健康促進(jìn)學(xué)校預(yù)防和控制青少年吸煙項(xiàng)目匯報(bào)課件

1、廣州市黃埔區(qū)“健康促進(jìn)學(xué)校預(yù)防和控制青少年吸煙”項(xiàng)目匯報(bào)中山大學(xué)公共衛(wèi)生學(xué)院報(bào)告人：文孝忠 （碩士研究生） 指導(dǎo)老師：陳維清、王志瑾教授2005年11月 香港Report on the program of tobacco use prevention and control among adolescents in Huangpu, GuangzhouReporter: Xiaozhong Wen(文孝忠)Graduate studentDepartment of Med. Statistics and Epidemiology,School of Public Health, Sun Ya

2、t-sen University, Guangzhou主要內(nèi)容（Main points）研究設(shè)計(jì)（Research design ）基線調(diào)查（Baseline survey）項(xiàng)目啟動(dòng)（Initiation of the program）第一階段干預(yù)（The first phase of intervention）第二階段干預(yù)（The second phase of intervention）已取得的研究成果（Achieved outcomes until now）尚存在的問(wèn)題與困難（Existing challenges）. 研究設(shè)計(jì)（Research design）基線調(diào)查確定分組對(duì)照組干預(yù)

3、組第階段干預(yù)第階段干預(yù)第階段干預(yù)中期評(píng)估早期評(píng)估過(guò)程評(píng)估資料分析工作總結(jié)九區(qū)兩市干預(yù)1干預(yù)2干預(yù)3對(duì)照1對(duì)照2對(duì)照3.基線調(diào)查（Baseline survey）timesamplingSchoolsRespondentsFirstroundDecember, 2002January, 2003census18 schoolsStudents: 8656Teachers:700 SecondroundNovember, 2004December, 2004Census: 7th and 8th grade30% sampling: 9th grade6 schoolsStudents:3957P

4、arents: 2890調(diào)查現(xiàn)場(chǎng)（Survey Field）. 項(xiàng)目啟動(dòng)（Initiation of the program）合作單位：廣州市黃埔區(qū)教育局，簽訂項(xiàng)目合作協(xié)議書We cooperate with the education bureau of Huangpu, Guangzhou.獲得教育局、各中學(xué)和廣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.六所項(xiàng)目學(xué)校，分層隨機(jī)法分成兩組：干預(yù)組三所

5、；對(duì)照組三所。Six schools are randomly assigned to two groups: the intervention group (3) and the control group (3).在123中學(xué)召開(kāi)項(xiàng)目啟動(dòng)儀式暨培訓(xùn)班，與會(huì)的有控?zé)熍c健教專家、院領(lǐng)導(dǎo)、教育局領(lǐng)導(dǎo)、項(xiàng)目學(xué)校領(lǐng)導(dǎo)、干預(yù)組骨干教師和學(xué)生代表。A ceremonious meeting attended by officers, experts, teachers and students was hold in a secondary school.干預(yù)前，組織相關(guān)領(lǐng)導(dǎo)老師到珠海拱北小學(xué)參觀學(xué)習(xí)“

6、如何創(chuàng)建健康促進(jìn)學(xué)?！?。A learning visit to a health promotion school (Bronze Medal, WHO) in Zhuhai was arranged before intervention干預(yù)組學(xué)校（Schools in the intervention group）對(duì)照組學(xué)校（Schools in the control group）項(xiàng)目啟動(dòng)會(huì)議（The meeting of initiation）項(xiàng)目啟動(dòng)會(huì)議（The meeting of initiation）到珠海參觀學(xué)習(xí)（ A learning visit to a health p

7、romotion school in Zhuhai ）. 第一階段干預(yù)（The first phase of intervention）重點(diǎn)在于健康相關(guān)知識(shí)的傳播：Focus on spread of health knowledge and popularization of the program1、與學(xué)校教職工、學(xué)生建立良好關(guān)系Build close relationship with the teachers of health education2、向教師和學(xué)生分放“吸煙與健康”小冊(cè)子Assignment of pamphlets to students and teachers3、

8、健康教育課 Health education curricula4、學(xué)生制作“吸煙與健康”為主題的黑板報(bào)Blackboards on smoking and health made by students5、開(kāi)辟控?zé)煂ｎ}宣傳欄A specific promotion window for tobacco control分發(fā)健康小冊(cè)子（Assignment of pamphlets）干預(yù)組學(xué)校的所有學(xué)生+教師，共3280份健康教育課（多媒體） Health curricula （Multimedia）健康教育課（學(xué)生實(shí)驗(yàn)） Health curricula（Experiments）學(xué)生制作吸煙主

