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Text messaging to help women with overweight or obesity lose weight after childbirth: the intervention adaptation and SMS feasibility RCT 短信帮助超重或肥胖妇女产后减肥:干预适应与短信可行性RCT
Pub Date : 2020-03-25 DOI: 10.3310/phr08040
C. McGirr, C. Rooney, Dunla Gallagher, S. Dombrowski, A. Anderson, C. Cardwell, C. Free, P. Hoddinott, V. Holmes, E. McIntosh, Camilla Somers, J. Woodside, I. Young, F. Kee, M. McKinley
Background: There is a need to develop weight management interventions that fit seamlessly into the busy lives of women during the postpartum period. Objective: The objective was to develop and pilot-test an evidence- and theory-based intervention, delivered by short message service, which supported weight loss and weight loss maintenance in the postpartum period. Design: Stage 1 involved the development of a library of short message service messages to support weight loss and weight loss maintenance, with personal and public involvement, focusing on diet and physical activity with embedded behaviour change techniques, and the programming of a short message service platform to allow fully automated intervention delivery. Stage 2 comprised a 12-month, single-centre, two-arm, pilot, randomised controlled trial with an active control. Setting: This study was set in Northern Ireland; women were recruited via community-based approaches. Participants: A total of 100 women with overweight or obesity who had given birth in the previous 24 months were recruited. Interventions: The intervention group received an automated short message service intervention about weight loss and weight loss maintenance for 12 months. The active control group received automated short message service messages about child health and development for 12 months. Main outcome measures: The main outcomes measured were the feasibility of recruitment and retention, acceptability of the intervention and trial procedures, and evidence of positive indicative effects on weight. Weight, waist circumference and blood pressure were measured by the researchers; participants completed a questionnaire booklet and wore a sealed pedometer for 7 days at baseline, 3, 6, 9 and 12 months. Outcome assessments were collected during home visits and women received a voucher on completion of each of the assessments. Qualitative interviews were conducted with women at 3 and 12 months, to gather feedback on the intervention and active control and the study procedures. Quantitative and qualitative data were used to inform the process evaluation and to assess fidelity, acceptability, dose, reach, recruitment, retention, contamination and context. Results: The recruitment target of 100 participants was achieved (intervention, n = 51; control, n = 49); the mean age was 32.5 years (standard deviation 4.3 years); 28 (28%) participants had a household income of < £29,999 per annum. Fifteen women became pregnant during the follow-up (intervention, n = 9; control, n = 6) and withdrew from the study for this reason. At the end of the 12-month study, the majority of women remained in the study [85.7% (36/42) in the intervention group and 90.7% (39/43) in the active control group]. The research procedures were well accepted by women. Both groups indicated a high level of satisfaction with the short message service intervention that they were receiving. There was evidence to suggest that th
背景:有必要开发体重管理干预措施,以无缝适应产后妇女忙碌的生活。目的:目的是开发和试点一种基于证据和理论的干预措施,通过短信服务提供,支持产后减肥和减肥维持。设计:第一阶段包括开发一个支持减肥和维持减肥的短信服务消息库,个人和公众都参与其中,重点关注饮食和身体活动,并采用嵌入式行为改变技术,以及编写一个短信服务平台,允许完全自动化的干预交付。第二阶段包括一项为期12个月的单中心、双臂、先导、随机对照试验。环境:本研究设置在北爱尔兰;妇女是通过以社区为基础的方法招募的。参与者:总共招募了100名超重或肥胖的女性,她们在过去的24个月内生过孩子。干预措施:干预组接受为期12个月的关于减肥和维持减肥的自动短信服务干预。主动控制组在12个月内收到有关儿童健康和发展的自动短信服务信息。主要结果测量:测量的主要结果是招募和保留的可行性,干预和试验程序的可接受性,以及对体重的积极指示性影响的证据。研究人员测量了他们的体重、腰围和血压;参与者完成一份问卷小册子,并在基线、3、6、9和12个月时佩戴密封计步器7天。结果评估是在家访期间收集的,妇女在完成每次评估后收到一张代金券。在3个月和12个月时对妇女进行定性访谈,以收集有关干预和主动控制以及研究程序的反馈。定量和定性数据用于过程评估,并评估保真度、可接受性、剂量、覆盖范围、招募、保留、污染和环境。结果:达到100名受试者的招募目标(干预,n = 51;对照组,n = 49);平均年龄32.5岁(标准差4.3岁);28名(28%)参与者的家庭年收入低于29,999英镑。15名妇女在随访期间怀孕(干预,n = 9;对照,n = 6),并因此退出研究。在12个月的研究结束时,大多数女性仍在研究中[干预组为85.7%(36/42),积极对照组为90.7%(39/43)]。研究程序得到了妇女的广泛接受。两组人都对他们收到的短信服务干预表示高度满意。有证据表明,干预可能对产后体重减轻和预防体重增加有积极作用。局限性:3个月和12个月的访谈是由收集其他结果数据的同一研究人员进行的。结论:一种基于证据和理论的短信服务干预方法成功地应用于产后超重和肥胖妇女。在为期12个月的随机对照试验中,该干预措施对女性是可接受的,并且是可行的。完全随机对照试验的进展标准以检查有效性和成本效益。未来的工作:需要在试点试验的基础上对干预和试验程序进行一些小的改进,为进行完全随机对照试验做准备。试验注册:当前对照试验ISRCTN90393571。资助:该项目由国家卫生研究所(NIHR)公共卫生研究方案资助,将全文发表在《公共卫生研究》上;第8卷第4期请参阅NIHR期刊图书馆网站了解更多项目信息。干预费用由北爱尔兰公共卫生局提供。
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引用次数: 5
An app-, web- and social support-based weight loss intervention for adults with obesity: the HelpMeDoIt! feasibility RCT 针对肥胖成年人的基于应用程序、网络和社会支持的减肥干预:HelpMeDoIt!可行性RCT
Pub Date : 2020-03-01 DOI: 10.3310/phr08030
S. Simpson, L. Matthews, J. Pugmire, A. McConnachie, E. McIntosh, Elinor Coulman, Kathryn M Hughes, M. Kelson, S. Morgan-Trimmer, S. Murphy, Olga Utkina-Macaskill, L. Moore
Background: Finding solutions to rising levels of obesity continues to be a major public health focus. Social support has an important role in successful weight loss, and digital interventions can reach a large proportion of the population at low cost. Objective: To develop and assess the feasibility and acceptability of an application (app), web- and social support-based intervention in supporting adults with obesity to achieve weight loss goals. Design: Stage 1 – intervention development phase involved three focus groups (n = 10) with users, and think-aloud interviews and field testing with another group (n = 28). Stage 2 – the intervention and evaluation methods were explored in a feasibility randomised controlled trial with economic and process evaluation. Setting: Greater Glasgow and Clyde, UK. Participants: Adults with a body mass index of ≥ 30kg/m2 who owned a smartphone and were interested in losing weight were randomised 2 : 1 (intervention : control) and followed up at 12 months. Recruitment took place in April–October 2016. Interventions: The intervention group had access to HelpMeDoIt! for 12 months. This encouraged them to (1) set goals, (2) monitor progress and (3) harness social support by inviting ‘helpers’ from their existing social network. The control group received a healthy lifestyle leaflet. Main outcome measures: Data from stage 1 informed the intervention design. Key measures in stage 2 assessed the feasibility and acceptability of the intervention and trial methods against prespecified progression criteria. Three primary outcomes were explored: body mass index, diet and physical activity. Secondary outcomes included weight, waist and hip circumference, social support, self-efficacy, motivation, mental health, health-related quality of life, NHS resource use, participant-borne costs and intervention costs. Qualitative interviews with participants (n = 26) and helpers (n = 9) explored the feasibility and acceptability of the trial methods and intervention. Results: Stage 1 produced (1) a website that provided evidence-based information for lifestyle change and harnessing social support, and (2) an app that facilitated goal-setting, self-monitoring and supportive interaction between participants and their helper(s). Progression criteria were met, demonstrating that the intervention and trial methods were feasible and acceptable. A total of 109 participants (intervention, n = 73; control, n = 36) were recruited, with 84 participants (77%: intervention, 71%; control, 89%) followed up at 12 months. Data were successfully collected for most outcome measures (≥ 82% completion). Participants and helpers were generally positive, although helper engagement with the app was low. Of the 54 (74%) participants who downloaded the app, 48 (89%) used it twice or more, 28 helpers enrolled via the app, and 19 (36%) participants interacted with their helper(s) via the app. Interview data indicated that HelpMeDoIt!
