雙親和同儕團體對高中生吸菸行為的影響

Parent and Peer Group Influence on the Smoking Behavior of High School Students

楊雪華(Hsieh-Hua Yang) ； 陳端容(Duan-Rung Chen) ； 李蘭(Lan-Lee Yen) ； 柯姍如(Shan-Ru Ke)

《Journal of Medical Education》 7卷2期 (2003/06) Pp. 128-139

https://doi.org/10.6145/jme.200306_7(2).0005

摘要

目標：探討雙親和同儕團體對高中生吸菸行為的影響。方法：以台北市一所綜合高中一年級學生為對象，自行發展問卷於課堂上集體填答，應用NEGOPY社會網絡分析軟體，找出班級內的「同儕團體」，以Logistic Regression分析個人因素、家庭因素及同儕因素等變項與吸菸行為的相關性。結果：與高中生吸菸行為有關係的變項包括個人因素的菸害知識、反菸態度；家庭因素的父親吸菸行為；同儕因素的吸菸朋友人數、同儕團體位置等。菸害知識得分愈高、反菸態度愈強者，其吸菸機會愈低，勝算比分別為0.816、0.891；有1-2位吸菸朋友者，相對於沒有吸菸朋友者，吸菸機會較高，勝算比為4.385，而有3-7位吸菸朋友者，其吸菸的勝算比更高達21.127；團體成員吸菸機會高於非團體成員，勝算比為3.131；父親吸菸行為與性別具交互作用，就男生而言，父親吸菸者的吸菸機會為父親不吸菸者的2.746倍，就女生而言，父親吸菸者的吸菸機會為父親不吸菸者的0.423倍。結論：影響高中生吸菸行為的因素，除菸害知識與反菸態度外，吸菸朋友及同儕團體位置都是重要的因素，而且男生受父親吸菸行為影響較多，此結果可提供研擬菸害防制教育的參考。

關鍵字

父母親 ； 同儕團體 ； 高中生 ； 吸菸

並列摘要

Objectives: Exploring the effects of parent and peer group on the smoking behavior of high school students. Methods: Using a set of structured questionnaires, two hundred and seventy four (274) students in a comprehensive high school named up to seven best friends. Each student’s peer group was then defined using the NEGOPY network analysis program. Logistic regression analysis was applied to explore the relationship between smoking behavior and personal, family and peer factors. Results: Smoking behavior was significantly associated with knowledge, anti-smoking attitude, fathers’ smoking behavior, number of smoking friends, and the peer group. The smoker’s knowledge and anti-smoking attitude were lower for smokers than for non-smoker’s and the odds ratio for them were 0.816 and 0.891, respectively. The more smoking friends a student had, the more likely it is that their smoking behavior would increase. Compared with a non-group-member, the odds ratio for a group-member’s smoking behavior was 3.131. The smoking behavior of the father and gender also interacted with smoking behavior. The odds ratio for a boy with a smoking father was 2.746, and was 0.423 for a girl. Conclusions: The peer group was one of the most important factors related to smoking. Additionally, the smoking behavior of the father influenced the smoking behavior of their sons. The implications for future research and intervention are considered.

並列關鍵字

parents ； peer group ； high school student ； smoking

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