School-based e-cigarette education in Alabama: Impact on knowledge of e-cigarettes, perceptions and intent to try
School-based e-cigarette education in Alabama: Impact on knowledge of e-cigarettes, perceptions and intent to try
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DOI：
10.1016/j.addbeh.2020.106519
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发表时间：
2021-01-01
影响因子：
4.4
通讯作者：
Walley, Susan C.
中科院分区：
文献类型：
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作者：
Gaiha, Shivani Mathur;Duemler, Abigail;Walley, Susan C.
背景和目标：需要开展教育计划，以应对青少年电子烟使用的急剧上升。我们评估了青少年对电子烟的知识，对危害性和成瘾性的看法，以及在电子烟教育会议之前和之后尝试电子烟的意图。方法：我们在亚拉巴马的初中和高中学生中进行了一组前和后测试研究。干预措施包括基于斯坦福大学烟草预防工具包的30分钟教育课程，内容涉及电子烟类型，内容，营销和广告，健康影响和尼古丁成瘾。采用McNemar配对比例检验和多水平混合效应Logistic回归模型分析干预效果。该干预措施与电子烟知识的显着增加以及电子烟有害和成瘾的看法有关，并且尝试电子烟的意图显着降低。在预测试中，中学生的知识较低，认为电子烟不会上瘾，并且与高中生相比，他们对电子烟和香烟的尝试意愿更高。与感知危害性和成瘾性较低相关的群体包括：曾经使用过电子烟、曾经使用过电子烟和香烟以及曾经使用过薄荷/薄荷味电子烟的群体。结论：以学校为基础的教育课程与提高青少年对电子烟的认识显着相关，增加了对电子烟的感知危害和成瘾性，并减少了尝试电子烟的意图。电子烟教育应优先考虑中学生，因为与高中生相比，中学生的知识水平较低，尝试烟草的意愿较高。
Background and objectives: Educational programs are needed to combat the sharp rise in adolescent e-cigarette use. We assessed adolescent knowledge about e-cigarettes, perceptions of harmfulness and addictiveness and intent to try e-cigarettes before and after an e-cigarette educational session.Methods: We conducted a one-group pre- and post-test study among middle and high school students in Alabama in 2019. The intervention included a 30-minute educational session based on the Stanford Tobacco Prevention Toolkit on e-cigarette types, contents, marketing and advertising, health effects and nicotine addiction. McNemar tests of paired proportions and multi-level, mixed-effects logistic regression models were used to analyze intervention effects.Results: Surveys were completed by 2,889 middle and high school students. The intervention was associated with significantly increased knowledge about e-cigarettes and perceptions that e-cigarettes are harmful and addictive, and with significantly lower intent to try e-cigarettes. At pre-test, middle school students had lower knowledge, believed that e-cigarettes were not as addictive and showed higher intent to try both e-cigarettes and cigarettes compared to high school students. Groups that were associated with lower perceived harmfulness and addictiveness were: ever-users of e-cigarettes, ever-users of both e-cigarettes and cigarettes and prior users of mint/menthol flavored e-cigarettes.Conclusions: A school-based educational session was significantly associated with improved adolescent knowledge about e-cigarettes, increased the perceived harmfulness and addictiveness of e-cigarettes, and reduced intent to try e-cigarettes. E-cigarette education should be prioritized for middle school students due to lower levels of knowledge and higher intent to try tobacco compared to high school students.