“框架效应”对上海市孕期家庭控烟干预的影响

Effects of framing on tobacco control intervention for families with pregnant women in Shanghai

目的选择孕期家庭作为特殊人群,测试"框架效应"对控烟信息认知的影响,探索有针对性的控烟策略。方法选取接受产前健康教育的孕妇进行随机对照试验,实验干预通过受试者阅读平面控烟图文材料实现。结果共获取有效实验样本346例,受试孕妇平均年龄为(29.68±3.58)岁,孕妇吸烟率为0.87%,其配偶吸烟率为26.88%,家庭人均月收入(中位数)为6 600元,自评健康状况不佳者占26.59%;与对照组比较,实验组控烟干预效果提升显著;以健康为信息框架同时以家人为目标框架的实验组控烟干预效果最好。结论 "框架效应"对孕期家庭的控烟干预有一定影响,孕期家庭更关注以健康为信息、以家人为目标的控烟干预;在实际控烟工作中,可以利用"框架效应"理论进行个性化控烟干预。

Objective To select families with pregnant women for verifying the framing effect on tobacco control intervention and to explore specific tobacco control strategies. Methods Randomized controlled trials were conducted for pregnant women who had undergone prenatal health education. The experimental intervention was performed by reading the text and graphic materials of tobacco control. Results A total of 346 valid samples were obtained. The average age of investigated pregnant women was（ 29. 68 ± 3. 58） years old. The smoking rates of pregnant women and their husbands were 0. 87% and 26. 88%, respectively. The monthly family income per capita（ median） was 6 600 yuan. And 26. 59% of pregnant women considered that they were in poor health condition.Compared with the control group, the effect of tobacco control intervention of the experiment group was significantly better. The effect of tobacco control intervention with the health information framing and family target-framing was the best. Conclusion The tobacco control intervention of families with pregnant women is influenced by the framing effect. For families with pregnant women more attentions are paid to the tobacco control intervention that can deliver health messages and target the family members. The framing effect can be used to perform customized tobacco control intervention in practice.