Mpousiou Dimitra, Soteriades Elpidoforos S, Patrinos Stavros, Sakkas Nickolaos, Karakatsani Anna, Karathanasi Areti, Gratziou Chrstina, Katsaounou Paraskevi A
Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Hellenic Thoracic Society, Athens, Greece.
Tob Prev Cessat. 2021 Jul 16;7:52. doi: 10.18332/tpc/137482. eCollection 2021.
Banning smoking at home, schools, children's playgrounds and indoor environments, constitutes an integral part of tobacco control efforts to prevent uptake of smoking among young teenagers. We aimed at exploring the role of teenagers as facilitators of change in enforcing a home no-smoking rule following school-based anti-tobacco programs and examining the effect of home no-smoking rule on teenagers' intention to smoke.
A school-based intervention-control study was implemented during the 2016-2017 academic year among middle-school students in Athens, Greece. The experiential learning intervention was delivered using an interdisciplinary approach, bridging excerpts from ancient classical Greek myths and ancient classical literature, with their decoded archetypal symbols applied in a smoking and tobacco control paradigm. An anonymous selfadministered questionnaire was used at baseline, and at follow-up at 3 months to evaluate program effectiveness. A chi-squared test was used for categorical variables and a t-test for continuous variables. Cohen's distance (d) was employed to examine the intervention effect size. A two-tailed p≤0.05 was considered statistically significant using IBM SPSS V.22.
In all, 351 students participated. At baseline, 47.5% in the intervention group reported a home no-smoking rule and 86% indicated being unlikely to smoke, these increased to 61.3% (p=0.016) and 98.2% (p<0.001) at followup, respectively. Cohen's d value was calculated to estimate the effect size of intervention. A large effect size of intervention was found in the intervention group (d=1.24), whilst d=0.19 in the control group.
Our study showed that our intervention led to the increase of no-smoking rules at home and to a negative intention towards smoking of adolescents. Consequently, we provide evidence that students are effective vehicles for carrying anti-smoking messages to their home environment including the no-smoking rule. Additionally, we confirmed previous reports that home no-smoking rule is associated with a negative intention to smoke and risk of smoking.
在家庭、学校、儿童游乐场和室内环境中禁止吸烟，是预防青少年吸烟的烟草控制工作的一个组成部分。我们旨在探讨青少年在学校开展的反烟草项目后作为促进家庭无烟规则实施的变革推动者的作用，并研究家庭无烟规则对青少年吸烟意愿的影响。
2016 - 2017学年在希腊雅典的中学生中开展了一项基于学校的干预 - 对照研究。体验式学习干预采用跨学科方法进行，将古希腊经典神话和古代经典文学的节选内容与应用于吸烟和烟草控制范式的解码原型符号相结合。在基线和3个月后的随访时使用匿名自填问卷来评估项目效果。分类变量采用卡方检验，连续变量采用t检验。使用科恩距离（d）来检验干预效应大小。使用IBM SPSS V.22，双侧p≤0.05被认为具有统计学意义。
共有351名学生参与。基线时，干预组中47.5%的学生报告家庭有无烟规则，86%的学生表示不太可能吸烟，随访时这两个比例分别增至61.3%（p = 0.016）和98.2%（p < 0.001）。计算科恩d值以估计干预的效应大小。干预组发现干预效应大小较大（d = 1.24），而对照组d = 0.19。
我们的研究表明，我们的干预导致家庭无烟规则增加，并使青少年对吸烟产生负面意愿。因此，我们提供了证据表明学生是将反吸烟信息传递到包括无烟规则在内的家庭环境的有效载体。此外，我们证实了先前的报告，即家庭无烟规则与吸烟的负面意愿和吸烟风险相关。
