2006-2015年中国控烟干预实践文献分析

Review on Interventions and Practice of Tobacco Control in China, 2006-2015

  • 摘要:
    目的 总结中国控烟干预存在的优点与不足,提出中国控烟存在的问题和未来的研究方向,为今后的控烟工作提供借鉴和参考。
    方法 通过关键词检索方法,在中国知网CNKI(中国期刊全文数据库)和PubMed数据库中检索所有2006-2015年间发表的关于中国人群控烟干预中英文文献。
    结果 获得符合标准的中文控烟/实践干预文献72篇,英文控烟/实践干预文献13篇。近年来控烟干预研究呈现增长趋势,但涉及内容相对单一,研究所在地也多集中在经济较为发达的城市和地区,目前尚未有涉及偏远地区以及少数民族人群的研究。所有干预以短期干预为主,长期的效果很少有研究涉及。同时,对于控烟能力建设的干预和评估比较少,难以保证持久性的控烟效果。在干预研究中,有相当大比例的研究为政策效果评估,以及国内现有戒烟药的效果评估。
    结论 目前控烟干预和实践内容相对单一,并呈现地区发展不平衡性,缺少真正创新性和自主性的干预研究。

     

    Abstract:
    Objective To summarize the pros and cons of tobacco control interventions in China, identify existing problems, propose potential directions for future research, and provide reference for future practice.
    Methods Keyword search method was used to obtain literatures published during 2006-2015 through two databases:China National Knowledge Infrastructure (CNKI) and PubMed.
    Results A total of 85 papers of interest were selected; 72 were written in Chinese and 13 in English. Despite the increasing number of papers relevant to tobacco control in recent years, most focused on similar topics and were conducted in well-developed cities or areas, while rural and remote areas and minorities were not yet involved. Most interventions were short-term, and long-term projects were insufficient. Meanwhile, since the interventions and assessments of capacity building were often absent in most projects, it was difficult to ensure the long-term effects. A majority of the studies were conducted to evaluate tobacco control policies or smoking cessation drug efficacy in China.
    Conclusion Current interventions and practice of tobacco control are concentrated into a few topics and areas, displaying imbalanced development between areas. In addition, more innovative and initiative interventions are needed.

     

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