背景:寻找解决肥胖水平上升的方法仍然是公共卫生的主要关注点。社会支持在成功减肥中发挥着重要作用,数字干预可以以低成本惠及大部分人口。目的:开发和评估基于应用程序、网络和社会支持的干预措施的可行性和可接受性,以支持肥胖成年人实现减肥目标。设计:第1阶段-干预发展阶段涉及三个重点小组(n = 10) 与用户,并大声思考与另一组(n = 28)。第2阶段——在一项具有经济和过程评估的可行性随机对照试验中探讨了干预和评估方法。背景:英国大格拉斯哥和克莱德。参与者:体重指数≥ 30公斤/平方米拥有智能手机并对减肥感兴趣的人被随机分配2 : 1(干预 : 对照组),随访12个月。招聘于2016年4月至10月进行。干预措施:干预小组可以访问HelpMeDoIt!为期12个月。这鼓励他们(1)设定目标,(2)监督进展,(3)通过邀请现有社交网络中的“帮助者”来利用社会支持。对照组接受健康生活方式传单。主要结果指标:第1阶段的数据为干预设计提供了依据。第2阶段的关键措施根据预先指定的进展标准评估了干预和试验方法的可行性和可接受性。探讨了三个主要结果:体重指数、饮食和体育活动。次要结果包括体重、腰围和臀围、社会支持、自我效能、动机、心理健康、健康相关的生活质量、NHS资源使用、参与者承担的成本和干预成本。对参与者的定性访谈(n = 26)和助手(n = 9) 探讨了试验方法和干预措施的可行性和可接受性。结果:第一阶段产生了(1)一个网站,为生活方式的改变和利用社会支持提供循证信息,以及(2)一个应用程序,促进参与者和他们的帮助者之间的目标设定、自我监控和支持性互动。符合进展标准,表明干预和试验方法是可行和可接受的。共有109名参与者(干预,n = 73;控制,n = 36),84名参与者(77%:干预组,71%;对照组,89%)在12个月时随访。成功收集了大多数结果测量的数据(≥ 82%完成)。参与者和帮助者总体上是积极的,尽管帮助者对该应用程序的参与度很低。在下载该应用程序的54名(74%)参与者中,48名(89%)参与者使用了两次或两次以上,28名助手通过该应用程序注册,19名(36%)参与者通过该应用与助手互动。访谈数据显示HelpMeDoIt!提示了助手的支持,而助手通常不使用该应用程序。限制:早期的技术问题意味着一些参与者和助手很难访问该应用程序。道德约束意味着我们无法直接联系帮助者进行面试。结论:The HelpMeDoIt!研究表明,通过应用程序和网站进行减肥干预是可行和可接受的。符合进展标准,支持进一步评估干预措施。未来的工作:进一步探讨(1)帮助者的动机和参与度,(2)计划理论,以及(3)干预的有效性和成本效益。试验注册:当前对照试验ISRCTN85615983。资助:该项目由国家卫生研究所公共卫生研究计划资助,并将在《公共卫生研究》上全文发表;第8卷第3期。有关更多项目信息,请访问NIHR期刊图书馆网站。
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引用次数: 54
A weight management programme for fathers of children aged 4–11 years: cultural adaptation and the Healthy Dads, Healthy Kids UK feasibility RCT 4-11岁儿童父亲体重管理方案:文化适应和英国健康父亲、健康儿童可行性随机对照试验
Pub Date : 2020-02-01 DOI: 10.3310/phr08020
K. Jolly, T. Griffin, M. Sidhu, P. Adab, A. Burgess, C. Collins, A. Daley, A. Entwistle, E. Frew, P. Hardy, K. Hurley, Laura Jones, E. McGee, M. Pallan, Yongzhong Sun, M. Young, P. Morgan
Background More men than women in the UK are living with overweight or obesity, but men are less likely to engage with weight loss programmes. Healthy Dads, Healthy Kids is an effective Australian weight management programme that targets fathers, who participate with their primary school-aged children. Behavioural interventions do not always transfer between contexts, so an adaptation of the Healthy Dads, Healthy Kids programme to an ethnically diverse UK setting was trialled. Objectives To adapt and test the Australian Healthy Dads, Healthy Kids programme for delivery to men in an ethnically diverse, socioeconomically disadvantaged UK setting. Design Phase 1a studied the cultural adaptation of the Healthy Dads, Healthy Kids programme and was informed by qualitative data from fathers and other family members, and a theoretical framework. Phase 1b was an uncontrolled feasibility trial. Phase 2 was a randomised controlled feasibility trial. Setting Two ethnically diverse, socioeconomically disadvantaged UK cities. Participants In phase 1a, participants were parents and family members from black and minority ethnic groups and/or socioeconomically deprived localities. In phases 1b and 2, participants were fathers with overweight or obesity and their children aged 4–11 years. Interventions The adapted Healthy Dads, Healthy Kids intervention comprised nine sessions that targeted diet and physical activity and incorporated joint father–child physical activity. Healthy Dads, Healthy Kids was delivered in two programmes in phase 1b and four programmes in phase 2. Those in the comparator arm in phase 2 received a family voucher to attend a local sports centre. Main outcome measures