Abstract:
:We aimed to assess the effectiveness of 'Paesaggi di Prevenzione', a school-based prevention program delivered by trained teachers and designed to tackle smoking, alcohol misuse, dietary risks, and physical inactivity in adolescence. We evaluated the program between 2010 and 2013 with a two-arm, parallel-group, multicentre cluster randomized controlled trial in which schools were the units of randomization. We collected data on health-compromising behaviours using self-reported measurements of behaviour frequency administered before and after program implementation. We used multivariable mixed-effects logistic regression models to estimate program effects on health-compromising behaviours. The analysis sample included 3410 middle school students and 1651 high school students. Among middle school students, mean age at baseline was 12 years (standard deviation [SD] 0.5 years), 51% were boys, and 41% had high socioeconomic status [SES] (defined as having at least one parent/guardian with university level education). In high school students, mean age at baseline was 14 years (SD 0.7 years), 56% were boys, and 31% had high SES. The program did not have effects on smoking, alcohol misuse, and physical activity. The program had iatrogenic effects in regard to some eating behaviours, resulting in (i) lower odds of fruit consumption among middle-school students (odds ratio [OR] 0.82; 95% confidence interval [CI] 0.68-0.99) and (ii) lower odds of having breakfast every day in high-school students at the post-intervention measurement (OR 0.76; 95%CI 0.58-0.99) but not at one-year follow-up (OR 0.94; 95%CI 0.69-1.28). Due to the possibility of unintended effects, we advise against disseminating 'Paesaggi di Prevenzione' in its present form. TRIAL REGISTRATION: ISRCTN00953701.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Allara E,Angelini P,Gorini G,Bosi S,Carreras G,Gozzi C,Martini A,Tamelli M,Punreddy RR,Faggiano Fdoi
10.1016/j.ypmed.2019.04.001subject
Has Abstractpub_date
2019-07-01 00:00:00pages
1-10eissn
0091-7435issn
1096-0260pii
S0091-7435(19)30125-2journal_volume
124pub_type
杂志文章,多中心研究,随机对照试验abstract::The psychosocial environment and especially various psychosocial risks in childhood have been shown to predict later negative health behavior and health problems. In this study, we examined whether various psychosocial factor domains in childhood and adolescence: socioeconomic status, the emotional family environment ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2016.12.023
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:This study evaluated the effects of a school-based dietary intervention program to increase fruit and vegetable consumption among fourth-graders. METHODS:Twenty-eight elementary schools were randomized to an immediate intervention condition or to a delayed intervention control condition. Measures of diet an...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章
doi:10.1006/pmed.1999.0630
更新日期:2000-04-01 00:00:00
abstract:OBJECTIVE:To explore longitudinal (demographic, socioeconomic, health and psychological) determinants of walking, moderate and vigorous physical activity. METHODS:The sample included 11,133 adult participants (5913 women; 5220 men) taken from the Household, Income and Labour Dynamics in Australia (HILDA) project. Demo...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2015.07.014
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:There are few theoretically derived questionnaires of physical activity determinants among youth, and the existing questionnaires have not been subjected to tests of factorial validity and invariance. The present study employed confirmatory factor analysis (CFA) to test the factorial validity and invariance ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0735
更新日期:2000-11-01 00:00:00
abstract:OBJECTIVE:To evaluate BMI and direct measures of body fat (BF) and lean body mass (LBM) in relation to fasting serum lipid profiles in a large Chinese population based twin sample using a monozygotic (MZ) co-twin analysis. METHODS:Adiposity measures collected 1998-2000 on 987 MZ female 20-60 year old twin pairs (n=197...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2007.07.014
更新日期:2007-11-01 00:00:00
abstract:PURPOSE:To estimate the prevalence of physical activity (PA) and associated variables in the Moroccan adult population. METHODS:Population-based, May 2008 survey of a representative sample of Moroccan adults. PA was assessed using the International Physical Activity Questionnaire (IPAQ). RESULTS:Mean age was 41.4 yea...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2011.03.009
更新日期:2011-05-01 00:00:00
abstract:OBJECTIVE:The effects of influenza vaccination on ischemic heart disease (IHD) patients remain controversial. The purpose of this study was to evaluate the effects of influenza vaccination on all-cause mortality and hospitalization for cardiovascular disease in elderly IHD patients. METHODS:Elderly patients (>65 years...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2012.03.020
