Evaluation of the effect of a tobacco control intervention for college students under the advocate-promoting model in Zhejiang Province, China
10.3760/cma.j.issn.1674-0815.2019.06.008
- VernacularTitle: 倡导促进理论在浙江省4所高校控烟的应用及效果评价
- Author:
Yue XU
1
;
Shuiyang XU
;
Qingqing WU
;
Heni CHEN
;
Qiaohong LYU
Author Information
1. Zhejiang Provincial Control for Disease Control and Prevention, Hangzhou 310051, China
- Publication Type:Journal Article
- Keywords:
College student;
Smoke-free policy;
Evaluation
- From:
Chinese Journal of Health Management
2019;13(6):510-515
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of a tobacco control intervention for college students under the advocate-promoting model, and to provide evidence for methods to improve smoking control and health decisions.
Methods:Four colleges were selected from the list of colleges that participated in a survey of college student tobacco use in Zhejiang Province in 2015, and we conducted a tobacco control intervention with them under the advocate-promoting model for two years. A total of 1 007 students were selected using a random sampling method and surveyed before intervention, and 991 students were selected using a random sampling method and surveyed after the intervention. A chi-square test was used to compare the differences between tobacco use, second-hand smoke exposure, and tobacco knowledge among students before and after the intervention.
Results:After the tobacco control intervention, the attempted smoking rate among students in the four colleges dropped from 34.36% to 22.30%, the current smoking rate dropped from 12.12% to 7.87%, the second-hand smoke exposure rate decreased from 75.47% to 70.53%, the difference was statistically significant (χ2=37.73, 9.99, 6.18, P<0.05). After intervention, the proportion of students who had seen tobacco advertisements in the past 30 days decreased from 60.38% to 54.4%, the proportion of students who "saw smoking scenes in video media" decreased from 25.02% to 19.58%, and the proportion of students who "learned smoking control knowledge in class" increased from 14.20% to 18.16%, the difference was statistically significant (χ2=7.08, 8.55, 5.79, P<0.05).
Conclusion:The advocate-promoting model of "advocacy alliance" can help colleges to establish a smoke-free campus environment and improve college students’ tobacco knowledge and reduce their attempted and current smoking rates.
