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儿童和青少年饮酒预防项目:近期出版物的叙述性与批判性综述

Prevention of Alcohol Consumption Programs for Children and Youth: A Narrative and Critical Review of Recent Publications.

作者信息

Sánchez-Puertas Rafael, Vaca-Gallegos Silvia, López-Núñez Carla, Ruisoto Pablo

机构信息

Department of Health Sciences, Public University of Navarre, Pamplona, Spain.

Department of Psychology, Particular Technical University of Loja, Loja, Ecuador.

出版信息

Front Psychol. 2022 Mar 16;13:821867. doi: 10.3389/fpsyg.2022.821867. eCollection 2022.

Abstract

BACKGROUND

Youth substance use is a public health problem globally, where alcohol is one of the drugs most consumed by children, and youth prevention is the best intervention for drug abuse.

OBJECTIVE

Review the latest evidence of alcohol use prevention programs in empirical research, oriented to all fields of action among children and youth.

METHODS

A narrative and critical review was carried out within international databases (PsychInfo, Pubmed, Web of Science, and Scopus) in August 2021 and was limited to empirical studies that appeared in the last five years (2017-2021). A flow diagram was used according to the PRISMA statements. Empirical research articles in English with RCTs and quasi-experimental design that included alcohol, children, and young people up to 19 years of age (universal, selective, or indicated programs) were included. The authors examined the results and conceptual frameworks of the Prevention programs by fields of action.

RESULTS

Twenty-two articles were found from four fields of action: school (16), family (2), community (2), and web-based (2), representing 16 alcohol prevention programs. School-based alcohol prevention programs are clinically relevant [, , , , , (BIMI), , , ], they are effective in increasing attitudes and intentions toward alcohol prevention behavior, while decreasing social norms and acceptance of alcohol, reducing intoxication, and increasing perceptions with regards to the negative consequences of drinking.

DISCUSSION

This narrative and critical review provides an updated synthesis of the evidence for prevention programs in the school, family, community, and web-based fields of action, where a more significant number of programs exist that are applied within schools and for which would have greater clinical relevance. However, the prevention programs utilized in the other fields of action require further investigation.

摘要

背景

青少年物质使用是全球范围内的一个公共卫生问题,酒精是儿童消费最多的毒品之一,而青少年预防是药物滥用的最佳干预措施。

目的

回顾实证研究中酒精使用预防项目的最新证据,这些研究面向儿童和青少年的所有行动领域。

方法

2021年8月在国际数据库(PsychInfo、Pubmed、科学网和Scopus)中进行了叙述性和批判性综述,仅限于过去五年(2017 - 2021年)出现的实证研究。根据PRISMA声明使用了流程图。纳入了英文的实证研究文章,这些文章采用随机对照试验和准实验设计,涉及酒精、儿童以及19岁以下的青少年(普遍、选择性或针对性项目)。作者按行动领域检查了预防项目的结果和概念框架。

结果

从四个行动领域发现了22篇文章:学校(16篇)、家庭(2篇)、社区(2篇)和网络(2篇),代表16个酒精预防项目。基于学校的酒精预防项目具有临床相关性[,,,,,(BIMI),,,],它们在增强对酒精预防行为的态度和意愿方面有效,同时减少社会规范和对酒精的接受度,降低醉酒率,并增加对饮酒负面后果的认知。

讨论

本叙述性和批判性综述提供了学校、家庭、社区和网络行动领域预防项目证据的最新综合情况,其中在学校应用的项目数量更多,且具有更大的临床相关性。然而,其他行动领域使用的预防项目需要进一步研究。

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