Gençlerde sigaradan korunma konusunda akran eğitimi programının etkinliği

Ozet Amac: Sigaradan korunmada genclere yonelik egitim programlari onemlidir. Calismada genclerde akran egitimi programinin sigara icme davranisi uzerindeki etkisini degerlendirmeyi amaclamaktadir. Yontem: Girisimsel tiptedir. Manisa Kent Merkezinde uc farkli liseye 2007-2008 egitim-ogretim yilinda devam eden ogrenciler kontrol grubu (n= 1737, katilim yuzdesi 89,6), ayni liselere 2008-2009 yilinda devam eden ogrenciler girisim grubu (n=1787, katilim yuzdesi 81,0) olarak ele alinmis, sigara icme verileri karsilastirilmistir. Girisim, 2008-2009 egitim ogretim yilinda akran egitimi programi seklinde uygulanmistir. Toplam 150 akran egiticisine egitimler verilmis (30’ar kisilik 5 grup, 3 seans egitim), akran egiticileri arkadaslarina sigaradan korunma konusunda egitim ve destek vermislerdir. Veriler Mayis 2008 ve Mayis 2009’da uygulanan ogrencilerin doldurdugu anketlerle toplanmistir. Girisim ve kontrol gruplarinin sigara icme ve sigarayi deneme insidanslari karsilastirilmistir. Veriler SPSS for Windows 10.0 istatistik paket programinda ki kare testi ve lojistik regresyon analizi ile degerlendirilmistir. Bulgular: Hic sigara icmemis olan genclerde sigara icme insidansi kontrol grubunda %3,2, girisim grubunda %2,9’dur (p=0,547). Onceki yil sigarayi denemis olanlarda sigara icme insidansi kontrol grubunda %6,3, girisim grubunda %9,4’dur (p=0,069). Sigara icme orani girisim ve kontrol gruplarinda sirasiyla olmak uzere onceki yil duzensiz icicilerde %72,2 ve %71,3 (p=0,876), onceki yil duzenli icicilerde %81,8 ve %77,9’dur (p=0,369). Onceki yil hic sigara icmemis olan genclerde sigarayi deneme insidansi kontrol grubunda %3,2, girisim grubunda %3,9 (p=0,397)’dur. Sonuc: Calismada akran egitimi programinin genclerin sigara icme davranisi uzerinde etkili olmadigi saptanmistir. Bu konuda daha buyuk gruplarda, uzun izlem donemi olan, akran egiticilerinin populer gencler arasindan secildigi programlarin yurutulerek etkinligin degerlendirilmesi onerilmektedir. Anahtar Kelimeler: Sigara, akran egitimi, sigara icme, sigarayi deneme. The effectiveness of the peer education program on smoking control among young people Abstract Objective :This study was planned to evaluate the impact of the peer education program on smoking behavior. Method: Interventional study. City Center of Manisa in the academic year 2007-2008 in three different high school students who continue their control group (n=1737, participation rate 89.6), the same students who continue their high schools in 2008-2009 i ntervention group (n=1787, participation rate 81,0) is considered, smoking data were compared. There were 150 peer volunteers in total (5 groups of 30 people, three sessions of education), training and support on smoking prevention peer educators gave to friends. The incidences of smoking and smoking trial intervention and control groups were compared. SPSS for Windows 10.0 program was evaluated by chi-square test and logistic regression analysis. Results: The incidence of smoking among youth in the control group who never smoked, 3.2%, 2.9% in the intervention group (p=0.547). Tried cigarette smoking in patients with previous years, the incidence of 6.3% in control group, 9.4% in the intervention group (p=0.069). Smoking rate in the intervention and control groups, 72.2% and 71.3% the previous year, irregular smokers (p=0.876), 81.8% and 77.9% the previous year, regular drinkers (p=0.369) Previous year trial the incidence of smoking among young people in the control group who had never smoked 3.2%, 3.9% in the intervention group (p=0.397). Conclusion: Peer volunteers’ education programme on smoking prevention has a limited effect on smoking prevention. Larger sample size and with longer follow up on impact of peer educational programmes on smoking prevention period should be carried out. Key Words: Smoking, peer education, smoking, regular smokers, try smoking