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:Many primary care practices do not have systematic protocols to identify patients who smoke or to encourage clinicians to provide smoking cessation advice. We designed a study to assess the relative effectiveness of two brief interventions on screening for smoking, physician cessation advice and patient smok...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章
doi:10.1016/j.ypmed.2003.09.045
更新日期:2004-03-01 00:00:00
abstract:OBJECTIVE:To determine the association between self-reported diabetes and posttraumatic stress disorder (PTSD) among adults in the community and to investigate the specificity of this link. METHOD:Data were drawn from the National Comorbidity Survey (NCS), a household probability sample of adults ages 15-54 in the Uni...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.07.013
更新日期:2005-05-01 00:00:00
abstract:BACKGROUND:Whereas self-efficacy expectations have been identified as important determinants of exercise participation patterns, little empirical work that examines efficacy expectations as outcomes of exercise participation or their theoretical relationship to other psychological outcomes associated with exercise has ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1995.1053
更新日期:1995-07-01 00:00:00
abstract:BACKGROUND:Although extraordinary advances have been made in the management of advanced coronary artery disease, little progress has been made in its prevention. Traditional screening methods utilizing risk factor profiles and exercise treadmill tests have failed to identify populations who will subsequently have coron...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1006/pmed.2000.0813
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:The relationship between strength training (ST) behavior and mortality remains understudied in large, national samples, although smaller studies have observed that greater amounts of muscle strength are associated with lower risks of death. We aimed to understand the association between meeting ST guidelines...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2016.02.038
更新日期:2016-06-01 00:00:00
abstract::Within a quarter century the convergence of geographical and prospective epidemiology, clinical research, and laboratory investigation has provided strongly attested theories of coronary heart disease (CHD) etiology. Evidence that application of these theories will reduce CHD incidence is incomplete but adequate to ju...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(83)90189-5
更新日期:1983-01-01 00:00:00
abstract:AIM:To study differences in body mass index (BMI), waist-hip ratio (WHR), waist circumference (WC), sagittal abdominal diameter (SAD), waist-hip-height ratio (WHHR) and percent body fat in immigrants and Swedish-born men and women in two large population-based samples. METHODS:A cross-sectional analysis of 60-year-old...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2014.09.020
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:Based on previous studies on the blocking effect of Chinese tea in the formation of N-nitroso compounds in rats and humans, experiments were carried out to study the effects of Chinese tea on the occurrence of esophageal tumors induced by N-nitrosomethylbenzylamine (NMBzA) in rats. METHODS:In the first expe...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(92)90046-k
更新日期:1992-05-01 00:00:00
abstract::This paper argues that substantive and sustainable population-wide improvements in physical activity can be achieved only through the large scale adoption and implementation of policies and practices that make being active the default choice and remaining inactive difficult. Meta-volition refers to the volition and co...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2009.09.004
更新日期:2009-10-01 00:00:00
abstract::Stem cells have been considered for their potential in pharmaceutical research, as well as for stem cell-based therapy for many diseases. Despite the potential for their use, the challenge remains to examine the safety and efficacy of stem cells for their use in therapies. Recently, oxidative stress has been strongly ...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2011.11.013
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to explore the relationship between TV/video viewing, as a measure of sedentary behavior, and risk of incident stroke in a large prospective cohort of men and women. METHODS:This analysis involved 22,257 participants from the REasons for Geographic And Racial Differences in Str...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2016.02.013
