摘要为系统评价中国控烟研究的质量,总结控烟措施的有效性证据,在多个数据库中检索1990-2009年中国发表的控烟措施有效性评价研究文献,采用美国<社区预防服务指南>制定的方法对文献质量进行评价,并进一步对控烟干预措施的有效性证据强度进行评定.共纳入282项中国控烟干预性评价研究,其中仅75项(26.41%)研究质量较好、能够进入证据评价体系.有效性证据强度评定结果显示,吸烟人群中开展戒烟药物干预和行为干预一般人群中开展多组分干预(如宣传教育+行为干预)的有效性证据充分,而临床咨询、中医疗法、单纯宣传教育、规章制度等干预措施的有效性缺乏充分证据支持.中国控烟干预性研究整体质量较低,高质量研究的数量不足是限制控烟有效性证据产出的主要障碍;应重视和加强对控烟规章制度有效性评价的研究.

abstractsTo systematically summarize the evidence on the effectiveness of measures regarding tobacco control in China. Papers on several databases published between 1990 and 2009were systematically searched. Methods in American Guide to Community Preventive Services were used to evaluate the quality and strength of evidence on the effectiveness of tobacco control programs.Overall, 282 studies were included in this paper, but only 75 (26.41%) studies had acceptable execution quality. Items as pharmaceutical therapy and behavior intervention in the smoking population that would show sufficient evidence on the effectiveness of the programs. In general population, multi-component intervention programs appeared to be effective. However, the effectiveness regarding items as clinical consultation, therapy with traditional Chinese medicine,education programs alone, non-smoking related laws and regulations etc. were of insufficient evidence. The overall execution quality of intervention studies on tobacco control in China was considered to be poor and few of them would show the evidence on the effectiveness of the programs. Only few studies on non-smoking related laws and regulations touched upon the positive effectiveness on this issue. We suggested that the execution and evaluation on non-smoking related laws and regulations be strengthened.