Meta-Analysis: Effect of School-Based Health Promotion Strategy on Smoking Habits in Adolescents
Abstract
Background: Smoking is the biggest preventable cause of death in the world. Tobacco1 is a global problem experienced by both developed and developing countries, the gap in smoking rates between those in high and low socioeconomic groups has widened over the same period. Smoking behavior is not only in adults but also among school students. Peers have previously been reported to play a role in initiating smoking behavior in school-age students. Students' attitudes and behavior related to smoking behavior are influenced by personal knowledge and how peers behave. The purpose of this study was to determine the effect of school-based health promotion strategies on smoking habits in adolescents based on the results of previous studies.
Subjects and Method: This study is a meta-analysis study with Population: adolescents. Intervention: using school-based health promotion strategies. Comparison: not using school-based health promotion strategies. Outcome: success in not smoking. The article search process is carried out through the Pubmed web search engine and is a research article published from 2013-2022. The articles obtained will be filtered using the stages according to the PRISM flow diagram.
Results: A total of 9 articles used in this study were reviewed and met the requirements for a meta-analysis, the research conducted in these articles was carried out in various continents such as European, America, Africa, Asia, and Australia. Where from the meta-analysis of 9 randomized controlled trial articles, it is known that school-based health promotion strategies increase succes not smoking, and it was statistically significant (OR= 0.49; 95 % CI= 0.43 to 0.56; p= 0.001)
Conclusion: The perceived benefit was not statistically significant in predicting the practice of BSE in women.
Keywords: smoking, school-based health promotion, youth.
Correspondence:
Bhre Diansyah Dinda Khalifatulloh. Polytechnic of Jember, East Java. Jl. Mastrip, Krajan Timur, Sumbersari, Jember, East Java 68121. Email: Bhrediansyah98@gmail.com. Mobile: +6281333085809.
Journal of Health Promotion and Behavior (2022), 07(02): 132-141
DOI: https://doi.org/10.26911/thejhpb.2021.07.02.05
References
Amoah J, Said S, Rampal L (2021). Effects of a school-based intervention to reduce cardiovascular disease risk factors among secondary school stu¬dents: A cluster-randomized, controlled trial. PLoS ONE, 16(November), pp. 1–16. doi: 10.1371/-journal.pone.¬0259581.
Anulus A, Murti B, Prasetya H (2019). Risk Factors of HIV among Male Military Personnels: A Meta Analysis. Journal of Health Promotion and Behavior, 4(3), pp. 178–188. doi: 10.26911/the-jhpb.2019.04.03.03.
Brinker TJ, Owczarek AD, Seeger W (2017). A medical student-delivered smoking prevention program, education against tobacco, for secondary schools in Germany: Randomized controlled trial. Journal of Medical Internet Research, 19(6), pp. 1–11. doi:10.2196/-jmir.7906.
CDC (2020). Youth and Tobacco Use. United States of America: National Center for Chronic Disease Prevention and Health Promotion.
Drope J, Schluger N, Cahn Z, Drope Ja, Hamill S, Islami F, Liber A (2018). The Tobacco Atlas 6th edition. Atlanta: American Cancer Society and Vital Strategies. Amerika Serikat: American Cancer Society.
Hodder RK, Freund M, Bowman J, Wolfen L, Campbell E, Dray J, Lecathelinais C (2017). Effectiveness of a pragmatic school-based universal resilience intervention in reducing tobacco, alcohol and illicit substance use in a population of adolescents: Cluster-rando-mised controlled trial. BMJ Open, 7(8). DOI: 10.1136/bmjopen-2017-01-6060.
Islami SU, Prasetya H, Murti B (2019) Schools have contextual influence on smoking behavior among high school students in Dumai, Riau. J Health Promot Behav, 4(3), pp. 212–223.
Lisboa OC, Souza BB, Xavier LEDF, Almeida MR, Correa PCRP, Brinker TJ (2019). A smoking prevention program delivered by medical students to secondary schools in Brazil called “Education against Tobacco”: Randomized controlled trial. Journal of Medical Internet Research, 21(2). doi: 10.2196/12854.
Müller-Riemenschneider F, Krist L, Burger C, Strobele NB, Roll S, Rieckman N, Muller JN (2014). Berlin evaluates school tobacco prevention - BEST prevention: Study design and methodology. BMC Public Health, 14(1), pp. 1–10. doi: 10.1186/1471-2458-14-871.
Sarin SK, Cvallo DA, Cooney JL, Schepis TS, Kong G, Liss TB, Liss AK (2013). An exploratory randomized controlled trial of a novel high-schoolbased smo-king cessation intervention for adolescent smokers using abstinence contingent incentives and cognitive behavioral therapy Drug Alcohol Depend, 132(1–2), p. 346‐351.
Tahlil T, Woodman RJ, Covoney J, Ward PR (2013). The impact of education programs on smoking prevention: a randomized controlled trial among 11 to 14 year olds in Aceh , Indonesia. BMC Public Health 13(3):367-378.
Tahlil T, Woodman RJ, Covoney J, Ward PR (2015). Six-months follow-up of a cluster randomized trial of school-based smoking prevention education programs in Aceh, Indonesia. BMC Public Health. 1–10. doi: 10.1186/-s12889-015-2428-4.
Tahmasebi R, Noroozi A (2016). Is health locus of control a modifying factor in the health belief model for prediction of breast self-examination?. Asian Pacific Journal of Cancer Prevention, 17(4): 2229–2233. doi: 10.7314/AP-JCP.2016.17.4.2229.
Thomas R, McLella, Perera R (2015). Effectiveness of school-based smoking prevention curricula: systematic review and meta-analysis, BJM Journal, 5(3).
Thurston A, Dunne L, Kee F, Gildea A, Craig N, Stark P, Lazenbatt A (2019). A randomized controlled efficacy trial of a smoking prevention programme with Grade 8 students in high schools. International Journal of Educational Research, 93, pp. 23–32. doi: 10.-10-16/j.ijer.2018.10.003.
