青少年預防吸菸教育介入之成效研究-以新北市某國民中學為例

Abstract

本研究目的瞭解透過預防吸菸課程對青少年菸害知識、拒菸態度、拒菸自我效能、吸菸行為意向、拒菸行為以及拒菸技巧之影響。本研究係採準實驗設計，以新北市某國中八年級為研究對象，共72人參與，實驗組為31人，對照組為41人。本研究於民國103年7月至8月進行，實驗組進行前後測及五堂各45分中的預防吸菸課程，對照組僅進行一般教學及前後測。 研究顯示，預防吸菸課程介入可顯著提高國中生菸害知識、拒菸自我效能、拒菸技巧及拒菸行為，及降低吸菸行為意向。實驗組在菸害知識、拒菸自我效能、拒菸技巧及拒菸行為皆有進步。但在拒菸態度上並未呈現顯著差異。 建議在未來課程設計可在一般健康教育課程中強化融入預防吸菸課程，並以豐富多元的媒體素材讓學生了解菸品對人體的危害，以及如何在面對誘惑時可以採取拒菸行為，可提昇學生的拒菸態度。The main purpose of this study was to analyze the effects of a smoking prevention program on smoking knowledge, attitude, refusing smoking behavior, smoking intention and self-efficacy of refusing smoking among the eighth-grade students in a junior high school in New Taipei City. This study adopted the auasi-experiment design. A New Taipei Municipal junior high school was purposively selected as the study school. The total effective number of the experimental group was 31, with the control group being 41. The experimental group participated five sessions smoking prevention program, while the control group didn’t take any course. GEE analyasis was used to estimate the effects of the prevention program. This study found that the program had a positive effect. The intervention could enhance smoking knowledge, self-efficacy of refusing smoking, refusing smoking behavior, and smoking intention. According to the close study findings, it is suggested that the preventive smoking intervention program could be utlized for the junior high school students. Schools should not only focus on the teaching of refusing smoking skills but encourage parents and teachers involved in smoking preventive program.