國小學童家長菸害知識、菸害防制政策態度與吸菸行為之相關性: 以大高雄地區別為例

Tabaco-related Knowledge, Attitude, and Behavior among Guardian of the Primary School children ： An example of Kaohsiung Area

李麗瓊(LI-CHIUNG LEE)

指導教授 ： 黃曉靈

高雄醫學大學/口腔醫學院/口腔衛生科學研究所碩士在職專班/碩士(2011年)

https://doi.org/10.6832/KMU.2011.00113

摘要

背景: 父母親的行為已普遍被認為影響其孩童未來行為發展。
目的:在探討大高雄地區別國小學童家長菸害知識、菸害防制政策態度與吸菸行為之相關性。研究結果希冀能做為政府教育及衛生單位設計有效學童家長菸害防制計畫的參考依據。
方法: 本研究於98年3月至6月以集束抽樣(cluster sampling) 取得大高雄地區別國小3-6年級學童家長樣本，使用自填式方式進行問卷調查。有效樣本為3468份，分別都市1863份、鄉村1350份、及山地719份。以多元式邏輯斯迴歸 (Multinomial Logistic Regression Analysis)模式分析目前/曾經/未曾吸菸行為與菸害知識、菸害防制政策態度之相關性。
結果: 「目前」吸菸行為分別為都市24.2%、鄉村27.9%及山地27.3%；男性家長吸菸率44.2%，女性家長8.3%。在調整潛在控制變項後，「目前」吸菸行為顯著影響因素為居住於山地[adjusted odds ratio (aOR)=1.18]或鄉村地區 (aOR=1.21)，男性家長(aOR=8.76)及菸害防治政策態度得分較低(aOR=4.56)。在地區別中影響都市、鄉村、山地的「目前」吸菸行為因素為低菸害防制政策態度得分(aOR= 5.84;4.41;2.41)，來訪客人有吸菸(aOR=3.70;0.32;3.04)，上班地點沒有禁菸政策 (aOR=2.09;1.68;2.11)，有飲酒習慣(aOR=13.04;9.56;2.73)及嚼食檳榔習慣(aOR=30.41; 16.2;5.29)。
結論: 大高雄地區鄉村及山地偏遠地區有較高吸菸盛行率，不同地區別其影響因素亦不同，研究結果建議衛生機關與學校教育單位於推動菸害防制計畫時，能考慮地區別、性別及其他相關影響因素，加強學童家長對菸害認知，將禁菸拒菸觀念生活化，進而有效降低其吸菸率。

關鍵字

學童家長 ； 菸害知識 ； 菸害防制政策態度 ； 吸菸行為

並列摘要

Βackgroun:. Parents behavior had generally been considered the main development of future behavior affecting their children.
Objective:. This study investigated the parents with elementary school children in Kaohsiung County and the city’s attitude toward the tobacco control policies that are related to smoking behavior. The results of this study can used for government education and health agencies to design a more effective tobacco control programs for parents with children as a reference.
Methods: The study was done from March 1998 to June of 1998 in a cluster sampling. The self-administered questionnaire study was done on the parents of elementary school children from grades 3-6 in Kaohsiung County. There were 3468 self-administered questionnaire: 1863 were done the urban city, 1350 in the rural city, and the 719 in the mountain area. Multinomial Logistic Regression Analysis of current / ever / never smoking behavior and smoking knowledge, attitude toward tobacco control policy relevance.
Results: Results: The "current" smoking behaviors from the study are as followed: 1.24.2 % smoke in the city.2. 27.3% smoke in the urban.3. 27.9% smoke in the remote areas. The smoking rate of male is 44.2% compared to the females of only 8.3%. Potential control variables in the adjustment, the "current" significant impact on smoking bhavior factors living in the remote areas [adjusted odds ratio (aOR) = 1.18] or in rural areas (aOR = 1.21), male parents (aOR = 8.76) and tobacco lower scores on prevention and control policies (aOR = 4.56).Difference in the impact of local city, urban, and remote areas “current" smoke and smoking behavior factors for hazard control policy attitude scores (aOR = 0.17; 0.22; 0.41), visiting guests smoking (aOR = 3.61; 3.19; 2.96 ), no-smoking policy at work sites (aOR = 2.12; 1.65; 2.11), a drinking habit (aOR = 8.47; 6.11; 2.76), and betel nut chewing habit (aOR = 30.36; 13.24; 4.72).
Conclusion:. Kaohsiung County and mountain villages in remote areas have a higher prevalence of smoking. The study showed that different areas will show different results. The findings suggest that the health authorities and schools system should promote tobacco control. They should also consider the different in gender and other relevant factors to enhance the parents of elementary school children about the anti-tobacco smoking in daily life. With a better understanding of the danger of smoking these will help reduce the smoking rate in the city, urban and the remote areas.
Key word: Parents of children , tobacco-related knowledge, attitude toward tobacco-control,Smoking behavior

並列關鍵字

Parents of children ； tobacco-related knowledge ； attitude toward tobacco-control ； Smoking behavior

參考文獻

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