Titre : | Efficacy of a smoking prevention programme in Catalan secondary schools: a cluster-randomized controlled trial in Spain (2015) |
Auteurs : | E. VALDIVIESO LOPEZ ; C. REY-RENONES ; T. RODRIGUEZ-BLANCO ; C. FERRE GRAU ; V. ARIJA ; M. L. BARRERA URIARTE ; E. GRANADO-FONT ; G. FLORES-MATEO ; TAB_ES Study Group |
Type de document : | Article : Périodique |
Dans : | Addiction (Vol.110, n°5, May 2015) |
Article en page(s) : | 852-860 |
Note générale : | Commentary: Lessons to be learnt from a randomized controlled trial of smoking prevention in secondary schools. Smith B., Carson K., p. 861. |
Langues: | Anglais |
Discipline : | PRE (Prévention - RdRD / Prevention - Harm reduction) |
Mots-clés : |
Thésaurus géographique ESPAGNEThésaurus mots-clés TABAC ; PREVENTION ; PROGRAMME ; EFFICACITE ; MILIEU SCOLAIRE ; ENSEIGNEMENT SECONDAIRE ; ETUDE RANDOMISEE ; PERSONNEL PARAMEDICAL ; INTERVENTION |
Résumé : |
Aims: To evaluate the efficacy of a school-based educational programme in reducing the incidence and prevalence of smoking in secondary school students (compulsory secondary education: CSE) in Catalonia (Spain).
Design: Cluster-randomized controlled trial. Setting: Schools in the Tarragona Health Care Region of Spain. Participants: All students enrolled in the first year of CSE during the 2007-08 school year in the 29 participating schools (n = 2245); 1583 students completed the follow-up over the 4-year study period (804 and 779 in the control and intervention groups, respectively). Measures: Self-reported questionnaires were administered during the first quarter of the 2007, 2008, 2009 and 2010 school years. A smoker was defined as 'smoking cigarettes daily or occasionally within the past 30 days'. Multi-level logistic regression analysis was conducted to analyse the prevalence and incidence of smoking between the intervention and control groups. Intervention: A school-based educational programme comprising seven modules, each with a different approach to smoking habits. Each module included activities, work-shops and/or class sessions. Findings: The initial prevalence of smokers in the control and intervention groups who completed the follow-up was 3.9% and 4.2%, respectively. At the end of the study, the prevalence of smokers was 24.4% in the control group and 19.9% in the intervention group. The accumulated incidence of new smokers was 230.57/1000 in the control group and 183.65/1000 in the intervention group. The adjusted odds ratio (OR) comparing the intervention group with the control group was 0.75 [95% confidence interval (CI) = 0.49, 1.15] for smoking prevalence, and 0.74 (95% CI = 0.48, 1.14) for smoking incidence. Conclusions: A school-based educational intervention for secondary school students in Catalonia, Spain was not found to lead to a statistically significant reduction of smoking prevalence and incidence. |
Domaine : | Tabac / Tobacco / e-cigarette |
Refs biblio. : | 27 |
Affiliation : | Primary Care Department, Camp de Tarragona, Institut Català de la Salut, Catalonia, Spain |
Cote : | Abonnement |
Accueil