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| Effectiveness of community-based smoking intervention programs in China：a meta-analysis |
| HAO Xiu-qi*, GAO Xiao-tong, DAI Tao
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| *Peking Union Medical College,Beijing 100730,China |
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Abstract Objective To evaluate the effectiveness of community smoking intervention programs in China and to provide evidence for further programs. Methods Relevant articles published before March 22,2018 were identified by searching China Biology Medicine disc,China National Knowledge Infrastructure,Wanfang Database,VIP,PubMed,Embase,Scopus,CENTRAL,CINAHL and ERIC. Intervention effects were calculated as relative risk（RR）and 95% confidence interval（95%CI）. The meta-analysis was performed by R 3.3.3 software.Results A total of 1 699 related articles（978 articles in Chinese and 721 articles in English）were retrieved,of which 23 studies（22 articles in Chinese and 1 article in English）were included in the analysis. Sixteen articles reported the smoking rate and their pooled RR was 0.77（95%CI：0.70-0.85）;seven articles reported the smoking cessation rate and their pooled RR was 3.47（95%CI：2.08-5.81）. Funnel plots and Egger's weighted regression showed no publication bias（P>0.05）. Sensitivity analysis showed that the results were relatively stable.Conclusion Community smoking intervention can effectively prevent smoking and promote smoking cessation.
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Received: 19 July 2018
Revised: 24 August 2018
Published: 04 December 2018
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[1] 中国疾病预防控制中心. 2015中国成人烟草调查报告[R].2015.
[2] CHEN Z,PETO R,ZHOU M,et al.Contrasting male and female trends in tobacco-attributed mortality in China:evidence from successive nationwide prospective cohort studies[J]. Lancet,2015,386(10002):1447-1456.
[3] 曾钊,刘娟. 中共中央国务院印发《 “健康中国2030”规划纲要》[J]. 中华人民共和国国务院公报,2016(32):5-20.
[4] 王文志,吴升平,谢立亚,等. 社区群体水平健康教育与控烟效果评价[J]. 中国慢性病预防与控制,1997,5(1):31-33.
[5] 王苏英,陈美芬,李珊. 社区护理干预对降低人群吸烟率的效果观察[J]. 心脑血管病防治,2010,10(4):298-299.
[6] 刘建平. 非随机研究的系统评价方法(一)[J]. 中国循证医学,2001,1(4):239-243.
[7] HIGGINS J,GREEN S R.Cochrane handbook for systematic reviews of interventions.4.2.6[J]. Naunyn-Schmiedebergs Archiv für experimentelle Pathologie und Pharmakologie,2009,5(2):S38.
[8] 蔡忠元,王波,吴菊英,等. 上海市宝山区社区卫Ⅶ项目控烟效果评价[J]. 中国健康教育,2003,19(5):317-319.
[9] 陈晓,刘钢,张向东,等. 社区慢性病防治知识培训对居民不良生活方式的干预效果研究[J]. 中国初级卫生保健,2014,28(5):29-30.
[10] 崔燕. 上海市社区卫生服务中心控烟干预研究[D]. 上海:复旦大学,2006.
[11] 高燕宁,梁霁,傅华. 上海社区妇女控烟相关KAP干预效果分析[J]. 中国妇幼保健,2001,16(5):294-296.
[12] 李建新,徐希胜,段秀芳,等. 北京市房山农村社区8年健康促进对吸烟危害知识、态度和行为的影响[J]. 中国慢性病预防与控制,2006,14(4):280-281.
[13] 刘华. 上海市徐汇区卫Ⅶ(健康促进)项目社区控烟的效果评价[D]. 上海:复旦大学,2002.
[14] 史清平,曲成毅,刘介平,等. 对农村社区35岁及以上人员实施控烟干预的效果评价[J]. 中国健康教育,2005,21(5):360.
[15] WANG J,XIONG W,XIE J,et al.Impact of village-based health education of tobacco control on the current smoking rate in Chinese rural areas[J]. Journal of Huazhong University of Science and Technology(Medical Sciences),2016,36(1):150-152.
[16] 汪润笙,崔士民,解鸿鹏. 辽宁省丹东市城市社区高血压健康教育综合干预效果评价[J]. 中国健康教育,2009,25(10):752-754.
[17] 王胜锋,刘清,刘庆敏,等. 综合干预对杭州市社区医务人员提供戒烟咨询的效果及影响因素分析[J]. 中华流行病学杂志,2014,35(9):1002-1006.
[18] 王特,刘运海,赵秋良,等. 社区健康宣教在脑卒中危险因素干预中的效果观察[J]. 中国社区医师(医学专业),2012,14(25):294-295.
[19] 谢高强,程显声,徐希胜,等. 社区综合干预对北京市郊区吸烟、慢性支气管炎和哮喘流行的影响[J]. 中国医学科学院学报,2005,27(1):92-98.
[20] 严迪英,任学锋,张毅,等. 北京市东城区慢性非传染病社区干预效果评价[J]. 中国慢性病预防与控制,1996,6(13):266-269.
[21] ZHOU Y,HU G,WANG D,et al.Community based integrated intervention for prevention and management of chronic obstructive pulmonary disease(COPD)in Guangdong,China:cluster randomised controlled trial[J]. BMJ,2010,341(7784):c6387.
[22] 陈亮,夏秀萍,沈志萍,等. 简短戒烟干预法在社区门诊的应用效果[J]. 临床医学研究与实践,2017,2(8):16-17.
[23] 李鲁波,孙俊伟,徐大龙,等. 健康信念模式结合耳穴刺激的社区控烟研究[J]. 浙江预防医学,2011,23(9):23-25.
[24] 梁秀娥,王爱香. 社区内婴儿家长吸烟行为干预效果评价[J]. 中国健康教育,2001,17(11):668-669.
[25] 林永峰,孙健平. 健康信念模式的社区控烟心理干预研究[J]. 中国全科医学,2010,13(7):775-777.
[26] 唐婧琼,焦娜娜,李晶,等. 分阶段控烟手册在长沙市社区吸烟者中的应用[J]. 中华行为医学与脑科学杂志,2014,23(2):156-158.
[27] 尹海燕. 社区干预对社区肺癌高危人群戒烟率的影响[J]. 中国社区医师(医学专业),2012,14(6):365-366.
[28] 郑频频. 上海市社区控烟干预研究[D]. 上海:复旦大学,2005.
[29] 吕筠,李立明. 高危人群策略与全人群策略解读[J]. 中华流行病学杂志,2010,31(2):231-232.
[30] 吴蕾,姜斌,曾静. 简短戒烟干预研究的Meta分析[J]. 中华流行病学杂志,2015,36(6):658-662.
[31] CONSORT工作组. CONSORT指南:整群随机试验扩展版[J]. 中国循证医学杂志,2006,6(5):451-458. |
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