TY - JOUR AU -里斯本，Oscar Campos AU - Bernardes-Souza, Breno AU - Xavier, Luiz Eduardo De Freitas AU - Almeida, Matheus Rocha AU - Corrêa, Paulo c sar Rodrigues Pinto AU - Brinker, Titus Josef PY - 2019 DA - 2019/02/21 TI -巴西医学院学生向中学提供的“禁烟教育”预防吸烟计划:随机对照试验JO - J Med Internet Res SP - e12854 VL - 21 IS - 2 KW -吸烟KW -烟草KW -预防KW -医学生KW -学校AB -背景:吸烟是巴西最大的可预防死亡原因。禁烟教育(EAT)是一个由14个国家的3500多名医学生和医生组成的网络，他们自愿参加以学校为基础的预防吸烟项目。EAT每年在课堂环境中教育5万名青少年。最近在德国进行的一项准实验研究表明，在11至15岁的青少年中，EAT具有显著的短期戒烟效果。目的:目的是衡量巴西最新版本的英语教学课程的长期有效性。方法:对巴西公立中学2348名年龄在12 - 21岁(7-11年级)的青少年进行随机对照试验。前瞻性实验设计包括基线和干预后6个月和12个月的测量。研究小组包括接受标准化EAT干预的随机班级(在教室环境中接受90分钟的指导)和同一所学校的对照班级(不进行干预)。收集了有关吸烟状况、性别、社会因素和吸烟预测因素的数据。 The primary endpoint was the difference in the change in smoking prevalence between the intervention group and the control group at 12-month follow-up. Results: From baseline to 12 months, the smoking prevalence increased from 11.0% to 20.9% in the control group and from 14.1% to 15.6% in the intervention group. This difference was statistically significant (P<.01). The effects were smaller for females (control 12.4% to 18.8% vs intervention 13.1% to 14.6%) than for males (control 9.1% to 23.6% vs intervention 15.3% to 16.8%). Increased quitting rates and prevented onset were responsible for the intervention effects. The differences in change in smoking prevalence from baseline to 12 months between the intervention and control groups were increased in students with low school performance. Conclusions: To our knowledge, this is the first randomized trial on school-based tobacco prevention in Brazil that shows significant long-term favorable effects. The EAT program encourages quitting and prevents smoking onset, especially among males and students with low educational background. Trial Registration: ClinicalTrials.gov NCT02725021; https://clinicaltrials.gov/ct2/show/NCT02725021 International Registered Report Identifier (IRRID): RR2-10.2196/resprot.7134 SN - 1438-8871 UR - //www.mybigtv.com/2019/2/e12854/ UR - https://doi.org/10.2196/12854 UR - http://www.ncbi.nlm.nih.gov/pubmed/30789347 DO - 10.2196/12854 ID - info:doi/10.2196/12854 ER -