scholarly journals Long-term effectiveness of a community-based lifestyle intervention on smoking behaviors in adults: novel findings from Middle-East

Author(s):  
Hasti Masihay-Akbar ◽  
Parisa Amiri ◽  
Leila Cheraghi ◽  
Fereidoun Azizi

Abstract Introductionwe investigated the long-term effects of a community-based lifestyle intervention on cigarette smoking and intensity, hookah, and passive smoking in a Middle-Eastern population.MethodsWe used data of adult participans of the Tehran Lipid and Glucose Study (TLGS), (10368 individuals). After excluding those with missings and lost-to-follow-ups, 4915 individials underwent triennial follow-ups for 15.8 years and 1322 received intervention. The smoking status (cigarette, hookah, passive and cigarette intensity) were compared between control and intervention using the Generalized Estimating Equation (GEE).ResultsIntervention reduced the odds of cigarette smoking in men by 27% (OR = 0.73, 95% CI = 0.56–0.96; P = 0.03). Estimated mean cigarettes/day was 1.58 lower in men in intervention group. The intervention had short-term positive effects on mens’ hookah smoking at 2nd follow up (coefficient = -0.54, 95% CI= -0.94,-0.14; P = 0.008). The effect was not significant at long-term (P > 0.05). women in intervention group were 38% less likely to smoke cigarette or hookah (OR = 0.62, 95% CI = 0.42–0.91; P = 0.016) and had 33% lower odds of secondhand-smoke exposure (OR = 0.67, 95% CI = 0.54–0.84; P = 0.001).ConclusionsA community-based lifestyle intervention have long-term effects in reducing cigarette smoking and intensity in men, along with tobacco and passive smoking in women. It could affect mens’ hookah smoking only in short-term.

2021 ◽  
Author(s):  
Hasti Masihay-Akbar ◽  
Parisa Amiri ◽  
Marjan Rezaei ◽  
Sara Jalali-Farahani ◽  
Leila Cheraghi ◽  
...  

Abstract Background: To assess the long-term effectiveness of a community-based intervention on cigarette, passive, and hookah smoking in adolescent boys and girls. Methods: 1159 adolescents who participated in the Tehran Lipid and Glucose Study (TLGS) between 2001 and 2004 were followed for 12 years (every-three-year follow-ups). Participants in the intervention area received lifestyle interventions in the settings of family, schools, and community. After excluding those with missing baseline parental data (n=66), complete parental data of 1093 adolescents was used for cluster analysis, and families were classified as low- and high-risk. Afterward, 296 individuals who did not complete intervention/follow-ups were excluded. The GEE analysis was performed on 797 adolescents (369 boys) to assess the intervention effect on tobacco-related habits; 605 and 192 resided in the control and intervention area, respectively.Results: Mean age of adolescents was 15.21±1.95 years at baseline. Adolescents living in high-risk families were more at risk of cigarette, passive, and hookah smoking. The intervention decreased the odds of cigarette and passive smoking by 38% and 57%, respectively. The intervention was not successful in reducing the risk of hookah smoking in adolescents. After sex-specific analysis, the intervention reduced the risk of current cigarette smoking by 40% only in boys and passive smoking in both sexes.Conclusions: Targeting lifestyle behaviors in adolescents and their families in a community setting reduces cigarette smoking in school-aged boys and protects both sexes from secondhand smoke; findings that could be valuable for designing future health promotion interventions focusing on adolescents smoking.Trial registration: This study is registered at Iran Registry for Clinical Trials (IRCT), a WHO primary registry (http://irct.ir). The registry date is 29/10/2008; (IRCTID: IRCT138705301058N1).


