Walsh M M, Hilton J F, Masouredis C M, Gee L, Chesney M A, Ernster V L
Department of Dental Public Health and Hygiene, University of California, San Francisco 94143-1361, USA.
Am J Public Health. 1999 Feb;89(2):228-34. doi: 10.2105/ajph.89.2.228.
The purpose of this study was to determine the efficacy of a college-based smokeless tobacco cessation intervention targeting college athletes.
Sixteen colleges were matched for prevalence of smokeless tobacco use in their combined baseball and football teams and randomly assigned within college pairs to the intervention or the control group. One-year prevalence of cessation among smokeless tobacco users was determined by self-report of abstinence for the previous 30 days. Differences between groups were analyzed in a weighted version of the Fisher 1-sided permutation test for paired samples after adjustment for significant predictors of quitting other than the intervention (i.e., smokeless tobacco uses per week and most frequently used brand).
Cessation prevalences were 35% in the intervention colleges and 16% in the control colleges when subjects with unknown quit status were defined as nonquitters. After adjustment for other significant predictors of quitting, the difference of 19% increased to 21%. The intervention effect increased with level of smokeless tobacco use.
This intervention was effective in promoting smokeless tobacco cessation, especially among those who were more frequent users.
本研究旨在确定一项针对大学生运动员的无烟烟草戒烟干预措施的效果。
根据棒球和橄榄球队中无烟烟草使用的流行率,将16所大学进行配对,然后在大学对中随机分配到干预组或对照组。无烟烟草使用者的一年戒烟率通过自我报告过去30天内的戒烟情况来确定。在调整除干预措施外的其他重要戒烟预测因素(即每周无烟烟草使用量和最常使用的品牌)后,使用配对样本的Fisher单侧置换检验的加权版本分析组间差异。
当将戒烟状态未知的受试者定义为未戒烟者时,干预组大学的戒烟率为35%,对照组大学为16%。在调整其他重要的戒烟预测因素后,19%的差异增加到了21%。干预效果随着无烟烟草使用水平的提高而增强。
该干预措施在促进无烟烟草戒烟方面有效,尤其是在那些更频繁使用无烟烟草的人群中。