van Teijlingen E R, Friend J A, Twine F
Department of Public Health, University of Aberdeen.
J Public Health Med. 1996 Mar;18(1):13-8. doi: 10.1093/oxfordjournals.pubmed.a024455.
The Health of the nation aims 'to reduce the number of young people who start to smoke'. Smokebusters is a specific health promotion approach with the aim of encouraging non-smoking as the norm and developing a non-smoking peer group.
This study of the Grampian club was undertaken to measure any change in the prevalence of smoking as well as knowledge and awareness of the regional Smokebusters club in the target group (10-13-year-olds). School-based questionnaires were administered to a one in ten sample of the target population, followed up four years after the launch of the club, to establish the prevalence of self-reported smoking in comparison with Scottish national smoking surveys, attitudes to smoking and the Smokebusters club, and to explore lifestyle factors.
The club was very popular and attracted over half of the eligible children. After four years, smoking prevalence in Grampian was similar to Scottish levels, and former club members were just as likely to have started smoking as those who had never joined.
Membership of Smokebusters does not seem to reduce the smoking prevalence among young people. However, Smokebusters competes in a social environment where many adults and children smoke, where it is still fairly easy for children to obtain cigarettes and where tobacco is extensively promoted. This evaluation focused on the outcome of the Smokebusters, and not on the process and impact. Finally, results of this intervention might include long-term benefits for children and the wider community which are not measured by this study.
“国民健康计划”旨在“减少开始吸烟的年轻人数量”。“戒烟小卫士”是一种特定的健康促进方法，旨在鼓励以不吸烟为常态并建立一个不吸烟的同龄人团体。
对格兰扁俱乐部进行了这项研究，以衡量目标群体（10至13岁）中吸烟率的任何变化以及对地区“戒烟小卫士”俱乐部的了解和认识。对目标人群十分之一的样本进行了基于学校的问卷调查，在俱乐部成立四年后进行了跟进，以确定与苏格兰全国吸烟调查相比自我报告的吸烟率、对吸烟和“戒烟小卫士”俱乐部的态度，并探索生活方式因素。
该俱乐部非常受欢迎，吸引了超过一半符合条件的儿童。四年后，格兰扁的吸烟率与苏格兰水平相似，前俱乐部成员开始吸烟的可能性与从未加入过的成员一样。
“戒烟小卫士”的成员身份似乎并未降低年轻人中的吸烟率。然而，“戒烟小卫士”是在一个许多成年人和儿童都吸烟、儿童仍然相当容易获得香烟且烟草得到广泛推广的社会环境中开展活动的。这项评估关注的是“戒烟小卫士”的结果，而非过程和影响。最后，这项干预措施的结果可能包括对儿童和更广泛社区的长期益处，而本研究并未对此进行衡量。
