北国计划：青春期早期一项社区范围内预防酒精使用计划的成果
Project Northland: outcomes of a communitywide alcohol use prevention program during early adolescence.
作者信息
Perry C L, Williams C L, Veblen-Mortenson S, Toomey T L, Komro K A, Anstine P S, McGovern P G, Finnegan J R, Forster J L, Wagenaar A C, Wolfson M
机构信息
Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis 55454, USA.
出版信息
Am J Public Health. 1996 Jul;86(7):956-65. doi: 10.2105/ajph.86.7.956.
OBJECTIVES
Project Northland is an efficacy trial with the goal of preventing or reducing alcohol use among young adolescents by using a multilevel, communitywide approach.
METHODS
Conducted in 24 school districts and adjacent communities in northeastern Minnesota since 1991, the intervention targets the class of 1998 (sixth-grade students in 1991) and has been implemented for 3 school years (1991 to 1994). The intervention consists of social-behavioral curricula in schools, peer leadership, parental involvement/education, and communitywide task force activities. Annual surveys of the class of 1998 measure alcohol use, tobacco use, and psychosocial factors.
RESULTS
At the end of 3 years, students in the intervention school districts report less onset and prevalence of alcohol use than students in the reference districts. The differences were particularly notable among those who were nonusers at baseline.
CONCLUSIONS
The results of Project Northland suggest that multilevel, targeted prevention programs for young adolescents are effective in reducing alcohol use.
目标
“北国计划”是一项疗效试验，旨在通过采用多层次、全社区范围的方法来预防或减少青少年饮酒。
方法
自1991年起在明尼苏达州东北部的24个学区及周边社区开展，干预对象为1998届学生（1991年的六年级学生），已实施3个学年（1991年至1994年）。干预措施包括学校的社会行为课程、同伴领导力、家长参与/教育以及全社区范围的特别工作组活动。对1998届学生的年度调查测量饮酒、吸烟情况及心理社会因素。
结果
3年后，干预学区的学生报告饮酒开始率和流行率低于对照学区的学生。这些差异在基线时不饮酒的学生中尤为显著。
结论
“北国计划”的结果表明，针对青少年的多层次、有针对性的预防计划在减少饮酒方面是有效的。
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