Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Faculty of Medicine, Ovidius University of Constanta, Constanta, Romania.
NPJ Prim Care Respir Med. 2024 Jun 4;34(1):14. doi: 10.1038/s41533-024-00367-w.
The FRESHAIR4Life study aims to reduce the non-communicable disease (NCD) burden by implementing preventive interventions targeting adolescents' exposure to tobacco use and air pollution (AP) worldwide. This paper presents the FRESHAIR4Life methodology and initial rapid review results. The rapid review, using various databases and PubMed, aimed to guide decision-making on risk factor focus, target areas, and populations. It showed variable NCD mortality rates related to tobacco use and AP across the participating countries, with tobacco as the main risk factor in the Kyrgyz Republic, Greece, and Romania, and AP prevailing in Pakistan and Uganda. Adolescent exposure levels, sources, and correlates varied. The study will continue with an in-depth situational analysis to guide the selection, adaptation, and integration of evidence-based interventions into the FRESHAIR4Life prevention package. This package will be implemented, evaluated, assessed for cost-effectiveness, and iteratively refined. The research places a strong emphasis on co-creation, capacity building, and comprehensive communication and dissemination.
FRESHAIR4Life 研究旨在通过实施针对青少年接触烟草使用和空气污染（AP）的预防干预措施，减少非传染性疾病（NCD）负担。本文介绍了 FRESHAIR4Life 的方法和初步快速审查结果。该快速审查使用了各种数据库和 PubMed，旨在为风险因素重点、目标地区和人群的决策提供指导。结果显示，参与国家的烟草使用和 AP 与 NCD 死亡率存在差异，其中烟草是吉尔吉斯斯坦、希腊和罗马尼亚的主要风险因素，而 AP 在巴基斯坦和乌干达更为普遍。青少年接触水平、来源和相关因素存在差异。该研究将继续进行深入的情况分析，以指导将基于证据的干预措施纳入 FRESHAIR4Life 预防方案中。该方案将得到实施、评估、评估成本效益，并进行迭代改进。该研究非常重视共同创造、能力建设以及全面的沟通和传播。