9、題黑板報(bào)Blackboards on smoking and health黑報(bào)板Blackboards on smoking and health控?zé)煂ｎ}宣傳欄Specific promotion windows for tobacco control. 第二階段干預(yù)The second phase of intervention重點(diǎn)在于學(xué)生參與活動(dòng)、展示醫(yī)學(xué)證據(jù)和支持性環(huán)境：To focus on supportive health environment, individual participation and persuasive evidences 1. 制作和發(fā)放項(xiàng)目專用教材To

10、made and assign specific textbooks for the program2. 展示詳細(xì)而生動(dòng)的吸煙危害健康的醫(yī)學(xué)證據(jù)：照片、標(biāo)本和演示實(shí)驗(yàn)To provide detailed and vivid medical evidences through photos and experiment3.舉辦以吸煙主題的征文、漫畫和演講比賽等學(xué)生參與性活動(dòng)To launch competitions titled with cigarette and heath in various forms such as special compositions, drawings a

11、nd speeches.4. 宣傳WHO煙草控制框架公約To advertise WHO Framework Convention on Tobacco Control (FCTC)5. 18個(gè)世界無(wú)煙日系列活動(dòng)To collect signatures from students in the 18th Day of No Smoking6. 實(shí)施“冷火雞戒煙獎(jiǎng)勵(lì)計(jì)劃”以幫助吸煙的學(xué)生科學(xué)戒煙To carry out a plan to help smokers to quit with scientific an individual method項(xiàng)目專用教材Specific textbo

12、oks干預(yù)組學(xué)校的所有學(xué)生+教師，共分放3280份醫(yī)學(xué)證據(jù)：照片Medical Evidence 1: Photos照片Medical Evidence 1: Photos照片Medical Evidence 1: Photos醫(yī)學(xué)證據(jù)：尼古丁中毒實(shí)驗(yàn)（又名：一支香煙毒死一只小白鼠）Medical evidence 2:the toxic experiment of nicotine尼古丁中毒實(shí)驗(yàn)Medical evidence 2:the toxic experiment of nicotine學(xué)生征文作品Students compositions for competition宣傳WHO

13、FCTC Promotion of FCTC第十八個(gè)世界無(wú)煙日：集會(huì) The 18th No smoking Day第十八個(gè)世界無(wú)煙日：宣傳畫The 18th No smoking Day第十八個(gè)世界無(wú)煙日：簽名 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，陳維清，盧次勇等中學(xué)生吸煙與健康的知識(shí)和態(tài)度及行為的關(guān)系中國(guó)公共衛(wèi)生，2005，21（6）：756758Papers in press: (4) 1 文孝忠，陳維清，區(qū)永軍等廣州三類學(xué)校初

14、中生吸煙知識(shí)、態(tài)度和行為比較中國(guó)學(xué)校衛(wèi)生 2 文孝忠，陳維清，區(qū)永軍等初中生吸煙相關(guān)態(tài)度量表的效度和信度評(píng)價(jià)中國(guó)心理衛(wèi)生雜志 3 文孝忠，陳維清以學(xué)校為基礎(chǔ)的預(yù)防吸煙研究的效果定量評(píng)價(jià)現(xiàn)代預(yù)防醫(yī)學(xué)雜志 4 文孝忠，陳維清，盧次勇廣州市城鄉(xiāng)結(jié)合部初中生吸煙行為特點(diǎn)的調(diào)查中國(guó)公共衛(wèi)生管理. 尚存在的問(wèn)題與困難（Existing challenges）爭(zhēng)取學(xué)校所有教職員工的支持和調(diào)動(dòng)他（她）們的積極性確實(shí)有難度Its hard to attract all staffs attention and inspire them to carry out the program spontaneously

15、.目前中學(xué)的課時(shí)安排比較緊張，沒(méi)有充裕的時(shí)間供項(xiàng)目專用見(jiàn)縫插針The schedule of secondary school is so tight that there is limited spare time for us.對(duì)于學(xué)校周圍煙販向?qū)W生非法售煙，現(xiàn)無(wú)有效且可性的干預(yù)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、學(xué)校與學(xué)生家庭等多方面的力量是個(gè)難題There are some diff

16、iculties to integrate the power of families, schools, the government and the college.某些對(duì)照學(xué)校自行有一些控?zé)煷胧?，是否?huì)對(duì)效果評(píng)價(jià)造成影響？Edge effects were found in some control schools, which may reduce the difference of smoking related KAP between two groups.考慮到干預(yù)項(xiàng)目的現(xiàn)場(chǎng)工作艱巨，課題組的專職人員數(shù)量不足，許多好的想法沒(méi)辦法實(shí)現(xiàn)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