The following outcomes were measured: recruitment to the trial, retention, intervention fidelity, attendance, feasibility of trial processes and collection of outcome data. Results Forty-three fathers participated (intervention group, n = 29) in phase 2 (48% of recruitment target), despite multiple recruitment locations. Fathers’ mean body mass index was 30.2 kg/m2 (standard deviation 5.1 kg/m2); 60.2% were from a minority ethnic group, with a high proportion from disadvantaged localities. Twenty-seven (63%) fathers completed follow-up at 3 months. Identifying sites for delivery at a time that was convenient for the families, with appropriately skilled programme facilitators, proved challenging. Four programmes were delivered in leisure centres and community venues. Of the participants who attended the intervention at least once (n = 20), 75% completed the programme (attended five or more sessions). Feedback from participants rated the sessions as ‘good’ or ‘very good’ and participants reported behavioural change. Researcher observations of intervention delivery showed that the sessions were delivered with high fidelity. Conclusions The intervention was well delivered and received, but there were significant challenges in recruiting overweight men, and follow-up rates at 3 and 6
背景在英国,超重或肥胖的男性多于女性,但男性参与减肥计划的可能性较小。“健康的爸爸,健康的孩子”是一项有效的澳大利亚体重管理计划,目标是与小学年龄的孩子一起参与的父亲。行为干预并不总是在不同的环境中转移,因此,对“健康爸爸,健康孩子”计划进行了调整,以适应英国种族多样的环境。目的调整和测试澳大利亚健康爸爸、健康孩子计划,在种族多样、社会经济弱势的英国环境中为男性提供服务。设计阶段1a研究了“健康爸爸,健康孩子”计划的文化适应,并从父亲和其他家庭成员的定性数据和理论框架中获得信息。1b期是一项不受控制的可行性试验。第二阶段是一项随机对照的可行性试验。背景两个种族多元化、社会经济弱势的英国城市。参与者在第1a阶段,参与者是来自黑人和少数民族和/或社会经济贫困地区的父母和家庭成员。在第1b和第2阶段,参与者是超重或肥胖的父亲及其4-11岁的孩子。干预措施经过调整的“健康爸爸,健康孩子”干预措施包括九个阶段,针对饮食和体育活动,并纳入父子联合体育活动。在第1b阶段的两个方案和第2阶段的四个方案中提供了“健康的爸爸,健康的孩子”。第二阶段的对照组成员获得了前往当地体育中心的家庭代金券。主要结果测量测量了以下结果:试验招募、保留、干预保真度、出勤率、试验过程的可行性和结果数据的收集。结果43名父亲(干预组,n=29)参与了第二阶段(招募目标的48%),尽管有多个招募地点。父亲的平均体重指数为30.2 kg/m2(标准偏差为5.1 kg/m2);少数民族占60.2%,贫困地区占很大比例。27名(63%)父亲在3个月时完成了随访。事实证明,在对家庭方便的时候,在有适当技能的方案促进者的情况下,确定交付地点具有挑战性。在休闲中心和社区场所举办了四个节目。在至少参加过一次干预的参与者中(n=20),75%完成了该计划(参加了五次或五次以上的会议)。参与者的反馈将会议评为“良好”或“非常好”,参与者报告了行为变化。研究人员对干预交付的观察表明,这些会议是以高保真度交付的。结论干预效果良好,但在招募超重男性方面存在重大挑战,3个月和6个月的随访率较低。我们不建议进行最终试验,因为在英国种族多样、社会经济贫困的社区中,向超重和肥胖的父亲提供“健康爸爸,健康孩子”计划是不可行的。需要做更多的工作来探索让来自种族多样、社会经济贫困人群的父亲参与研究的最佳方式。试验注册当前对照试验ISRCTN16724454。资助该项目由国家卫生研究所(NIHR)公共卫生研究计划资助,并将在《公共卫生研究》上全文发表;第8卷第2期。有关更多项目信息,请访问NIHR期刊图书馆网站。
{"title":"A weight management programme for fathers of children aged 4–11 years: cultural adaptation and the Healthy Dads, Healthy Kids UK feasibility RCT","authors":"K. Jolly, T. Griffin, M. Sidhu, P. Adab, A. Burgess, C. Collins, A. Daley, A. Entwistle, E. Frew, P. Hardy, K. Hurley, Laura Jones, E. McGee, M. Pallan, Yongzhong Sun, M. Young, P. Morgan","doi":"10.3310/phr08020","DOIUrl":"https://doi.org/10.3310/phr08020","url":null,"abstract":"Background More men than women in the UK are living with overweight or obesity, but men are less likely to engage with weight loss programmes. Healthy Dads, Healthy Kids is an effective Australian weight management programme that targets fathers, who participate with their primary school-aged children. Behavioural interventions do not always transfer between contexts, so an adaptation of the Healthy Dads, Healthy Kids programme to an ethnically diverse UK setting was trialled. Objectives To adapt and test the Australian Healthy Dads, Healthy Kids programme for delivery