國中生吸菸行為之相關因素探討:以台中縣為例

目的：探討台中縣地區國中生吸菸行為與菸害認知、態度、重要他人的吸菸經驗、菸商之促銷及媒體廣告、反菸資訊及學校課程因素之相關性。方法：針對台中縣地區一至三年級國中生為對象。採用集束抽樣，以學校為單位，選取10所樣本學校，共30個班級。使用「全球青少年菸草調查」(Global Youth Tobacco Survey, GYTS)問卷收集吸菸行為及其相關影響因素。共取得有效樣本901份，回覆率為95.6％。最後使用邏輯斯迴歸分析吸菸行為及其影響因素。結果：台中縣國中生目前吸菸者佔8.21% (男性佔10.61%，女性佔5.69%)。多變項邏輯斯迴歸分析中，發現女生相較於男生吸菸的危險比只有0.56倍(95%CI:3.90-17.16)；好友吸菸的學生相較於好友沒吸菸的學生，在吸菸率的危險比為8.18倍(95% CI:3.90-17.16)；知道二手菸一定會對健康造成危害的人的吸菸危險比是不知道這件事情的人的16.36倍(95%CI:1.30-206.40)；認為吸菸女孩較有魅力或是對此有正面看法的人相對於沒有這類想法的人的吸菸危險比為8.25倍與5.92倍(95%CI:2.43-28.02)(95%CI:1.82-19.30)；受菸商提供免費香菸的學生會吸菸的危險比是沒有接受菸商免費香菸的3.00倍(95% CI:1.565.76)；沒有接受過菸品對健康的影響相關課程的學生相對於曾經接受此類課程的學生會吸菸的危險比為3.02倍(95% CI:1.76-5.19)。結論：本研究結果建議政府及衛生單位應嚴格執行菸害防治政策以杜絕青少年有機會接觸菸商提供免費香菸；學校應發展適合青少年的菸害防制教材介入課程，並教導拒絕的技巧和抗拒同儕壓力，以降低國中生的吸菸行為。

關鍵字

GYTS ；吸菸行為；國中生；台中縣

並列摘要

Objectives: To explore tobacco knowledge, attitudes, the experience of smoking in significant others, tobacco marketing and media advertising, anti-smoking information, as well as the school tobacco-related curriculum impact on student’s smoking behavior in junior high school, Taichung. Methods: Cluster sampling was used to obtain a representative sample (n=901 with 95.6 % of response rate) among 1st to 3rd graders from 10 junior high schools in Taichung, Taiwan in 2009. We used high validity and reliability Chinese version Global Youth Tobacco Survey (GYTS) questionnaire to collect smoking behavior and its related factors. Logistic regression models were used to examine the influence variables on smoking status of school students. Results: There were 9.10% of current smokers among junior high school students (10.61% of male and 5.69% of female). Compared to non-smokers, found that boys and girls compared to the dangers of smoking than only 0.56 times (95% CI :3.90-17 .16); friends of students smoking friends not to smoke than students smoking rate in the hazard ratio was 8.18 times (95% CI :3.90-17 .16); know the health hazards of passive smoking some of the dangers of smoking than those who do not know who this matter 16.36 (95% CI :1.30-206 .40); that the more attractive girls smoking or have a positive view of this relative absence of such people who think smoking a hazard ratio of 8.25 times and 5.92 times (95% CI :2.43-28 .02 ) (95% CI :1.82-19 .30); offer free cigarettes by tobacco companies of the dangers of smoking than students not receiving free cigarettes, tobacco companies 3.00 times (95% CI: 1.565.76); did not receive any tobacco products on health-related courses compared to students who have received smoking of such courses is 3.02 times the risk ratio (95% CI :1.76-5 .19). Conclusion: The results further suggest that the government and health agencies should strictly enforce tobacco control policies to prevent youth access to free cigarettes by tobacco companies; schools should develop suitable tobacco control intervention programs including refusal skills and resist peer pressure in order to reduce the smoking behavior initiated in junior high school students.

並列關鍵字

GYTS ； smoking behavior ； school students ； Taichung County

參考文獻

Google Scholar

Barra, S., Gaeta, G., Del Castello, E., Capozzi, G., Cuomo, V., Effuso, L., Madrid, A., & