嚼檳榔預防教育先驅研究(Ⅱ)-國中生嚼檳榔預防教學實驗

A Pilot Study of Betel Chewing Prevention (Ⅱ)-Educational Intervention to Prevent Betel Nut Chewing Among Adolescents

李蘭(Ylee-Lan Yen) ； 劉潔心(Chieh-Hsin Liu) ； 晏涵文(Han-Wen Yen) ； 陳麗鳳(Lih-Fenq Chern)

《中華民國公共衛生學會雜誌》 11卷4期 (1992/12) Pp. 295-303

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

摘要

爲喚起青少年對嚼檳榔有害健康的意識，並教導他們拒絕嚼檳榔的技巧，利用立意取樣法，淤台北市選取四所國民中學二年級男生，共八班爲研究對象。每所學校各有實驗組一班和對照組一班。檳榔預防教學活動共計四個單元，以每週一次，每次五十分鐘，連續四週的方式進行。各校曾接受衛生教育專業訓練的健康教育教師擔任教學者，按各校排定日程，進行各項活動。教學活動實施前後，實驗組和對照組學生同時填答問卷，實驗組學生於每次教學活動後另有教學評量。就全體學生而言，教學活動實施後：(1)實驗組學生的認知正確率顯著地高於對照組；(2)實驗組學生不支持嚼檳榔的態度得分明顯地高於對照組；(3)兩組學生自評會勸別人不嚼檳榔的比率增加；(4)實驗組學生於實驗期間主動和別人談檳榔的比率顯著地高於對照組；(5)實驗組學生普遍對教學活動中使用的教學方法覺得有趣且有幫助。根據上述結論，建議將檳榔預防教育介入活動擴大舉辦，並期望有關單位及早制定檳榔產銷及消費政策，以環境的配合強化教育的功效。

並列摘要

In order to raise the awareness of adolescents to the harm of betel-nut chewing and to instruct them on the skills of rejection, we purposely chose the nineth graders from four junior high schools in Taipei City to implement a pilot study. Eight classes of male students were selected and randomly assigned to either the intervention group or the control group. A teaching protocol was designed for four weekly 50-minute educational sessions for students in the intervention group. Four school teachers with professional training in the Health Sciences were recruited as educators. In addition to a pre- and post-test for both groups, an educational evaluation following each session was implememted in the intervention group. The intervention program in-creased the students konwledeg of and negative attitude toward betel-nut chewing. Students of both groups showed increased rates of advising others not to chew betel-nut. More of the students in the intervention group discussed betel chewing with others compared with those in the control group. Students in the intervention group reported that they were interested in the strategies employed in the educational activities. They felt that this educational program focusing on betel-nut chewing was worth expanding. The educational effectiveness of this program will be enhanced when production policies are established for betel-nut.

並列關鍵字

Betel chewing ； intervention ； adolescent