Efficacy of smoking-cessation interventions for young adults: a meta-analysis.
Efficacy of smoking-cessation interventions for young adults: a meta-analysis.
复制标题
年轻人戒烟干预措施的功效：荟萃分析。
DOI：
10.1016/j.amepre.2012.02.013
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发表时间：
2012
影响因子：
5.5
通讯作者：
An,LarryC
中科院分区：
文献类型：
--
作者：
Suls,JerryM;Luger,TanaM;Curry,SusanJ;Mermelstein,RobinJ;Sporer,AmyK;An,LarryC
背景大约 22% 的美国年轻人（18-24 岁）是吸烟者。年轻人通常表现出对戒烟的兴趣，但尚不清楚为成年人设计的循证戒烟计划是否对年轻人同样有效。这项荟萃分析调查了戒烟计划对该人群的功效。 证据获取 2009-2011 年，2004 年至 2008 年发表的研究戒烟的研究首先是通过 DHHS 治疗烟草使用和依赖的临床实践指南以及 PubMed 检索（2009-2010 年）发现的，然后经过严格的纳入过程。我们联系了作者收集年轻人的原始数据。十四项研究提供的数据被编码为描述性信息，并使用综合荟萃分析 2.0 版进行汇总。证据综合在年轻人中，任何类型的干预措施在成功戒烟方面都比对照组更有效。意向治疗分析和完整病例都是如此。当干预措施对较大的成人样本有效时，它们对较年轻的成人样本也有效。结论尽管年轻人往往未充分利用基于证据的戒烟治疗，但当前的荟萃分析表明，这些治疗对年轻人应该与一般成年人一样有效。因此，集中精力激励年轻人寻求戒烟治疗以提高利用率可能是有用的。
CONTEXTApproximately 22% of U.S. young adults (aged 18–24 years) are smokers. Young adults typically display an interest in quitting, but it is unknown whether the evidence-based cessation programs designed for adults will be equally effective for young adults. This meta-analysis investigated the efficacy of smoking-cessation programs for this population.EVIDENCE ACQUISITIONIn 2009–2011, studies published between 2004 and 2008 that investigated smoking cessation were first found through the DHHS Clinical Practice Guidelines for Treating Tobacco Use and Dependence as well as a PubMed search (2009–2010) and were then subjected to a rigorous inclusion process. Authors were contacted to glean raw data for young adults. Fourteen studies provided data that were coded for descriptive information and aggregated using the Comprehensive Meta-Analysis, version 2.0.EVIDENCE SYNTHESISAmong young adults, any type of intervention was more effective in producing successful smoking cessation than the control. This was the case for intent-to-treat analyses as well as complete cases. When interventions were effective for the larger adult sample, they were also effective for the younger adult sample.CONCLUSIONSAlthough young adults tend to underutilize evidence-based cessation treatments, the current meta-analysis showed that these treatments should be as effective for young adults as they are for the general adult population. Thus, it may be useful to focus on motivating young adults to seek cessation treatment to increase utilization.