宜蘭縣九所國、高中職學生吸菸行為之影響因素研究

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Date

2004-12-??

Authors

李碧霞
吳德敏
祝年豐
賴香如
趙國欣
李欣憶
鍾宜君
劉姿鈺

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健康促進與衛生與衛生教育學系
Department of Health Promotion and Health Education

Abstract

本研究旨在了解國、高七後學生菸害知識、態度、行為、拒菸自我效能、拒菸技巧、不吸菸替代活動、暴露二手菸環境與吸菸行為之關係。以自填式結構問卷為工 具,由班級導師協助施測。採隨機取樣方式從宜蘭縣市五所高中(職)和四所國中各年級抽出兩班學生為對象,實際回收1946份有效問卷,回收率97.2%。 研究木發現:國、高中生的吸菸比較分別是17.6%、24.4%。無論國、高中學生,吸菸者的拒菸效能、拒菸技巧,以及替代方案均顯著低於無吸菸者 (P<.001),而其家人及朋友的吸菸情形,也顯著高於無吸菸者(P<.001)。國中生吸菸的重要影響因子包括拒菸自我效能、反菸態度、 拒菸技巧、替代方案、家人吸菸,以及朋友吸菸,上述變項共可解釋34.5%的變異。高中生吸菸的重要影響因子包括拒菸自我效能、反菸態度、替代方案、在家 中吸到二手菸的可能性、家人吸菸,以及朋友吸菸,上述變項共可解釋33.5%的變異量。建議考量吸菸因子發展菸害防制教育、深入探討校園二手菸情境,並營 造無菸的優質校園,以及擴大研究對象、進行長期追蹤研究。
The purpose of this study was to examine the relationship between tobacco knowledge, attitudes, self-efficacy, refusal skills, alternatives, exposure to environmental tobacco smoke (ETS) and smoking behavior among high school 52 classes from 5 senior and 4 junior high schools in E-Land County were surveyed. Totally, 1946 students provided data with 97.2% response rate. The results showed that the prevalence rate of smoking among junior and senior high school students were 17.6% and 24.4, respectively. Compare with nonsmokers, smoking students had lower self-efficacy, refusal skills and alternatives for smoking. On the contrary, smoking students were more likely to have family smoking and friend smoking. Junior high school students’ self-efficacy, antismoking attitudes, refusal skills, alternatives, family smoking and friend smoking were associated with smoking status. Moreover, these six variables could explain 34.5% of variance. Related to senior high school students, smoking status was associated with self-efficacy, anti-smoking attitudes, alternatives, and the likelihood of ETS exposure at home, family smoking and friend smoking. Totally, these six variables could explain 33.5% of variance. Developing antismoking programs, exploring ETS in campus and building smoking free school were recommended.

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