山地原住民無菸家庭之初探性研究－以南投縣仁愛鄉為例

A Preliminary Study on smoke-free Homes among Aboriginal Residents in the Ren-ai Township of Nantou County

陳奕芝(I-Chi Chen) ； 廖淑娟(Shu-Chuan Liao) ； 朱正一(Cheng-I Chu)

《台灣公共衛生雜誌》 28卷5期 (2009/10) Pp. 385-397

https://doi.org/10.6288/TJPH2009-28-05-04

摘要

目標：本研究深入探討山地原住民對無菸家庭的看法，以及衛生單位人員推展無菸家庭計畫之經驗，最後提出實施無菸家庭之策略建議。方法：深入訪談仁愛鄉的九位家中吸菸者及兩位衛生單位人員。結果：本研究發現無菸家庭之實施較可行的策略為完全禁止在家中吸菸，但允許在家庭戶外吸菸，其目的為避免他人受二手菸的危害。其他發現包括歸納出家中吸菸者的四種限制情形、對吸菸訪客的限制作法、家庭成員對吸菸者的影響力、家中貼無菸家庭貼紙的效用、由無菸家庭衍生家用車禁菸等主題概念。結論：本研究建議無菸家庭實施策略可考慮：1.家中成員對吸菸者產生的影響力；2.家中放置無菸家庭宣導品（如貼紙／小白板）；3.家中不放置菸灰缸；4.提供衛教單張宣導；5.無菸家庭家規的訂定。

關鍵字

原住民 ； 吸菸行為 ； 二手菸 ； 無菸家庭 ； 質性研究

並列摘要

Objectives: The purpose of this study was to learn about the smoking behavior of aboriginals in mountainous regions and determine their attitudes towards smoking, second-hand smoke, and smoke-free homes. Preliminary experiences of public health professionals involved in the promotion and implementation of smoke-free home programs were collected in order to develop strategies and suggestions for smoke-free home policies. Methods: This study used a qualitative approach that included in-depth interviews. Nine smokers from Ren-Ai County and two local health department employees were interviewed. Results: Participants agreed that forbidding smoking in the home would diminish the threat to their children’s health due to the inhalation of second-hand smoke. Other findings included suggestions to limit smoking in the home, limit smoking by visitors, assess the impact of family members on smokers, determine the effect of smoke-free home stickers in the home, and promote the idea of smoke-free vehicles. Conclusions: Family members within a household can significantly influence smokers and help promote smoke-free homes. Smoke-free home promotional materials such as stickers or white boards, should be used appropriately. No ash trays should be allowed at home. Health education about the effects of smoke and smoking is highly recommended. Home-set rules are a more effective approach than legal regulations.

並列關鍵字

aboriginal ； smoking behavior ； secondhand smoke ； smoking-free homes ； qualitative research

參考文獻

Borland R,Mullins R,Trotter L,White V.(1998).Trends in environmental tobacco smoke restrictions in the home in Victoria, Australia.Tob Control.8,266-271.

Borland R,Yong HH,Cummings KM,Hyland A,Anderson S,Fong GT(2006).Determinants and consequences of smoke-free homes: findings from the International Tobacco Control (ITC) four country survey.Tob Control.15,42-50.

Farkas AJ,Gilpin EA,Distefan JM,Pierce JP.(1999).The effects of household and workplace smoking restrictions on quitting behaviors.Tob Control.8,261-265.

Gilpin EA,Farkas AJ,Emery SL,Ake CF,Pierce JP.(2002).Clean indoor air: advances in California, 1990-1999.Am J Public Health.92,785-791.

Gilpin EA,White MM,Parkas AJ,Pierce JP.(1999).Home smoking restrictions: which smokers have them and how they are associated with smoking behavior.Nicotine Tob Res.1,153-162.