Systematic review of school-based interventions to prevent smoking for girls

被引：18
作者：
de Kleijn M.J.J. [1 ]
Farmer M.M. [2 ]
Booth M. [3 ]
Motala A. [3 ]
Smith A. [3 ]
Sherman S. [4 ,5 ]
Assendelft W.J.J. [6 ]
Shekelle P. [3 ,7 ]
机构：
[1] Radboud University Medical Center, Gender and Women's Health, Department of Primary and Community Care, Postbus 9101, Nijmegen
[2] VA HSR andD Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, 16111 Plummer Street, North Hills, 91343, CA
[3] RAND Corporation, 1776 Main Street, Santa Monica, 90401, CA
[4] Veterans Affairs New York Harbor Healthcare System, 423 East 23rd Street, New York, 10010, NY
[5] New York University Langone Medical Center, 227 East 30th Room 642, New York, 10016, NY
[6] Radboud University Medical Center, Department of Primary and Community Care, Postbus 9101, Nijmegen
[7] Veterans Affairs Greater Los Angeles Healthcare System, 11301 Wilshire Boulevard, Los Angeles, 90073, CA
来源：
Systematic Reviews | / 4卷 / 1期
关键词：
Cigarette smoking; Girls; Prevention; Schools; Systematic review;
D O I：
10.1186/s13643-015-0082-7
中图分类号：
学科分类号：
摘要：
Background: The purpose of this review is to study the effect of school-based interventions on smoking prevention for girls. Methods: We performed a systematic review of articles published since 1992 on school-based tobacco-control interventions in controlled trials for smoking prevention among children. We searched the databases of PubMed, Embase, Web of Science, The Cochrane Databases, CINAHL, Social Science Abstracts, and PsycInfo. Two reviewers independently assessed trials for inclusion and quality and extracted data. A pooled random-effects estimate was estimated of the overall relative risk. Results: Thirty-seven trials were included, of which 16 trials with 24,210 girls were included in the pooled analysis. The overall pooled effect was a relative risk (RR) of 0.96 (95 % confidence interval (CI) 0.86-1.08; I 2=75 %). One study in which a school-based intervention was combined with a mass media intervention showed more promising results compared to only school-based prevention, and four studies with girl-specific interventions, that could not be included in the pooled analysis, reported statistically significant benefits for attitudes and intentions about smoking and quit rates. Conclusions: There was no evidence that school-based smoking prevention programs have a significant effect on preventing adolescent girls from smoking. Combining school-based programs with mass media interventions, and developing girl-specific interventions, deserve additional study as potentially more effective interventions compared to school-based-only intervention programs. © 2015 de Kleijn et al.
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