects of the Primavera programme compared to a control prevention intervention among schoolchildren from 10 to 12 years in eight secondary schools in a particular French geographical area. The primary outcomes were lifetime tobacco use and past-month alcohol use. Data were collected at baseline and over three follow-up time points. In all, 287 and 266 questionnaires, respectively, were collected at baseline from the Primavera group and from the control group. Attrition was 45% and 41%, respectively. The SARS-COV2 pandemic crisis made it impossible for questionnaires to be collected during the final year. After adjustment, children from the Primavera group were less likely to report current alcohol use at the end of the first year (odds ratio = 0.39, 95% CI: 0.18-0.78) and past-month alcohol use at the end of the second year (odds ratio = 0.07, 95% CI: 0.01-0.66) compared to those from the control group. The results for psychosocial skills and alcohol and tobacco use denormalization were contrasted. Primavera is shown to be effective in reducing alcohol use among schoolchildren.
饮酒和吸烟是一个主要的健康问题，也是疾病和死亡负担的首要原因之一。已证实有效的基于学校的饮酒和吸烟预防计划通常基于心理社会技能发展、个人体验式学习策略和社区资源。此外，还建议进行早期和长期干预。Primavera 是一个多年期、通用、多模式、以体验为导向的预防计划。它在从小学最后一年到中学第二年的三年期间运行。这项随机对照群组研究旨在评估 Primavera 计划与特定法国地理区域的 8 所中学 10 至 12 岁学童的对照预防干预相比的效果。主要结果是终生吸烟和过去一个月饮酒。数据在基线和三个随访时间点收集。在所有，分别从 Primavera 组和对照组收集了 287 份和 266 份问卷。分别有 45%和 41%的参与者失访。SARS-COV2 大流行危机使得无法在最后一年收集问卷。调整后，Primavera 组的儿童在第一年结束时报告当前饮酒的可能性较低（优势比=0.39，95%CI：0.18-0.78），在第二年结束时报告过去一个月饮酒的可能性也较低（优势比=0.07，95%CI：0.01-0.66），与对照组相比。还对比了心理社会技能和酒精和烟草使用去正常化的结果。Primavera 被证明可有效减少学童的饮酒量。
