Evaluación de resultados del Programa ARGOS: prevención de alcohol, tabaco y cannabis en adolescentes

IF 1.5 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Gaceta Sanitaria Pub Date : 2025-01-01 DOI:10.1016/j.gaceta.2025.102484

Mario Díaz Cutillas , Irene Espí Ballester , Ana B. Villar Lorenzo , Consuelo Puerta Ortuño , Sylvia López Davis , Olga Monteagudo Piqueras , Berta A. Medina Infante

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引用次数: 0

Abstract

Objective

To evaluate the impact of the ARGOS Community-Educational Program on reducing alcohol, tobacco, and cannabis use, resisting peer pressure to consume, and on increasing the perception of risk associated with consumption among 3 rd ESO and 4 th ESO students in the Region of Murcia who received the intervention during 1 st ESO and 2 nd ESO.

Method

A quasi-experimental study with 2031 students (53.1% from 3 rd ESO and 46.9% from 4 th ESO), divided into an intervention group (IG) and a comparison group (CG). Data collected in October 2020 and April 2021 were analyzed using t-tests and logistic regression adjusted by inverse probability weighting and educational centers.

Results

In April, in 3 rd ESO, the IG showed a lower probability of lifetime alcohol (OR: 0.62) and cannabis use (OR: 0.34) compared to the CG, as well as a 15.1% higher prevalence of resistance to peer pressure to consume cannabis. In October, in 4 th ESO, the moderately positive impact persisted, but by April, it had disappeared, with no clear effect on students who participated in the intervention.

Conclusions

The ARGOS Community-Educational Program had a limited impact on alcohol, tobacco, and cannabis use, resistance to peer pressure, and increased risk perception, particularly in 3 rd ESO and the early stages of 4 th ESO. Reinforcing the program with preventive interventions to consolidate and enhance its impact is deemed necessary.

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对ARGOS方案成果的评价：预防青少年酒精、烟草和大麻

目的评价ARGOS社区教育项目在减少酒精、烟草和大麻使用、抵制同伴压力消费以及增加穆尔西亚地区在第1次和第2次ESO期间接受干预的第3次和第4次ESO学生与消费相关的风险感知方面的影响。方法采用准实验研究方法，将2031名学生分为干预组（IG）和对照组（CG），其中三年级学生占53.1%，四年级学生占46.9%。对2020年10月和2021年4月收集的数据进行t检验和logistic回归分析，并通过反概率加权和教育中心进行调整。结果4月，在第三次ESO中，与CG相比，IG显示终生饮酒（OR: 0.62）和大麻使用（OR: 0.34）的可能性较低，而抵抗同伴压力消费大麻的患病率高出15.1%。在10月，也就是第4次ESO中，这种适度的积极影响持续存在，但到了4月，它就消失了，对参加干预的学生没有明显的影响。ARGOS社区教育项目对酒精、烟草和大麻的使用、对同伴压力的抵抗和风险认知的增加影响有限，特别是在第三期和第四期的早期阶段。有必要通过预防性干预措施加强该方案，以巩固和提高其影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gaceta Sanitaria 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.10

自引率

5.30%

发文量

审稿时长

29 days

期刊介绍： Gaceta Sanitaria (Health Gazette) is an international journal that accepts articles in Spanish and in English. It is the official scientific journal of the Sociedad Española de Salud Publica y Administración Sanitaria (Spanish Society of Public Health and Health Administration) (SESPAS). The Journal publishes 6 issues per year on different areas of Public Health and Health Administration, including: -Applied epidemiology- Health prevention and promotion- Environmental health- International health- Management and assessment of policies and services- Health technology assessments- Health economics. The editorial process is regulated by a peer review system. It publishes original works, reviews, opinion articles, field and methodology notes, protocols, letters to the editor, editorials, and debates.