Efficacy of a smoking cessation program in a population of adolescent smokers in vocational schools: a public health evaluative controlled study

BMC Public Health

François Alla³  Denis Zmirou-Navier²  Abraham Bohadana⁴  Yves Martinet⁴  Céline Maire⁶  Francine Thouvenot⁷  Dovi S Acouetey⁵  Nathalie Wirth⁴  Hervé Martini¹  Linda Cambon⁶  Laetitia Minary⁵ 

[1] Réseau Lorrain d’Alcoologie et des Dépendances Associées, Hôpital Villemin, Centre Hospitalier Universitaire Nancy, Nancy, France;EHESP School of Public Health, Rennes, France;Université de Lorraine, Université Paris Descartes, Apemac, EA 4360, Nancy, F-54 000, France;CHU de Nancy, Service de pneumologie, Nancy, France;INSERM U 954, Faculté de Médecine, Nancy, France;IREPS Lorraine, Nancy, France;Epinal, France

关键词: control;    Smoking prevention &;    Addiction;    Adolescent;    Evaluation;    Tobacco cessation;   

Others  :  1162530
DOI  :  10.1186/1471-2458-13-149

 received in 2012-07-13, accepted in 2013-02-07,  发布年份 2013

【 摘 要 】

Background

To evaluate the public health efficacy of a community-based smoking cessation program (TABADO) among vocational school trainees (15 to 20 years old).

Methods

This prospective, controlled, quasi-experimental study was conducted in eight vocational training centres (VTC) in France. The intervention group underwent the TABADO program, which included a general information session for all students and small-group sessions plus individual counselling and nicotine therapy, if needed, for volunteers in an enhanced program. The control group received no specific intervention other than the educational services usually available. The primary outcome was 30-day point prevalence abstinence at 12 months.

Results

The mean age of the 1,814 students included was 16.9 years (SD = 1.0); 84.7% were males. At baseline, 52% were smokers and 5.7% ex-smokers. In the intervention group, 24.6% of smokers volunteered for the enhanced program and 18.1% could be included. By 12-month follow-up, with participants lost to follow-up considered non-abstinent, 10.6% of smokers in the intervention group had become abstinent versus 7.4% in the control group (adjusted p = 0.03; odds ratio [OR] = 1.8; 95% confidence interval [CI] = 1.05–3.0); considering lost to follow-up as missing data, 17% of intervention group participants were abstinent versus 11.9% in the control group (univariate p = 0.08; adjusted p = 0.008; OR = 2.1; 95% CI = 1.2–3.6).

Conclusion

The TABADO program, targeting teenagers in vocational schools, was effective in producing a higher 12-month abstinence rate among all smokers in the intervention group.

Trial registration

Clinical trial identification number is NTC00973570.

【 授权许可】

   
2013 Minary et al; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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