Do children overestimate the extent of smoking among their peers? A feasibility study of the social norms approach to prevent smoking

Do children overestimate the extent of smoking among their peers? A feasibility study of the social norms approach to prevent smoking
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DOI:
10.1016/j.addbeh.2014.09.015
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发表时间:
2015-02-01
影响因子:
4.4
通讯作者:
Siddiqi, Kamran
Siddiqi, Kamran
中科院分区:
医学2区
文献类型:
--
作者:
Elsey, Helen;Owiredu, Elizabeth;Siddiqi, Kamran

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社会规范方法(SNA)的前提是,我们经常高估我们的同龄人的风险行为。通过开展减少这些误解的运动,SNA旨在减少风险行为。本研究探讨在何种程度上,12至13岁的学生高估吸烟在他们的同龄人,并探讨了适当的使用SNA在中学,以防止吸烟uptake.Methods:高估吸烟的同龄人之间的程度进行了评估,通过在线SNA问卷在五所学校(n = 595)。根据问卷调查结果,学生们在每所学校开展了国民账户体系运动。研究采用焦点小组(7人)、访谈(7人)和观察的定性方法,从教职员和学生的角度,深入探讨SNA对防止中学吸烟的适当性和可行性。四分之一的学生,25.9%(95% CI 25.6%至26.1%)认为大多数同龄人吸烟,但只有3%的人认为吸烟是一种健康行为。(95% CI 2.8%-3.3%)报告他们实际上是这样做的;差异为22.9%(95% CI 19.1%-26.6%)。自我报告的吸烟情况在学校之间没有显著差异(X-2 = 8.7 p = 0.064),但是,对年级组吸烟的看法在学校之间存在显著差异(X-2 = 63.9 p < 0.001)。定性分析确定了充分的学校参与,最低限度的教师时间要求,学生的信念,在问卷调查结果和理解更广泛的背景下,在optimizing implementation.Conclusion的关键:这项研究显示了显着的误解之间的自我报告和感知吸烟的同龄人在中学,从而支持社会规范理论的一个关键前提。在中学实施SNA并研究其效果是可行的。(C)2014爱思唯尔有限公司版权所有。
Social norms approaches (SNA) are based on the premise that we frequently overestimate risk behaviours among our peers. By conducting campaigns to reduce these misperceptions, SNAs aim to reduce risk behaviours. This study examines the extent to which 12 to 13 year old pupils overestimate smoking among their peers and explores the appropriateness of using SNA in secondary schools to prevent smoking uptake.Methods: The extent of overestimation of smoking among peers was assessed through an on-line SNA questionnaire in five schools (n = 595). Based on questionnaire results, pupils developed SNA campaigns in each school. Qualitative methods of focus groups (7), interviews (7) and observation were used to explore in-depth, from the perspective of staff and pupils, the appropriateness and feasibility of the SNA to prevent smoking uptake in secondary schools.Results: A quarter of pupils, 25.9% (95% CI 25.6% to 26.1%) believed that most of their peers smoked, however, only 3% (95% CI 2.8% to 3.3%) reported that they actually did; a difference of 22.9% (95% Cl 19.1% to 26.6%). Self-reported smoking was not significantly different between schools (X-2 = 8.7 p = 0.064), however, perceptions of year group smoking was significantly different across schools (X-2 = 63.9 p < 0.001). Qualitative analysis identified full school engagement, minimal teacher time requirements, pupils' belief in questionnaire results and understanding wider context, as key in optimising implementation.Conclusion: This study shows significant misperception between self-reported and perceived smoking among peers in secondary schools, thus supporting a key premise of social norms theory. Implementing SNAs and studying effects is feasible within secondary schools. (C) 2014 Elsevier Ltd. All rights reserved.