健康促进学校预防和控制青少年吸烟项目汇报

1、区“健康促进学校预防和控制青少年吸烟”项目汇报,Report on the program of tobacco use prevention and control among adolescents in Huangpu, Guangzhou,Reporter: Xiaozhong Wen(文孝忠) Graduate student Department of Med. Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou,主要内容（Main points,研究设计（R

2、esearch design ） 基线调查（Baseline survey） 项目启动（Initiation of the program） 第一阶段干预 （The first phase of intervention） 第二阶段干预 （The second phase of intervention） 已取得的研究成果 （Achieved outcomes until now） 尚存在的问题与困难（Existing challenges,研究设计（Research design,九区两市,干预1,干预2,干预3,对照1,对照2,对照3,基线调查（Baseline survey,调查现场（S

3、urvey Field,项目启动（Initiation of the program,合作单位：广州市黄埔区教育局，签订项目合作协议书 We cooperate with the education bureau of Huangpu, Guangzhou. 获得教育局、各中学和广州健教所的大力支持 We get great supports from government departments, schools and the institute of health education of Guangzhou. 六所项目学校，分层随机法分成两组：干预组三所；对照组三所。 Six scho

4、ols are randomly assigned to two groups: the intervention group (3) and the control group (3,在123中学召开项目启动仪式暨培训班，与会的有控烟与健教专家、院领导、教育局领导、项目学校领导、干预组骨干教师和学生代表。 A ceremonious meeting attended by officers, experts, teachers and students was hold in a secondary school. 干预前，组织相关领导老师到珠海拱北小学参观学习“如何创建健康促进学校”。 A

5、 learning visit to a health promotion school (Bronze Medal, WHO) in Zhuhai was arranged before intervention,干预组学校（Schools in the intervention group,对照组学校（Schools in the control group,项目启动会议（The meeting of initiation,项目启动会议（The meeting of initiation,到珠海参观学习（ A learning visit to a health promotion sch

6、ool in Zhuhai,第一阶段干预（The first phase of intervention,重点在于健康相关知识的传播： Focus on spread of health knowledge and popularization of the program 1、与学校教职工、学生建立良好关系 Build close relationship with the teachers of health education 2、向教师和学生分放“吸烟与健康”小册子 Assignment of pamphlets to students and teachers,3、健康教育课 Hea

7、lth education curricula 4、学生制作“吸烟与健康”为主题的黑板报 Blackboards on smoking and health made by students 5、开辟控烟专题宣传栏 A specific promotion window for tobacco control,分发健康小册子（Assignment of pamphlets,干预组学校的所有学生+教师，共3280份,健康教育课（多媒体） Health curricula （Multimedia,健康教育课（学生实验） Health curricula（Experiments,学生制作吸烟主题黑板

8、报Blackboards on smoking and health,黑报板Blackboards on smoking and health,控烟专题宣传栏Specific promotion windows for tobacco control,第二阶段干预The second phase of intervention,重点在于学生参与活动、展示医学证据和支持性环境： To focus on supportive health environment, individual participation and persuasive evidences 1. 制作和发放项目专用教材 To

9、 made and assign specific textbooks for the program 2. 展示详细而生动的吸烟危害健康的医学证据：照片、标本和演示实验 To provide detailed and vivid medical evidences through photos and experiment,3.举办以吸烟主题的征文、漫画和演讲比赛等学生参与性活动 To launch competitions titled with cigarette and heath in various forms such as special compositions, drawi

10、ngs and speeches. 4. 宣传WHO烟草控制框架公约 To advertise WHO Framework Convention on Tobacco Control (FCTC) 5. 18个世界无烟日系列活动 To collect signatures from students in the 18th Day of No Smoking 6. 实施“冷火鸡戒烟奖励计划”以帮助吸烟的学生科学戒烟 To carry out a plan to help smokers to quit with scientific an individual method,项目专用教材Spe

11、cific textbooks,干预组学校的所有学生+教师，共分放3280份,医学证据：照片Medical Evidence 1: Photos,照片Medical Evidence 1: Photos,照片Medical Evidence 1: Photos,医学证据：尼古丁中毒实验（又名：一支香烟毒死一只小白鼠,Medical evidence 2:the toxic experiment of nicotine,尼古丁中毒实验Medical evidence 2:the toxic experiment of nicotine,学生征文作品Students compositions fo

12、r competition,宣传WHO FCTC Promotion of FCTC,第十八个世界无烟日：集会 The 18th No smoking Day,第十八个世界无烟日：宣传画,The 18th No smoking Day,第十八个世界无烟日：签名 The 18th No smoking Day:Signature,已取得的研究成果(Achieved outcomes until now,Published papers: (1) 1 文孝忠，陈维清，卢次勇等中学生吸烟与健康的知识和态度及行为的关系中国公共卫生，2005，21（6）：756758 Papers in press:

13、(4) 1 文孝忠，陈维清，区永军等广州三类学校初中生吸烟知识、态度和行为比较中国学校卫生 2 文孝忠，陈维清，区永军等初中生吸烟相关态度量表的效度和信度评价中国心理卫生杂志 3 文孝忠，陈维清以学校为基础的预防吸烟研究的效果定量评价现代预防医学杂志 4 文孝忠，陈维清，卢次勇广州市城乡结合部初中生吸烟行为特点的调查中国公共卫生管理,尚存在的问题与困难（Existing challenges,争取学校所有教职员工的支持和调动他（她）们的积极性确实有难度 Its hard to attract all staffs attention and inspire them to carry out

14、the program spontaneously. 目前中学的课时安排比较紧张，没有充裕的时间供项目专用见缝插针 The schedule of secondary school is so tight that there is limited spare time for us. 对于学校周围烟贩向学生非法售烟，现无有效且可性的干预措施 No effective and applicable measures can be taken to limit illegal sales to minors, even around the schools,如何整合政府、高校、学校与学生家庭等多

15、方面的力量是个难题 There are some difficulties to integrate the power of families, schools, the government and the college. 某些对照学校自行有一些控烟措施，是否会对效果评价造成影响？ Edge effects were found in some control schools, which may reduce the difference of smoking related KAP between two groups. 考虑到干预项目的现场工作艰巨，课题组的专职人员数量不足，许多好的想法没办法实现 Considering the heavy task in field, the number of full-time staffs for the program is not adequate. Therefore some good ideas could not be realized,拟开展的第三阶段干预：Plan