Author(s):  
Hasti Masihay-Akbar ◽  
Parisa Amiri ◽  
Leila Cheraghi ◽  
Amir Abbas Momenan ◽  
Fereidoun Azizi

Abstract Introduction Targeting adolescents’ smoking reduces its burden on health systems. We investigated the effects of the first multidisciplinary community-based lifestyle intervention in the Eastern Mediterranean region, on smoking initiation, continuation, and risk of current smoking in Iranian adolescents. Methods The current analyses were conducted on 945 nonsmoker adolescents (12–18 years) who participated in Phase II of Tehran Lipid and Glucose Study (TLGS) and were examined four times in 12 years. The lifestyle intervention including school-based and public programs was implemented, focusing on all components of healthy lifestyle. Using a two-step cluster analysis, families were classified as high and low risk, based on parental risk factors of adolescents’ smoking. Participants who failed to complete all the follow-ups (n = 99) and those with missing smoking data were excluded. Subsequently, 872 adolescents (538 control, 334 intervention) were included in the Cox model on smoking initiation, and 674 adolescents (414 control, 260 intervention) were included in the logistic regression on smoking status. Results Mean age of adolescents was 15.08 ± 1.94 years at baseline. The hazard of the smoking initiation was significantly lower in the intervention (hazard ratio = 0.71, 95% confidence interval: 0.51–0.99; p = .044) compared with control group. At the end of the fourth follow-up, intervention reduced the odds of current cigarette smoking by 29%. Within the intervention group, the high-risk cluster was at a 35% lower risk of initiating smoking and had 37% lower odds of becoming a current smoker. However, the intervention could not make a difference in preventing those who initiated smoking from maintaining it during the follow-ups. Conclusions Our results demonstrate that lifestyle modification programs targeting at-risk populations could reduce risk of smoking initiation and current smoking in adolescents in long term. Implications Experiencing cigarette smoking at the critical period of adolescence could result in adulthood habitual smoking. Therefore, identifying adolescents who are more at risk of smoking initiation and implementing targeted interventions are of great importance in public health. Our findings highlight the long-term effectiveness of a multidisciplinary community-based behavioral intervention on forming smoking behaviors in adolescents. The current intervention was successful in reducing smoking uptake in adolescents living in high-risk families.


Author(s):  
Erika dos Santos Souza ◽  
Albertina P. Lima ◽  
William E. Magnusson ◽  
RICARDO ALEXANDRE KAWASHITA-RIBEIRO ◽  
Rodrigo Ferreira Fadini ◽  
...  

Ecological succession in tropical savannas is limited by seasonal fire, which affects habitat quality. Although fire may cause negligible or positive effects on animals occupying savannas, most short-term studies (months to a few years) are based on a single temporal sampling snapshot, and long-term studies (decades) are rare. We sampled four lizard species in Amazonian savannas to test the effects of fire and vegetation cover on lizard densities at two temporal scales. In the short-term, we use three sampling snapshots to test the effects of fire and vegetation cover on estimated lizard densities over the subsequent 1–5 years. In the long-term, we test the effects of fire and changes in vegetation cover over 21 years on current lizard density differences. In the short-term, species responses were usually consistent with foraging and thermoregulation modes. However, the results were not consistent among species and years, although the variances in species density explained by year as a random factor were generally low. In the long-term, the main effects of fire and vegetation cover show that lizard densities may change spatially, but not necessarily temporarily. Wildfire is a natural resource of savannas and apparently have little impact on resident lizards of that ecosystem.


2002 ◽  
Vol 29 (6) ◽  
pp. 656-682 ◽  
Author(s):  
Carol N. D’Onofrio ◽  
Joel M. Moskowitz ◽  
Marc T. Braverman

This article reports the development and evaluation of Project 4-Health, a theory-driven, research-based program to prevent tobacco use among youth enrolled in 4-H clubs throughout California. Additional goals were to involve youth in discouraging others’tobacco use and to develop youth leadership for tobacco control. To assess program effectiveness, 72 clubs were matched and randomly assigned to the program or control condition. Of 1,853 eligible club members, 88.6% completed the pretest. Of these, 79.5% completed a posttest 4 months after conclusion of program delivery, and 77.6% completed a second posttest 2 years later. Short-term effects were found on 7 of 24 outcome measures, indicating changes in knowledge, attitudes, and behavioral intention, but not in social influence variables or behaviors. No long-term effects were observed. Discussion considers how the challenges of designing, delivering, and evaluating the intervention influenced results and implications for preventing tobacco use through community-based youth groups.


