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首页> 外文期刊>Tobacco Induced Diseases >Testing the efficacy of a school-based tobacco and supari cessation intervention in Mumbai, India
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Testing the efficacy of a school-based tobacco and supari cessation intervention in Mumbai, India

机译：在印度孟买测试以学校为基础的烟草和戒烟干预措施的功效

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Background: Tobacco and supari (areca nut or betel nut) use has been reported with a high prevalence among students in secondary schools in Mumbai, India. Supari, which is classified as carcinogenic, is one of the most widely consumed addictive substances in India after nicotine, ethanol and caffeine. A study was conducted to evaluate the efficacy of a school-based psychosocial intervention for all forms of tobacco and supari cessation among students. Methods: A quasi-experimental trial with three measurements - at baseline, Post-test1 and Post-test2 was conducted in 12 schools serving students with similar socioeconomic profile in 2015-16. Six schools were randomly selected for the cessation intervention and 6 matching schools were selected based on location and medium of instruction in comparison group. In the interventions schools, students who self-reported tobacco or supari use at baseline were assigned to receive a 6-session group cessation intervention designed specifically for adolescents and school settings. All schools receive a life-skills and tobacco prevention program called Super-Army. Results: 1313 students completed the baseline in intervention schools; 212 self-reported tobacco/supari use, of which 133 enrolled and received both Super-Army in classroom and 6 psychosocial cessation sessions in group setting. In comparison schools, 1320 students completed baseline; of which 191 reported tobacco/supari use and received only the Super-Army prevention messages in classroom. At Post-test 1, conducted 4 weeks after sessions ended, reported use in intervention schools dropped by 30% and in comparison schools by 28%. At Post-test 2, conducted 16 weeks later, in intervention schools self-reported use dropped further by 45%. This was significantly different from comparison schools where users dropped by 13%. Conclusions: Although classroom-based life-skills curricula have an immediate impact on tobacco/supari use, the addition of a specialized cessation intervention, even if psychosocial in nature without replacement therapy, seems to have a durable effect on reducing use.
机译：背景：据报导，印度孟买中学的学生中吸烟和食用槟榔（槟榔或槟榔）的比例很高。 Supari被列为致癌物质，是继尼古丁，乙醇和咖啡因之后印度消费最广泛的成瘾物质之一。进行了一项研究，以评估基于学校的社会心理干预对学生中所有形式的烟草和戒烟的功效。方法：2015-16年度，在12所服务于社会经济特征相似的学生的学校中，进行了三种测量的准实验试验：基线，后测1和后测2。随机选择了六所学校进行戒烟干预，并根据对照组的位置和教学语言选择了六所匹配学校。在干预学校中，分配了在基线时自我报告吸烟或使用雪茄的学生，接受了专为青少年和学校环境设计的为期6节的小组戒烟干预。所有学校都接受了一项名为“超级军队”的生活技能和烟草预防计划。结果：1313名学生完成了干预学校的基准测试;自我报告的212份烟草/ supari用途，其中133名参加了超级军队课堂教学，并在小组活动中接受了6次社会心理戒断。在比较学校中，有1320名学生完成了基准测试;其中191个报告了使用烟草/苏必利的情况，仅在课堂上收到了超级陆军预防信息。在课程结束后4周进行的测试后1中，据报道干预学校的使用量下降了30％，而对比学校的使用量下降了28％。在16周后进行的第二次测验中，在干预学校中，自我报告的使用量进一步下降了45％。这与比较学校的用户下降了13％相比有很大不同。结论：尽管基于课堂的生活技能课程对烟草/苏必利的使用具有立竿见影的效果，但即使没有接受替代疗法的本质上的社会心理干预，添加专门的戒烟干预措施似乎也对减少使用烟草产生了持久的影响。

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