to men in an ethnically diverse, socioeconomically disadvantaged UK setting. Design Phase 1a studied the cultural adaptation of the Healthy Dads, Healthy Kids programme and was informed by qualitative data from fathers and other family members, and a theoretical framework. Phase 1b was an uncontrolled feasibility trial. Phase 2 was a randomised controlled feasibility trial. Setting Two ethnically diverse, socioeconomically disadvantaged UK cities. Participants In phase 1a, participants were parents and family members from black and minority ethnic groups and/or socioeconomically deprived localities. In phases 1b and 2, participants were fathers with overweight or obesity and their children aged 4–11 years. Interventions The adapted Healthy Dads, Healthy Kids intervention comprised nine sessions that targeted diet and physical activity and incorporated joint father–child physical activity. Healthy Dads, Healthy Kids was delivered in two programmes in phase 1b and four programmes in phase 2. Those in the comparator arm in phase 2 received a family voucher to attend a local sports centre. Main outcome measures The following outcomes were measured: recruitment to the trial, retention, intervention fidelity, attendance, feasibility of trial processes and collection of outcome data. Results Forty-three fathers participated (intervention group, n = 29) in phase 2 (48% of recruitment target), despite multiple recruitment locations. Fathers’ mean body mass index was 30.2 kg/m2 (standard deviation 5.1 kg/m2); 60.2% were from a minority ethnic group, with a high proportion from disadvantaged localities. Twenty-seven (63%) fathers completed follow-up at 3 months. Identifying sites for delivery at a time that was convenient for the families, with appropriately skilled programme facilitators, proved challenging. Four programmes were delivered in leisure centres and community venues. Of the participants who attended the intervention at least once (n = 20), 75% completed the programme (attended five or more sessions). Feedback from participants rated the sessions as ‘good’ or ‘very good’ and participants reported behavioural change. Researcher observations of intervention delivery showed that the sessions were delivered with high fidelity. Conclusions The intervention was well delivered and received, but there were significant challenges in recruiting overweight men, and follow-up rates at 3 and 6","PeriodicalId":32306,"journal":{"name":"Public Health Research","volume":"8 1","pages":"1-166"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44912328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
The impact of the point-of-sale tobacco display ban on young people in Scotland: before-and-after study 苏格兰销售点烟草展示禁令对年轻人的影响:前后对比研究
Pub Date : 2020-01-24 DOI: 10.3310/PHR08010
S. Haw, D. Currie, D. Eadie, J. Pearce, A. MacGregor, M. Stead, A. Amos, C. Best, Michael Wilson, M. Cherrie, R. Purves, G. Ozakinci, A. MacKintosh
