West Virginia Alliance for Creative Health Solutions, Culloden, WV, USA.
New River Health Association, Oak Hill, WV, USA.
J Prim Care Community Health. 2024 Jan-Dec;15:21501319241277393. doi: 10.1177/21501319241277393.
INTRODUCTION/OBJECTIVES: Since 2015, the rise in e-cigarette use among youth has concerned public health authorities. After peaking in 2019, usage rates have declined but remain high. In 2023, 10% of high school and 4.6% of middle school students reported current use. This report describes the implementation and evaluation of a school-based e-cigarette prevention program, CATCH My Breath (CMB), in 8 central Appalachian counties. These counties have some of the highest rates of tobacco use, poor health, and premature death in the United States.
A total of 6217 students across 25 middle and high schools in West Virginia and Kentucky received the CMB program from 2019 to 2023. Lists of participating counties, schools, and teachers were maintained on a rolling basis over the 4 years of the project. Program reach and impact on e-cigarette knowledge and use are reported. Thirteen-item pre- and post-tests were completed electronically by students before and after each course delivery. Questions assessed knowledge about e-cigarettes, current (past 30-day) e-cigarette use, and interest in future use.
From 2019 to 2023, there were 9399 deliveries of the 4-session CMB course, primarily to middle school students. Approximately 84% reported being less likely to use e-cigarettes following the program. Significant improvements in e-cigarette knowledge and beliefs on 5 of 8 items were observed, including a significant increase in knowledge composite score (4.15-4.75, < .001). From pre- to post-test, declines in current e-cigarette use (5.1% to 4.4%; = .005) and peer influence (4.9% to 4.0%; = .025) were also observed.
CMB was feasible, effective, and well-received in a convenience sample of central Appalachian counties and schools. This curriculum, combined with other policy initiatives, offers hope for curbing the growing epidemic of youth e-cigarette use and nicotine dependence. The success of this project contributed to a decision by the West Virginia Bureau for Public Health and the West Virginia Department of Education to launch a joint effort to bring CMB to middle schools in all 55 counties during the next 3 school years of 2023-2026.
简介/目的：自 2015 年以来，青少年使用电子烟的现象引起了公共卫生当局的关注。在 2019 年达到峰值后，使用率有所下降，但仍居高不下。2023 年，有 10%的高中生和 4.6%的初中生报告称目前正在使用电子烟。本报告描述了在西弗吉尼亚州和肯塔基州的 8 个阿巴拉契亚中心县实施和评估一项基于学校的电子烟预防计划 CATCH My Breath（CMB）的情况。这些县是美国烟草使用、健康状况不佳和过早死亡率最高的地区之一。
2019 年至 2023 年期间，西弗吉尼亚州和肯塔基州的 25 所中学和高中共有 6217 名学生接受了 CMB 项目。4 年来，该项目不断维护参与县、学校和教师的名单。报告了该项目的电子烟知识和使用情况的覆盖范围和影响。在每次课程结束前后，学生通过电子方式完成了 13 项的预测试和后测试。问题评估了学生对电子烟的知识、当前（过去 30 天）电子烟使用情况以及未来使用电子烟的兴趣。
2019 年至 2023 年，共进行了 9399 次 4 节 CMB 课程的授课，主要针对中学生。约 84%的学生报告说，在参加该项目后，他们不太可能使用电子烟。在 8 项中的 5 项电子烟知识和信念方面观察到了显著的改善，包括知识综合得分的显著增加（4.15-4.75， < .001）。从预测试到后测试，当前电子烟使用（5.1%降至 4.4%； = .005）和同伴影响（4.9%降至 4.0%； = .025）也有所下降。
CMB 在阿巴拉契亚中心县和学校的便利样本中是可行的、有效的，并且受到了欢迎。该课程与其他政策举措相结合，为遏制青少年电子烟使用和尼古丁依赖日益严重的趋势带来了希望。该项目的成功促使西弗吉尼亚州公共卫生局和西弗吉尼亚州教育部决定在 2023-2026 年的未来 3 个学年里，将 CMB 引入全州所有 55 个县的中学。
