Research On The Sensitive Imformation Of Tobacco Control Intervention Among Adolescents Based On Framing Effect

ObjectivesThrough the literature research and analysis on the "framing effect" and the health education of young people’s tobacco control at home and abroad,combined with the current situation of tobacco control health education in Jiading District,Shanghai,all the students from the first to the third grade of the seventh middle school in Jiading District of Shanghai were studied,To understand the current situation of smoking among adolescents in Jiading District and to construct two information frameworks of "smoking damage" and "non-smoking benefit" as well as target frameworks of "personal health","friend health","family health","personal social interaction" and "personal wealth",were used in 7 middle schools to carry out the sensitivity experiment of tobacco control intervention.Through the use of different information frameworks,the effectiveness of the information frameworks for tobacco control was verified.At the same time,the effectiveness of the information frameworks for tobacco control was To provide a theoretical basis for finding sensitive information for tobacco control intervention among the adolesents.MethodsUsing stratified cluster sampling method,all the students from Grade 1 to Grade 3 of 7 middle schools in Jiading District of Shanghai were selected as subjects to conduct a survey of smoking status among adolescents and a sensitivity experiment of smoking control intervention among adolescents.This study is a randomized controlled trial.All students are unknown to their own group.From September to October 2017,an electronic questionnaire was set up by using Baidu questionnaire,Smoking status survey was conducted among all the students in the intervention group,and smoking control intervention sensitivity test was conducted among all the students in the intervention group with "smoking damage" and "non-smoking benefit" as the information framework and "personal health","friend health","family health","personal social interaction" and "personal wealth" as the target framework;The control group did not intervene.After the experiment,all students completed the questionnaire on smoking control.Baidu Questionnaire Star derived all the survey data,using SPSS 24.0 software for data analysis,mainly using statistical methods such as descriptive analysis,test,t test,with a = 0.05 as the test level.ResultsA cross-sectional survey revealed that: Of the 3630 students surveyed,the smoking rate was 4.4%,Univariate analysis showed that smoking rate among boys was higher than that of girls(P<0.05);The rate of smoking attempts increased with age(P=0.000);The rate of trying smoking rate was higher than that of grade two,while grade two was higher than grade one(P<0.05);The smoking rate of different household registration is also different.The rate of trying smoking is the highest among non Shanghai students;When adolescents’ education level is higher or lower,teenagers have higher rate of trying smoking;The smoking rate of young people whose father is a farmer is higher;The more people who live together,the more smokers they smoke,and the smoking of their good friends can increase the rate of trying smoking.The influence of young people mainly comes from good friends,family members and friends(16%,10.6% and 9.8%);Students who thought smoking was harmless or harmless to adolescents were more likely to attempt smoking than others(P = 0.000).Multivariate analysis showed that sex,household registration,the number of smokers in the family living together,whether friends smoked,the source of influence of attempting to smoke,and whether smoking was harmful to the growth of adolescents were the common influencing factors of whether adolescents tried to smoke.The results were consistent with the single factor analysis.The intervention sensitivity test of tobacco control information framework to adolescents showed that in both experiment 1 and experiment 2,the beneficiary framework group was more sensitive to information beneficial to non-smoking than the impairment framework group;In Experiment 1,adolescents’ attitude toward tobacco control was more likely to be influenced by their family health(P < 0.05);In Experiment 2,adolescents in the beneficiary frame group(beneficiary health group,beneficiary wealth group and beneficiary social group)were more likely to control smoking than those in the impaired frame group.ConclusionThrough the experimental study on the intervention sensitivity of smoking control information framework among adolescents,it is proved that adolescents’-smoking control is affected by the information framework of "smoking damage" and "non-smoking benefit" as well as the target framework of "personal health","friend health","family health","personal social interaction" and "personal wealth".Among them,adolescents’ smoking-refusal cognition and decision-making sense were stronger after the intervention of the "non-smoking benefit" framework.Health education with family health as intervention information will make it easier for adolescents to recognize smoking.This study takes adolescents in Jiading District of Shanghai as an example to verify the intervention effect of the smoking control information framework,and to find out the most concerned content of all the framework information,namely the core framework,so as to provide theoretical basis and experimental evidence for more effective smoking control intervention among adolescents in the future.