臺灣地區成年人之吸菸與嚼檳榔行為的組合及其相關因子探討

Factors Related to Adults' Smoking and betel-nut Chewing Combination Behavior in Taiwan

陳富莉(Fu-Li Chen) ； 李蘭(Lee-Lan Yen)

《中華公共衛生雜誌》 18卷5期 (1999/10) Pp. 341-348

https://doi.org/10.6288/CJPH1999-18-05-08

摘要

目標：本研究旨在探討吸菸且嚼檳榔、吸菸但不嚼檳榔、嚼檳榔但不吸菸、不吸菸也不嚼檳榔四類不同行為聚集者的相關影響因素。方法：研究資料採自臺灣地區青少年與成年人有關嚼檳榔之認知與行為調查，利用其中年滿十八歲以上成人樣本之社會人口學變項、菸與檳榔危害認知、吸菸與嚼檳榔行為等資料進行分析。結果：經統計分析結果，成人是否「吸菸且嚼檳榔」行為有顯著相關的因素包括教育程度、族群、職業別、性別、年齡、菸及檳榔危害認知；與成人是否「嚼檳榔但不吸菸」的行為有顯著相關的因素為地區別、族群和性別三項；與成人是否「吸菸但不嚼檳榔」行為有顯著相關的因素為性別和教育程度。結論：由本研究發現，「吸菸且嚼檳榔」者主要是男性、低教育程度者、原住民、及勞動階層者，為降低此類行為應針對高危險群研擬介入計畫。本研究同時發現，「嚼檳榔但不吸菸」者主要是山地居民及原住民，故應深入了解原住民的傳統文化及習俗，鼓勵原住民參與戒嚼檳榔和預防嚼檳榔之健康計畫。另外，因「吸菸但不嚼檳榔」者多屬於中學程度者及男性，所以建議導正這些高危險群有關吸菸和嚼檳榔對健康危害的認知，並藉各種管道協助其戒菸。

關鍵字

健康行為 ； 吸菸 ； 嚼檳榔 ； 成年人

並列摘要

Objectives: The purpose of this study was to investigate the patterns of the behavioral combination of smoking and betel-nut chewing and related factors. Four patterns of this behavioral combination were identified (i.e., both smoking and betel-nut chewing, smoking without betel-nut chewing, betel-nut chewing without smoking, and neither smoking nor betel-nut chewing). Methods: Data were obtained from a nationwide survey focusing on betel-nut chewing. Variables including adults' socio-demographic variables, knowledge of damage about smoking and betel-nut chewing, smoking and betel-nut chewing behavior were used for analysis. Result: Education, ethnic group, occupation, gender, age, and knowledge of damage about smoking and betel-nut chewing were found significantly related to the behavior of ”both smoking and betel-nut chewing”. Region, ethnic group and gender were found significantly related to the behavior of ”betel-nut chewing without smoking”. In addition, gender and education were found significantly related to the behavior of ”smoking without betel-nut chewing”. Conclusions: These results showed that the males, people who had only a primary school education, aborigines, and technical workers were more likely to smoke and chew betel nuts. A high prevalence of betel-nut chewing was found among males, people who lived in mountain areas, and aborigines. In addition, males and the subjects who graduated from junior high schools were more likely to smoke only. It was suggested that information about the adverse effects of smoking and betel-nut chewing should be taught to high risk groups and the abstaining skills should be taught.

並列關鍵字

health behavior ； smoking ； betel-nut chewing ； adult