成年人嚼食檳榔與戒嚼檳榔的相關因子

Factors Related to Adult Betel-quid Chewing and Cessation

李蘭(Lee-Lan Yen) ； 潘怜燕(Ling-Yen Pan) ； 陳秀熙(Hsiu-Hsi Chen)

《Journal of Medical Education》 5卷4期 (2001/12) Pp. 312-323

https://doi.org/10.6145/jme.200112_5(4).0006

摘要

欲瞭解成年人嚼食及戒嚼檳榔之相關因子，本研究利用1999年的全國調查進行次級資料分析。研究樣本為年滿十八歲之成人，男性和女生各1865人和1830人。在1990年初，台灣地區的成年人有嚼食（偶爾嚼和每天嚼）檳榔的比率是9.45%；以性別分開來看時，男性的比率為17.69%，女性的比較為1.04%。另從每天有嚼食檳榔習慣的比率來看時，男性和女性的比率分別為5.84%和0.49%。不論性別，嚼食檳榔行為以25-44歲、中小學程度、從事技術性或非技術性工作、居住在東部地區者的比率較高。與成年人嚼食檳榔相關的因素有性別、年齡、教育程度、居住地區、和檳榔危害認知。與有嚼食檳榔經驗者之戒嚼檳榔意願相關的因素包括年齡、檳榔危害認知、和有無吸菸。與同時有嚼食檳榔及呼菸兩項行為者戒嚼檳榔意願相關之因素則有年齡、過去一年曾否戒菸、和未來半年有無戒菸意願。整體而言，國人嚼食檳榔的比率尚待降低，建議及早訂定測量的統一指標，舉辦定期及持續性之全國調查，以追蹤國人嚼食檳榔的情形，同時積極推動「預防嚼食檳榔」和「促成戒嚼檳榔」之介入計畫。

關鍵字

嚼檳榔 ； 成年人 ； 盛行率 ； 健康行為

並列摘要

In order to understand the factors related to adult betel-quid chewing and cessation, a nationwide survey conducted in 1999 was used for secondary data analysis. The subjects include 1865 male adults and 1830 female adults. The rates of current betel-quid chewing were 17.69% for males, 1.04% for females, and 9.45% for all adults. It was found that 5.84% of the males and 0.49% of the females were chewing betel-quid everyday. Respondents with the highest rates of betel-quid chewing were 25-44 years old, had middle school or lower education, were technical and semi-technical workers, and were residents in eastern Taiwan. The factors related to betel-quid chewing were sex, age, education, residential area, and knowledge about the harm resulting from betel-quid chewing. For those who had chewed betel nuts, the factors related to the desire to cease betel-quid chewing were age, knowledge about the harm caused by betel-quid chewing, and smoking. For those who chewed betel-quid and smoked, the factors related to the desire to cease betel-quid chewing were age, having tried to quit smoking the previous year, and having the intention to quit smoking within six months. In conclusion, betel-quid chewing should be controlled, and a regular nationwide survey on betel-quid chewing using standardized measurement criteria would be useful. Interventions focusing on prevention and cessation of betel-quid chewing also need to be implemented.

並列關鍵字

betel-quid chewing ； adult ； prevalence ； health behavior