Background Tobacco displays at point of sale have been shown to increase young people’s pro-smoking attitudes, susceptibility to smoking and smoking initiation. In Scotland, legislation that prohibited tobacco point-of-sale displays was implemented in large stores (i.e. those > 280 m2) in April 2013 and in small retailers in April 2015. Objective To assess the impact of the point-of-sale tobacco display ban on young people’s exposure to tobacco advertising, their attitudes to smoking and smoking susceptibility, and their risk of smoking initiation. Design Multimodal before-and-after study design using mixed methods to collect data at baseline (2013) and then longitudinally for 4 years. Setting Four main study communities in the central belt of mainland Scotland, UK, purposively selected to reflect two levels of urbanity (urban vs. small town) and two levels of deprivation (high vs. medium/low). Four matched communities. Participants In the main study communities, 94 tobacco retail outlets. All Secondary 2 (aged 13 years) and Secondary 4 (aged 15 years) pupils in 2013 and 2014 together with all Secondary 1 to Secondary 6 (aged 12–17 years) pupils in 2015–17. This included 6612 pupils who completed 14,344 questionnaires over 5 years. Three hundred and eighty-two participants in 80 focus groups who were recruited from Secondary 2 and Secondary 4 in 2013–17. In matched communities, 24 retail panel members in 2013–17. Main outcome measures Tobacco product and tobacco storage visibility, density of retail outlets (the number of retailers in a pre-defined area such as a residential neighbourhood), tobacco product exposure, brand awareness, perceived accessibility of tobacco, pro-smoking attitudes, pro-smoking norms, smoking susceptibility and smoking initiation. Data platform and methods The study had four components – a mapping and spatial analysis of retail outlets; a tobacco marketing audit, including retail panel interviews in matched communities; school surveys; and focus group discussions with secondary school pupils. Limitations The study was based on a small number of communities and did not include communities in remote areas. Results Compliance with the point-of-sale legislation in Scotland was high. This led to a large reduction in the visibility of tobacco products in retail outlets. However, when the results were stratified by socioeconomic status, declines in retailer density, weighted by total product visibility, were restricted to the least disadvantaged tertile of participants. Nevertheless, the implementation of the legislation was associated with a reduction in risk of both smoking susceptibility and smoking initiation in young people, as well as a reduction in the perceived accessibility of tobacco and in pro-smoking attitudes after both the partial and the comprehensive bans were introduced. Conclusions The Scottish point-of-sale legislation has been successful in reducing the overall visibility of tobacco products and is associated
背景销售点的烟草展示已被证明会增加年轻人的支持吸烟的态度、吸烟的易感性和吸烟的主动性。在苏格兰,2013年4月在大型商店(即面积大于280平方米的商店)实施了禁止烟草销售点展示的立法,2015年4月,在小型零售商中实施了该立法。目的评估销售点烟草展示禁令对年轻人接触烟草广告、吸烟态度和吸烟易感性以及吸烟风险的影响。设计研究前后的多模式设计,使用混合方法在基线(2013年)收集数据,然后纵向收集4年。设置英国苏格兰大陆中心地带的四个主要研究社区,旨在反映两个城市化水平(城市与小镇)和两个贫困水平(高与中/低)。四个匹配的社区。参与者在主要研究社区,94家烟草零售店。2013年和2014年所有中二(13岁)和中四(15岁)学生,以及2015年至2017年所有中一至中六(12-17岁)学生。这包括6612名学生,他们在5年内完成了14344份问卷调查。2013-17年,来自中二和中四的80个重点小组的382名参与者被招募。在匹配的社区中,2013-17年有24名零售小组成员。主要结果衡量烟草产品和烟草储存的可见性、零售店密度(住宅区等预定义区域的零售商数量)、烟草产品暴露量、品牌知名度、烟草的可及性、支持吸烟的态度、支持吸烟规范、吸烟易感性和吸烟率。数据平台和方法该研究包括四个组成部分——零售网点的地图绘制和空间分析;烟草营销审计,包括在匹配的社区进行零售小组访谈;学校调查;与中学生进行重点小组讨论。局限性该研究基于少数社区,不包括偏远地区的社区。结果苏格兰对销售点法规的遵守率很高。这导致烟草产品在零售店的知名度大幅下降。然而,当结果按社会经济地位进行分层时,零售商密度的下降(按产品总可见性加权)仅限于处境最不利的三分之一参与者。尽管如此,该立法的实施与降低年轻人吸烟易感性和开始吸烟的风险有关,并在部分和全面禁令出台后,降低了人们对烟草的可及性和支持吸烟的态度。结论苏格兰的销售点立法成功地降低了烟草产品的整体知名度,并与改善年轻人的态度和行为结果有关。然而,烟草待售的迹象仍然非常明显,尤其是在贫困地区的零售店。此外,2015年后观察到的零售商密度的增加加剧了产品知名度的不平等。还有证据表明,电子烟的出现可能破坏了立法的全面影响。未来的工作我们的研究表明,需要进一步的研究来检验烟草销售点的可用性和产品可见性不平等之间的纵向关系;以及电子烟和标准化包装对吸烟开始和流行的影响。资助该项目由国家卫生研究所(NIHR)公共卫生研究计划资助,并将在《公共卫生研究》上全文发表;第8卷第1期。有关更多项目信息,请访问NIHR期刊图书馆网站。
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引用次数: 18
르완다 남성의 지역기반건강보험제도 가입 결정요인: 무산제 지역을 중심으로 卢旺达男性加入地区基础健康保险的决定因素:以无产制地区为中心
Pub Date : 2020-01-01 DOI: 10.22900/KPHR.2020.46.2.001
Félix Ndayisaba, Ki Nam Jin, Jun Koo, S. Cha
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引用次数: 0
The Development and Effects of Communication Improvement Education Program for Nurses and Physicians in Nursing care Integrated Service ward 护理综合服务病区护医师沟通改善教育方案的制定与效果
Pub Date : 2020-01-01 DOI: 10.22900/KPHR.2020.46.1.002
신정애, Y. Cho
{"title":"The Development and Effects of Communication Improvement Education Program for Nurses and Physicians in Nursing care Integrated Service ward","authors":"신정애, Y. Cho","doi":"10.22900/KPHR.2020.46.1.002","DOIUrl":"https://doi.org/10.22900/KPHR.2020.46.1.002","url":null,"abstract":"","PeriodicalId":32306,"journal":{"name":"Public Health Research","volume":"46 1","pages":"17-31"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68344823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Factors Associated with Drinking Problem Experienced Among Adolescents 青少年饮酒问题的相关因素
Pub Date : 2020-01-01 DOI: 10.22900/KPHR.2020.46.2.003
Kwang Kee Kim, Hyun A Kim, JeKarl Jung
{"title":"Factors Associated with Drinking Problem Experienced Among Adolescents","authors":"Kwang Kee Kim, Hyun A Kim, JeKarl Jung","doi":"10.22900/KPHR.2020.46.2.003","DOIUrl":"https://doi.org/10.22900/KPHR.2020.46.2.003","url":null,"abstract":"","PeriodicalId":32306,"journal":{"name":"Public Health Research","volume":"46 1","pages":"29-44"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68345046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
아시아 일부 국가의 HIV/AIDS 발생 현황과 유형 亚洲部分国家的HIV/AIDS现状与类型
Pub Date : 2020-01-01 DOI: 10.22900/KPHR.2020.46.2.006
Eunkyung Oh
{"title":"아시아 일부 국가의 HIV/AIDS 발생 현황과 유형","authors":"Eunkyung Oh","doi":"10.22900/KPHR.2020.46.2.006","DOIUrl":"https://doi.org/10.22900/KPHR.2020.46.2.006","url":null,"abstract":"","PeriodicalId":32306,"journal":{"name":"Public Health Research","volume":"46 1","pages":"75-80"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68345129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of interventions for obesity of children and adolescents in Korea: Evidence from existing meta-analyses 干预措施对韩国儿童和青少年肥胖的影响:来自现有meta分析的证据
Pub Date : 2020-01-01 DOI: 10.22900/KPHR.2020.46.1.001
김설혜, Eunju Sung, Jihyun Nam, Y. Mi
{"title":"Effect of interventions for obesity of children and adolescents in Korea: Evidence from existing meta-analyses","authors":"김설혜, Eunju Sung, Jihyun Nam, Y. Mi","doi":"10.22900/KPHR.2020.46.1.001","DOIUrl":"https://doi.org/10.22900/KPHR.2020.46.1.001","url":null,"abstract":"","PeriodicalId":32306,"journal":{"name":"Public Health Research","volume":"4 1","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68344814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Secondary Sex Ratio of Twin Birth in Korea, 2000-2018 2000-2018年韩国双胞胎出生的第二性别比
Pub Date : 2020-01-01 DOI: 10.22900/KPHR.2020.46.1.007
S. H. Park, Jae Hyung Lee, D. Lim
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Public Health Research
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