三门峡市农村中学无烟学校控烟干预的模式效果评价.doc

三门峡市农村中学无烟学校控烟干预的模式效果评价 　　【摘要】 目的 了解农村初中学生吸烟情况及对控烟知识的知晓状况,探讨对农村初中生进行控烟干预的有效措施。方法 通过多级抽样方法,在控烟干预前、后采用问卷调查法对陕县一中全部在校学生的相关知识、态度及行为进行调查;干预措施包括学校领导在全体师生会上宣布创建无烟学校活动、教师率先戒烟、开展讲座、同伴教育和“远离烟草珍爱生命”为主题的签字活动等。结果 基线调查1 645人,尝试吸烟率为30.46%(501/1 645),男生尝试吸烟率(58.50%)高于女生(3.12%)(P0.01)。干预后,学生控烟知识平均得分由干预前的5.13分提高到9.76分,差异有统计学意义;对烟草与健康相关知识的知晓率干预后均显著高于干预前(P值均0.01);预防吸烟的态度和行为除吸烟对异性有吸引力、朋友递烟坚决不吸并劝朋友不吸2项外,其他5项干预后正向回答率均显著高于干预前(P值均0.01);3项预防吸烟的环境支持率干预后均显著高于干预前(P值均0.01)。结论 无烟学校创建活动是对初中学生进行控烟干预的有效途径和方法,可以帮助初中学生提高抵制烟草的能力,树立正向态度。 　　【关键词】 戒烟;干预性研究;结果评价(卫生保健);学生;农村人口 　　【中图分类号】 R 179 G 479 R 163 【文献标识码】 A 【文章编号】 1000-9817(2009)09-0802-03 　　 　　Tobacco Control Intervention Effect of Smoke-Free School Model in Sanmenxia Rural Middle Schools/CHENG Qiao-yun*, LI Hong, ZHANG Gai-qin, et al. * Sanmenxia Center for Disease Control and Prevention, Sanmenxia (472000), Henan Province, China 　　【Abstract】 Objective To understand smoking situation and tobacco control knowledge knowing status of rural middle school students, and to explore effective tobacco control intervention measures for rural middle school students. Methods By using multi-stage sampling method, related knowledge, attitude and behavior survey were taken among all students from school be selected before and after tobacco control intervention. School leader announced taking create smoke-free school activity in teachers and students meeting. Teachers gave up smoking first. Interventions such as seminars, peer education and loving life far away from tobacco signature activity were carried out. Results There were 501(30.46%) students attempted at smoking among 1 645 students who were baseline surveyed. And the rate of boys(58.50%) was higher than girls(3.12%). After intervention, average score of tobacco control knowledge increased from 5.13 to 9.76 (full score 13 points), the difference was significant. Knowing rate of tobacco and related health knowledge rised significantly after intervention(P0.01). Positive answering rate about preventin