2011 ◽  
Vol 7 (4) ◽  
pp. 279-290 ◽  
Author(s):  
Ronald T Ackermann ◽  
Emily A Finch ◽  
Helena M Caffrey ◽  
Elaine R Lipscomb ◽  
Laura M Hays ◽  
...  

Author(s):  
D.E. Loudy ◽  
J. Sprinkle-Cavallo ◽  
J.T. Yarrington ◽  
F.Y. Thompson ◽  
J.P. Gibson

Previous short term toxicological studies of one to two weeks duration have demonstrated that MDL 19,660 (5-(4-chlorophenyl)-2,4-dihydro-2,4-dimethyl-3Hl, 2,4-triazole-3-thione), an antidepressant drug, causes a dose-related thrombocytopenia in dogs. Platelet counts started to decline after two days of dosing with 30 mg/kg/day and continued to decrease to their lowest levels by 5-7 days. The loss in platelets was primarily of the small discoid subpopulation. In vitro studies have also indicated that MDL 19,660: does not spontaneously aggregate canine platelets and has moderate antiaggregating properties by inhibiting ADP-induced aggregation. The objectives of the present investigation of MDL 19,660 were to evaluate ultrastructurally long term effects on platelet internal architecture and changes in subpopulations of platelets and megakaryocytes.Nine male and nine female beagle dogs were divided equally into three groups and were administered orally 0, 15, or 30 mg/kg/day of MDL 19,660 for three months. Compared to a control platelet range of 353,000- 452,000/μl, a doserelated thrombocytopenia reached a maximum severity of an average of 135,000/μl for the 15 mg/kg/day dogs after two weeks and 81,000/μl for the 30 mg/kg/day dogs after one week.


2019 ◽  
Vol 25 ◽  
pp. 114
Author(s):  
Alyssa Dufour ◽  
Setareh Williams ◽  
Richard Weiss ◽  
Elizabeth Samelson

Psibernetika ◽  
2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Devina Calista ◽  
Garvin Garvin

<p><em>Child abuse by parents is common in households. The impact of violence on children will bring short-term effects and long-term effects that can be attributed to their various emotional, behavioral and social problems in the future; especially in late adolescence that will enter adulthood. Resilience factors increase the likelihood that adolescents who are victims of childhood violence recover from their past experiences</em><em>,</em><em> become more powerful individuals and have a better life. The purpose of this study was to determine the source of resilience in late adolescents who experienced violence from parents in their childhood. This research uses qualitative research methods with in-depth interviews as a method of data collection. The result shows that the three research participants have the aspects of "I Have", "I Am", and "I Can"; a participant has "I Can" aspects as a source of resilience, and one other subject has no source of resilience. The study concluded that parental affection and acceptance of the past experience have role to the three sources of resilience (I Have, I Am, and I Can)</em></p><p><em> </em></p><p><strong><em>Keyword : </em></strong><em>Resilience, adolescence, violence, parents</em></p>


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 559-559
Author(s):  
Sara Freed ◽  
Briana Sprague ◽  
Lesley Ross

Abstract Interventions using exercise video games, or exergames, have shown short-term cognitive and physical benefits to older adults, though long-term effects are less promising. Enjoyment of exergames may promote exergame use after the intervention period, though little work has examined older adults’ views of exergames before and after gameplay experience. We invited 20 older adults between 65 and 84 years of age (M=73.30, SD=5.95) to play two Xbox Kinect games, Just Dance and Kinect Sports Rivals, for twenty minutes. In our presentation, we will present qualitative and quantitative findings of this pilot study, including findings that older adults reported that they were not likely to play similar exergames in the future and that they did not find the exergames to be more fun compared to other ways of exercising. We will discuss implications for game design and research relevant to game developers, manufacturers, and researchers. Part of a symposium sponsored by Technology and Aging Interest Group.


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