Interventions for Preventing E-Cigarette Use Among Children and Youth: A Systematic Review
A partir d'une revue systématique de la littérature publiée entre 2004 et 2022 (39 articles), cette étude analyse l'efficacité d'interventions pour prévenir l'utilisation de la cigarette électronique chez les enfants et les adolescents
Introduction: Many non-regulatory interventions targeting children and youth have been implemented at three levels: directed at the individual (e.g., interactive video games), delivered to students at school (e.g., campus bans), and launched in the community (e.g., mass media campaigns). This systematic review aims to synthesize the evidence on the effectiveness of interventions aimed at preventing e-cigarette initiation among children and youth.
Methods: MEDLINE, CINAHL, Embase, APA PsycINFO, and Web of Science Core Collection were searched for papers published between January 1st, 2004 to September 1st, 2022 that reported more than one outcome on vaping prevention among individuals aged less than 21-years-old: vaping prevalence/incidence, initiation intentions, knowledge/attitudes, and other tobacco product use prevalence/initiation intentions. Interventions were at the individual, school, or community level. The risk of bias was assessed using ROBINS-I and RoB 1.
Results: Thirty-nine publications met the eligibility criteria. Fourteen individually-based (four parental monitoring, three video games, two text messages, three graphic message themes, two healthcare), 19 school-based (14 educational and skill interventions, five vape-free policies/bans), and six community-based (three social media, three mass media campaigns) interventions were reported. E-cigarette initiation prevention was observed with high perceived parental monitoring; however, the cross-sectional study designs precluded causal claims. There was promising but limited evidence that social-emotional skills curricula and peer leader programming prevented vaping initiation.
Discussion: Some individual- and school-based interventions showed promise for preventing e-cigarette initiation among children and youth.
American Journal of Preventive Medicine , article en libre accès, 2022