PDF(Pubmed)
Abstract：
School-based programs are an important tobacco prevention tool. Yet, existing programs are not suitable for Deaf and Hard-of-Hearing (DHH) youth. Moreover, little research has examined the use of the full range of tobacco products and related knowledge in this group. To address this gap and inform development of a school-based tobacco prevention program for this population, we conducted a pilot study among DHH middle school (MS) and high school (HS) students attending Schools for the Deaf and mainstream schools in California (n = 114). American Sign Language (ASL) administered surveys, before and after receipt of a draft curriculum delivered by health or physical education teachers, assessed product use and tobacco knowledge. Thirty-five percent of students reported exposure to tobacco products at home, including cigarettes (19%) and e-cigarettes (15%). Tobacco knowledge at baseline was limited; 35% of students knew e-cigarettes contain nicotine, and 56% were aware vaping is prohibited on school grounds. Current product use was reported by 16% of students, most commonly e-cigarettes (12%) and cigarettes (10%); overall, 7% of students reported dual use. Use was greater among HS versus MS students. Changes in student knowledge following program delivery included increased understanding of harmful chemicals in tobacco products, including nicotine in e-cigarettes. Post-program debriefings with teachers yielded specific recommendations for modifications to better meet the educational needs of DHH students. Findings based on student and teacher feedback will guide curriculum development and inform next steps in our program of research aimed to prevent tobacco use in this vulnerable and heretofore understudied population group.
摘要：
学校计划是一种重要的烟草预防工具。然而，现有的计划不适合聋人和听力困难（DHH）的年轻人。此外，很少有研究检查了该组中所有烟草产品和相关知识的使用。为了解决这一差距，并为该人群制定以学校为基础的烟草预防计划提供信息，我们对在加利福尼亚州聋人学校和主流学校就读的DHH中学(MS)和高中(HS)学生进行了一项试点研究(n=114).美国手语（ASL）管理的调查，在收到健康或体育教师提供的课程草案之前和之后，评估产品使用和烟草知识。35%的学生报告说在家里接触过烟草制品，包括香烟(19%)和电子香烟(15%)。基线烟草知识有限;35%的学生知道电子烟含有尼古丁，56%的人知道学校禁止使用电子烟。16%的学生报告了目前的产品使用情况，最常见的是电子烟(12%)和香烟(10%)；总体而言，7%的学生报告说有双重用途。与MS学生相比，HS学生的使用率更高。课程交付后学生知识的变化包括对烟草制品中有害化学物质的了解增加，包括电子烟中的尼古丁。与老师进行的课程后汇报产生了具体的修改建议，以更好地满足DHH学生的教育需求。基于学生和教师反馈的研究结果将指导课程开发，并为我们的研究计划的下一步提供信息，旨在防止在这个脆弱且迄今未被充分研究的人群中使用烟草。
