Song Rhayun, Park Moonkyoung
Professor, College of Nursing, Chungnam National University, Daejeon, Korea.
Assistant Professor, College of Nursing, Chungnam National University, Daejeon, Korea.
Child Health Nurs Res. 2021 Apr;27(2):95-110. doi: 10.4094/chnr.2021.27.2.95. Epub 2021 Apr 30.
This meta-analysis aimed to analyze the effects of smoking prevention programs for young adolescents at early smoking stages to identify the appropriate characteristics of prevention programs for this population.
Searches of health-related databases and Google Scholar were conducted, and 23 randomized studies were included in the analysis. The main outcome variable was smoking behavior. The analysis was conducted using Comprehensive Meta-Analysis software (version 3.0).
Smoking prevention programs significantly reduced smoking behaviors (OR=0.85, 95% CI=0.77-0.93). School-based programs (OR=0.79, 95% CI=0.75-0.83), programs by trained teachers or educators (OR=0.77, 95% CI=0.71-0.83), high-intensity programs (OR=0.82, 95% CI=0.75-0.91), and programs in an in-school setting (OR=0.82, 95% CI=0.74-0.90) had the most significant effect on reducing smoking behavior.
For young adolescents, smoking prevention programs are most effective when they are school-based or highintensity programs, and when conducted by teachers or educators with proper training. Further studies are required since there was insufficient research to explore the effect of web-based programs or family-centered programs on adolescent smokers.
本荟萃分析旨在分析针对处于早期吸烟阶段的青少年开展的预防吸烟项目的效果，以确定适合该人群的预防项目特征。
检索了与健康相关的数据库和谷歌学术，分析纳入了23项随机研究。主要结局变量为吸烟行为。使用综合荟萃分析软件（版本3.0）进行分析。
预防吸烟项目显著降低了吸烟行为（OR = 0.85，95%CI = 0.77 - 0.93）。基于学校的项目（OR = 0.79，95%CI = 0.75 - 0.83）、由受过培训的教师或教育工作者开展的项目（OR = 0.77，95%CI = 0.71 - 0.83）、高强度项目（OR = 0.82，95%CI = 0.75 - 0.91）以及校内开展的项目（OR = 0.82，95%CI = 0.74 - 0.90）对减少吸烟行为的影响最为显著。
对于青少年而言，预防吸烟项目在基于学校或为高强度项目、且由受过适当培训的教师或教育工作者开展时最为有效。由于探索基于网络的项目或家庭中心项目对青少年吸烟者的影响的研究不足，因此需要进一步开展研究。