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:An elevated risk for coronary artery disease and lung cancer was reported for smokers and nonsmokers exposed to environmental tobacco smoke. Particularly in nonsmokers, in addition to the adverse effects of tobacco smoke, other factors which are associated with the exposure to environmental tobacco smoke may...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2002.1024
更新日期:2002-06-01 00:00:00
abstract:BACKGROUND:Evaluations of physical activity and health media campaigns have been limited and ignore the complex process of communication and the socially constructed nature of news messages. METHODS:A systematic search strategy was conducted of the literature which was then assessed from two perspectives. First, studi...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.04.018
更新日期:2005-02-01 00:00:00
abstract:OBJECTIVE:The objective of this study is to examine depressive symptom trajectories during adolescence as predictors of physical activity (PA) in young adulthood. METHODS:Adolescents residing in Montreal, Canada (n=860) reported their depressive symptoms every 3-4 months during high school in 20 data collections. Thre...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2012.11.013
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVES:To address the question of whether serum cotinine is a better measure of cigarette smoking than self-reported behavior by examining the relation of biochemical, physical examination, and depression assessments to self-reported cigarette consumption and serum cotinine in a population-based sample. METHODS:Se...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1995.1031
更新日期:1995-03-01 00:00:00
abstract:BACKGROUND:This study aims at identifying determinants of all-cause mortality in elderly populations of different countries. METHODS:Men ages 65-84 years from defined administrative areas were enrolled in Finland (rural areas of east and west Finland; N = 693), in the Netherlands (the town of Zutphen; N = 851), and in...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1996.0062
更新日期:1996-05-01 00:00:00
abstract::Asthma is a serious, chronic illness among U.S. children. Approximately 6% of all children under 18 years of age in the United States suffer from asthma--prevalence rates in our inner cities are even higher. The impact this disease has on children, their families, and society is profound and easily translatable into l...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1993.1051
更新日期:1993-07-01 00:00:00
abstract::Although digital reports of disease are currently used by public health officials for disease surveillance and decision making, little is known about environmental factors and compositional characteristics that may influence reporting patterns. The objective of this study is to quantify the association between climate...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.05.009
更新日期:2017-08-01 00:00:00
abstract::Tobacco-related health disparities disproportionately affect smokers with major depression (MD). Although tobacco simulation models have been applied to general populations, to date they have not considered populations with a comorbid mental health condition. We developed and calibrated a simulation model of smoking a...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2020.106241
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:Raised serum uric acid (SUA) levels are associated with conditions at high risk for coronary heart disease. SUA levels can be partly modified by the diet, but little is known about the association of SUA with several dietary factors, particularly the quality of ingested lipids. METHODS:The associations betw...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1996.0096
更新日期:1996-09-01 00:00:00
abstract:OBJECTIVE:To determine what health behaviors patients choose to change in response to medical advice when they are given the potential net-present value (reduction in biological age) of modifying a behavior. METHODS:Baseline data for multiple health-risk behaviors that were recommended for change among 660 coronary an...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章
doi:10.1016/j.ypmed.2007.09.007
更新日期:2008-03-01 00:00:00
abstract::The effects of diet and exercise on serum triglycerides (Trig), total cholesterol (TC), low density lipoprotein cholesterol (LDL), high density lipoprotein cholesterol (HDL), and the HDL to TC ratio (HDL/TC) were evaluated in 45 men training continuously for a duration of 6 months. Body mass index (BMI), percentage bo...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(83)90237-2
更新日期:1983-03-01 00:00:00
abstract:OBJECTIVE:The objective was to test the effectiveness of a mail campaign that included blood pressure (BP) measurements from patients treated by emergency medical technicians (EMTs) to motivate them to (re)check their BP at a fire station. The mailing used a 2×2 research design tailoring on risk and source personalizat...
journal_title:Preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ypmed.2013.05.010
更新日期:2013-12-01 00:00:00