A systematic review of peer-support programs for smoking cessation in disadvantaged groups.

A systematic review of peer-support programs for smoking cessation in disadvantaged groups.
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DOI:
10.3390/ijerph10115507
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发表时间:
2013-10-28
影响因子:
--
通讯作者:
Gartner C
Gartner C
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Ford P;Clifford A;Gussy K;Gartner C

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吸烟的负担主要由社会弱势群体承担,吸烟的社会梯度大大加剧了富人和穷人之间的健康差距。许多因素导致社会弱势群体的烟草使用率较高,包括社会(例如,对戒烟的社会支持低),心理(例如,自我效能低)和身体因素(例如,更大的尼古丁依赖)。目前的证据表明,同伴或伴侣支持干预措施在提高普通人群戒烟尝试成功率方面的有效性是模棱两可的,这主要是由于研究设计和缺乏理论框架。我们对弱势群体戒烟的同伴支持干预进行了系统的回顾。符合纳入标准的八项研究表明,改善戒烟社会支持的干预措施对于非正式获得此类支持的机会较少的弱势群体来说可能更加重要。同伴支持计划正在成为人们在社会支持背景下管理健康问题的高效和赋权方式。我们讨论了同伴支持计划的潜力,以解决弱势群体吸烟的高患病率,并在他们的社区建设能力。
The burden of smoking is borne most by those who are socially disadvantaged and the social gradient in smoking contributes substantially to the health gap between the rich and poor. A number of factors contribute to higher tobacco use among socially disadvantaged populations including social (e.g., low social support for quitting), psychological (e.g., low self-efficacy) and physical factors (e.g., greater nicotine dependence). Current evidence for the effectiveness of peer or partner support interventions in enhancing the success of quit attempts in the general population is equivocal, largely due to study design and lack of a theoretical framework in this research. We conducted a systematic review of peer support interventions for smoking cessation in disadvantaged groups. The eight studies which met the inclusion criteria showed that interventions that improve social support for smoking cessation may be of greater importance to disadvantaged groups who experience fewer opportunities to access such support informally. Peer-support programs are emerging as highly effective and empowering ways for people to manage health issues in a socially supportive context. We discuss the potential for peer-support programs to address the high prevalence of smoking in vulnerable populations and also to build capacity in their communities.
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