國小學童父親戒菸意圖及其相關因素

背景：根據行政院衛生署國民健康局調查顯示，在台灣將近有五百萬名吸菸人口，成年男性當中吸菸者佔四成，尤以青壯年時期男性最多人吸菸。另外，父親的吸菸行為對孩子的吸菸行為有重要的影響力。因此，本研究主要以學童父親為對象。目的：主要目的為探討南台灣地區國小學童父親之戒菸意圖及其相關因素。方法：本研究於2008年至2009年進行學齡期兒童之吸菸父母調查，從中獲得父親吸菸行為以及影響因素相關資料，調查對象為高雄市、屏東縣、台東縣65所國小三至六年級學童父親，有效樣本數共1409份，以邏輯斯迴歸模式分析來探討學童父親戒菸意圖及其影響因素之間的相關性。結果：多變項邏輯斯迴歸分析結果顯示學童父親曾有戒菸經驗(aOR = 3.44, 95% CI: 2.42-4.90)的戒菸意圖顯著高於無戒菸經驗，醒來後超過五分鐘吸第一支菸(aOR = 1.86, 95% CI: 1.19-2.89)的戒菸意圖顯著高於醒來後五分鐘內吸第一支菸，菸害認知得分愈高者戒菸意圖愈高(aOR = 1.08, 95% CI: 1.04-1.11)，曾被醫護人員(aOR = 1.57, 95% CI: 1.03-2.40) 或朋友/同事(aOR = 1.87, 95% CI: 1.25-2.78)勸告戒菸的戒菸意圖顯著高於從未被勸過菸者，曾經從報紙上獲得反菸訊息(aOR = 2.51, 95% CI: 1.00-6.31) 的戒菸意圖顯著高於未曾從報紙上獲得反菸訊息。有戒菸意圖之菸害認知平均分數(34.76, SD＝5.47)顯著高於無戒菸意圖。結論：曾被醫護人員、朋友或同事勸菸的戒菸意圖顯著較高，建議可培訓醫護人員成為戒菸諮詢專家，並廣設戒菸諮詢站，使戒菸服務更具有便利性及可近性。工作職場團隊中應建立不吸菸規範，安排適當的戒菸相關衛生教育講座，建立員工對菸品危害人體的認識。另外，曾經從報紙上獲得反菸訊息的戒菸意圖顯著較高，建議政府應於平日在報紙頭版明顯處刊登反菸訊息，藉此增加民眾獲得反菸資訊的機會。

關鍵字

戒菸意圖；學童父親

並列摘要

Background: The Bereau of Health Promotion (BHP) point that there are about five million smokers in Taiwan. Adult current smokers are nearly 40% of the males,especially most of them were young adult male.It is important influence of father’s smoking status on children’s smoking behavior. Schoolchildren’ s fathers was chosen as subjects in this study. Objectives: To explore fathers’ quit smoking intention and associated factors among schoolchildren in southern Taiwan. Methods: Data on fathers’ smoking behavior and related factors was obtained from the 2008 and 2009 Control of School-aged Children Smoking Study parental surveys of representative sample (n=1,409). The survey was conducted on fathers of third to sixth graders in 65 elementary schools in Kaohsiung City, Pintung and Taitung County. Logistic regression models were used to examine the influence factors on quit smoking intention in children’s fathers. Results: The results showed that having ever-quitting experience (aOR = 3.44, 95% CI: 2.42-4.90), the first cigarette after waking up more than 5 minutes (aOR = 1.86, 95% CI: 1.19-2.89) and cognitive tobacco hazards (aOR = 1.08, 95% CI: 1.04-1.11) were significantly associated with quit smoking intention among children’s fathers. Furthermore, advised to quit smoking by the health care personnel (aOR = 1.57, 95% CI: 1.03-2.40) or friend/colleague (aOR = 1.87, 95% CI: 1.25-2.78) and exposed to anti-smoking media through newspapers (aOR = 2.51, 95% CI: 1.00-6.31) were also significant factors associated with father’s quit smoking intention. Conclusions: The findings suggest that training the health care proposal to be a consultant of smoking cessation, and set up smoking cessation counseling station extensively. The workplace non-smoking norms should be established, and arrange the appropriate cessation-related health education. In addition, anti-smoking messages can be published in daily newspapers on the front page.

並列關鍵字

quit smoking intention ； schoolchildren father

參考文獻

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國小學童父親戒菸意圖及其相關因素

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