同伴教育对中学生吸烟行为干预效果的评价

目的：评价中学生吸烟行为健康教育综合干预的效果。方法：采用小样本定量（knowledge attitude practice，知识、态度、行为）和定性RAP（repid assessment procedure,快速评估方法）相结合的方法。结果：通过18个月的干预实施，中学生有关吸烟危害健康的知识知晓率由基线调查时的39．2％上升到64．4％；态度正确率由43．0％上升到53．7％；中学生习惯吸烟率由4．3％下降到0；尝试吸烟率（29．3％）与基线调查（29．1％）相比未见增加。试点学校的学校社会环境、健康政策、学校所在社区与家庭的环境得到改善。结论：同伴教育是干预学生吸烟行为行之有效的方法。

Effectiveness of Peer Education in Preventing Middle School Students from Smoking

Objective To assess the effects of a comprehensive health education interventions in preventing middle school students from smoking. Methods A survey of knowledge, attitude and practice (quantitative) and a rapid assessment procedure (qualitative) was used to evaluate the effectiveness of interventions in a small sample of middle school students. Results After an eighteen-month intervention period, the percentage of students who could answer correctly questions about pernicious ingredients of cigarette increased from 39.2%(baseline) to 64.4%, the percentage of students whose attitudes were proper increased from 43.0%(baseline) to 53.7%. The regular smoking rate decreased from 4.3% to 0.0%, while the percentage of students who made an attempt to smoking remained at a stable level (29.3%, before intervention vs. 29.1% , after intervention). Significant improvements were found in health policies of the intervention schools, social environments of the schools and local communities as well as environment of family. Conclusions Peer education is an effective method for decreasing smoking behaviors of students.