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  • 1.
    Bortes, Cristian
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Geidne, Susanna
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Eriksson, Charli
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    A longitudinal effect study of contract signing for preventing alcohol use among Swedish school children2015In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 25, no Suppl. 3Article in journal (Refereed)
    Abstract [en]

    Background: Around 40% of the primary schools in Sweden have programs to prevent tobacco and alcohol use. One popular program is carried out by the Non-Governmental Organization SMART. The aim is to prevent or postpone alcohol, tobacco and other drug use among children through positive reinforcement and signing of contracts. The contract in this longitudinal study also contains items on good conduct behavior. Are there differences in youth problem behaviors between those who signed the contract all years versus those who signed the contract shorter time? What factors characterize those who signed the contract all the years compared to the others?                                                                         

    Methods: Students in five schools in a middle-sized municipality in Sweden answered class-room questionnaires in three waves: 7th (n=432), 8th (n=458), and 9th (n=422) grade. Response rates were 88%. Students are divided into three groups, based on response at T3 on many years of contract signing: long-attendees, short-attendees, sporadic- or non-attendees. A repeated measure ANOVA was conducted to analyze changes over time. Binge drinking was the outcome measure in this analysis. Identifying predictors for duration of the contract signing will be analyzed with multiple logistic regressions.                              

    Results: Short-attendees, 40%, signed contract only two to four consecutive years starting in 4th grade. Long-attendees, 22.5%, signed contract five to six years. Sporadic- or non-attendees, 20.5%, signed contract only in some non-consecutive, or none of the years. 17.2% missing-response. Long-attendees have significant lower levels of binge drinking in 9th grade (M=1.72) compared to short-attendees (M=2.43) and sporadic- or non-attendees (M=2.41). F(2,408) = 9.52, p=<.001.                                             

    Conclusion: Schools are an important setting for alcohol and tobacco prevention. Promising results were found regarding binge drinking for students that were long-attendees in the program. Further analysis of different outcomes and predictors, mediators and moderators is on-going.                                                                                                                  

    Key messages:

    Schools are an important setting for alcohol and tobacco prevention.

    There is a need for longitudinal evaluations of preventive programs in national contexts.

  • 2.
    Bortes, Cristian
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Geidne, Susanna
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Eriksson, Charli
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Preventing Alcohol Consumption During Pregnancy: A Randomized Controlled Trial2015In: Health, ISSN 1949-4998, Vol. 7, no 3, p. 289-299Article in journal (Refereed)
    Abstract [en]

    The aim with this study is to report a brief alcohol intervention for preventing drinking during pregnancy. The Women’s Organizations Committee on Alcohol and Drug Issues (WOCAD) in Sweden developed a printed information material about alcohol in pregnancy, aiming to reach pregnant women before their first visit at a prenatal clinic. A randomized controlled trial was conducted between 2004 and 2005 to measure if the material had an effect. A total of 564 pregnant women are included in the study, between 17 and 46 years of age. Differences between intervention and control group were analyzed with cross-tabulations and chi-squared-tests. A logistic regression analysis was also conducted to determine predictors of abstention from alcohol at the first prenatal visit. Findings show that significantly more women who received the material did abstain completely from alcohol then those who did not receive the material (92% vs. 82%, p=.005). It is 2.6 times more likely that those who received the material did abstain completely from alcohol since pregnancy recognition at their first prenatal visit compared with those who did not receive it (OR=2,6, CI 1,3-5,1, p=. 005). The information brochure developed by WOCAD can be used in antenatal care to get more women to abstain from alcohol during pregnancy.

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