基于社会网络理论的高等职业院校学生控烟干预效果评价  

Effectiveness evaluation of smoking control intervention based on social network theory among vocational college students

作　　者：罗敏红 孙爱 邓韵卿 李慧敏 何文雅 陈建伟 LUO Minhong;SUN Ai;DENG Yunqing;LI Huimin;HE Wenya;CHEN Jianwei(Department of Health Guidance,Guangzhou Health Publicity and Education Center,Guangzhou(510630),Guangdong Province,China)

机构地区：[1]广州市卫生健康宣传教育中心健康指导部,广东510630 [2]广东省外语艺术职业学院小学教育系

出　　处：《中国学校卫生》2025年第2期196-199,204,共5页Chinese Journal of School Health

基　　金：广东省医学科学技术研究基金项目(A2022219)。

摘　　要：目的 探讨在广州市某高等职业(高职)院校开展以社会网络理论为指导的控烟干预实践效果,为开展学校控烟干预提供参考。方法 于2023年4—5月,采用方便抽样与整群随机抽样相结合的方法,抽取某高职院校4个校区781名学生,随机分成对照组(干预前422名,干预后399名)和干预组(干预前359名,干预后329名)。基于社会网络理论,通过加强学校现有控烟网络联系,建立新的控烟社会网络以及通过项目组成员加强新控烟社会网络的手段在干预组开展6个月控烟同伴教育;对照组和干预组均接受学校大环境控烟干预。采用t检验和χ^(2)检验比较干预前后组间差异。结果 干预后,干预组烟草知识得分(8.9±4.8)高于对照组(7.6±5.0)和干预前(7.0±5.0)(t值分别为3.30,4.91,P值均<0.01)。干预后,干预组现在吸卷烟率(4.0%)低于干预前(8.1%)(χ^(2)=5.10),同伴≥50%吸卷烟人数比例(11.2%)低于干预前(16.7%)(χ^(2)=4.24)(P值均<0.05);对照组干预前后差异均无统计学意义(χ^(2)值分别为1.49,0.16,P值均>0.05)。干预后,干预组对在学校吸烟者持反感态度比例高于干预前(χ^(2)=12.34,P<0.05),其中“很反感,劝不要在自己身边吸烟”的比例由干预前的25.1%上升到干预后的35.9%;遇到吸烟者保持一定距离的比例高于干预前(χ^(2)=18.21,P<0.05),其中“距离保持3 m外”的比例从干预前的30.4%上升到干预后的40.1%;对照组干预前后差异均无统计学意义(χ^(2)值分别为3.89,2.50,P值均>0.05)。结论 基于社会网络理论在高职院校开展控烟干预,可提高学生的正确烟草知识和控烟态度及行为,降低吸烟率。Objective To explore the effectiveness of smoking control intervention guided by social network theory at a vocational college in Guangzhou City,so as to provide a reference for school smoking control intervention.Methods From April to May 2023,a combination of convenience sampling and cluster random sampling method was adopted to select 781 students from different majors in 4 campuses of a certain vocational college.They were randomly divided into a control group(422 students before intervention,399 students after intervention)and an intervention group(359 students before intervention,329 students after intervention).Based on social network theory,a 6-month tobacco control intervention was carried out in the intervention group by strengthening the existing tobacco control network connections in schools,establishing new control smoking social networks,and enhancing the role of the new control smoking social networks by members of the project team.Both the control group and intervention group received smoking control intervention in the school environment.The difference was compared by t test andχ^(2) test.Results After intervention,the knowledge score of the intervention group(8.9±4.8)was higher than that of the control group(7.6±5.0)and before intervention(7.0±5.0)(t=3.30,4.91,P<0.01).After intervention,the current smoking rate(4.0%)in the intervention group was lower than before intervention(8.1%,χ^(2)=5.10),and the number of half or more smoking peers(11.2%)was lower than before intervention(16.7%)(χ^(2)=4.24)(P<0.05);and there was no statistically significant difference between the control group before and after intervention(χ^(2)=1.49,0.16,P>0.05).The proportion of holding a negative attitude to school smokers was higher than before intervention(χ^(2)=12.34,P<0.05),with the proportion of"strongly negative and suggest no smoke around oneself"increasing from 25.1%before intervention to 35.9%after intervention;and the proportion of student who kept a distance from smokers was higher than before interven

关 键 词：烟草 健康知识 态度 实践 干预性研究 学生 

分 类 号：C913.5[经济管理] F768.29[社会学] TN711[电子电信—电路与系统] G478[文化科学—教育学]