目標:台灣地區酒精使用情形,正快速增加,飲酒引起的意外事件是15歲到24歲年輕人的主要死因。本研究的主要目的在探討台灣地區在校青少年飲酒盛行率,以及飲酒與家庭、學校、親人飲酒習慣等的相關情形。方法:本研究以結構性問卷進行資料收集,以兩階段隨機抽樣方法,抽取研究樣本。第一階段依台灣地區國中、高中、高職、專校(五專的一至三年級)等學校類別,按學生人數比例,抽出51所國中、12所高中、27所高職、10所專科學校,共計100所學校。第二階段再於每校各年級隨機抽取一個班級,全班列入研究對象,共計12703位學生,總計有效樣本數12557人,完成率為98.8%。結果:16.7%(男生:22.9%;女生:10.1%)的在校青少年自認有飲酒習慣(每月至少飲酒一次以上者)。年齡越大,盛行率越高,18歲以上高達31.4%。專校生、高中生較高,分別為21.1%及21.0%,高中生最低12.1%,30.2%原住民學生有飲酒習慣,42.5%有飲酒習慣的學生在12歲以前開始飲酒。家庭因素中的單親家庭結構型態、父母對你的評價等,學校因素上的課業表現、出席情形、工作、打工狀況、參加幫派、師長對同學的尊重度、學校類別等,以及年齡、原住民、父母、兄弟姊妹飲酒等都是與飲酒有關的因素。結論:瞭解在校青少年飲酒的年齡、性別差異及其他相關因素,將可作為青少年飲酒防治策略的參考。(台灣衛誌2001;20(2):143-152)
Objectives: The purposes of this study are (1) to estimate the prevalence of alcohol use among adolescents in Taiwan, and (2) to investigate the possible related factors for drinking habit. Methods: Subjects were selected through a two-stage, random sampling procedure. In the first stage, the strata were based on the type of school-middle school, high school, vocational school, and junior college (first 3 years only). A total of 100 schools were sampled. In the second stage, the strata were based on grade-one class each for 1st, 2nd , 3rd grades were randomly selected from each school. About 98% (12703 of 12557) of eligible students participated. Results: The prevalence of alcohol use was 16.7%, and was much higher in males than in females (22.9% vs. 10.1%), which increased with age. The prevalence was the highest in vocational school is (21.1%), followed by junior colleges (21.0%), junior high school is (13.8%), and high school is (12.1%). Factors considered as possibly related to alcohol use included (1)family factors: family structure, esteem of parents, drinking by parents, and brothers and sisters. (2) school factors: academic performance, absenteeism, part-time working as a student, gang membership, respect of teachers, and type of school (3) other factors were age and aborigines. Conclusions: An understanding of age, gender differences and other factors of alcohol use can provide guidelines for effective interventions.(Taiwan J Public Health. 2001;20(2);143-152)