嚼檳榔預防教育先驅研究(Ⅰ)-國中生嚼檳榔現況及影響因素之初探

A Pilot Study of Betel Chewing Prevention (Ⅰ)-The Status and Factors Related to Betel Chewing Among Adolescents

李蘭(Lee-Lan Yen) ； 晏涵文(Han-Wen Yen) ； 劉潔心(Chieh-Hsin Liu) ； 關學婉(Huseh-Wan Kuan) ； 季瑋珠(Wei-Chu Chie) ； 林瑞雄(Ruey-Hsiung Lin)

《中華民國公共衛生學會雜誌》 11卷4期 (1992/12) Pp. 285-294

https://doi.org/10.6288/JNPHARC1992-11-04-03

摘要

本研究爲探討青少年與嚼檳鄉行爲相關的因素而設計。在配合預防教育實驗計畫實施的可行性考量下，選擇臺北市的市區和市郊各兩所國民中學二年級男生爲對象。每校以班級爲單位隨機選取兩班，全部共抽得281名學生。利用自行發展的研究問卷收集資料和統計分析後發現：(1)有25.3%的學生表示其家人有嚼檳榔的習慣；另有11.4%的學生表示與其來往的朋友有嚼檳榔習慣；(2)有15.7%的學生曾經遇到別人勸吃檳榔；(3)有71.2%的學生表示其住家附近可見到檳榔攤；另有43.4%的學生表示其學校附近可見到檳榔攤；(4)學生們的態度傾向於不支持嚼檳榔；(5)18.5%的學生有嚼檳榔的經驗；(6)已有嚼食經驗者，分別有38.7%和61.3%的人，是在小學或國中階段時發生第一次的經驗，且有一半的人是因朋友遞送而開始嚐試：(7)可以預測學生「曾嚼過檳榔」的變項包括母親教育程度低、自我接納程度低、具外控傾向特質、對嚼檳榔的態度傾向支持、有吸菸經驗、家中有人嚼檳榔及朋友中有人嚼檳榔等七個因素。根據上述結果，爲避免國中學生養成嚼檳榔的行爲，達到抑制檳榔消費人。增加的目的，檳榔預防教育是必需的。針對具有自我接納度低、外控特質或有吸菸經驗的學生尤需協助其熟習拒絕技巧，使能適當的處理家人或朋友嚼檳榔及遞送檳榔的行爲。

並列摘要

This study was designed to examine the prevalence and characteristics of betel chewing among adolescents. Educational intervention was implemented at four junior high schools: two in the central area and two in a suburban area. We selected as subjects a sample of 281 male students in the eighth grade. A set of questionnaires was employed for data collection. Major results are as follows: (1) 25.3% of the students had family members and 11.4% had friends who chew betel-nut; (2) 15.7% of the students had never tried betel-nut; (3) 71.2% of the students had betel-nut boothes near their homes and 43.4%, near their schools; (4) Most students tended to reject betel-nut chewing; (5) 1 8.5% of the students reported that they chew betel-nut; (6) 38.7% first tried betel-nut chewing during primary school and 16.3%, during junior high school; (7) Students who chew betel-nut have mothers with a low-level of education, have low self-acceptance, exhibit the trait of external control, have a positive attitude towards betel chewing, smoke, and have family members or friends who chew betel-nut. Based on these results, it was recommended that an educational program focusing on the prevention of betel chewing be initiated. Students with a low level of self-acceptance, the trait of external control or a smoking habit need to develop the ability to say ”no” and to resist family and peer pressure to chew betel-nut.

並列關鍵字

Betel chewing ； prevention ； adolescent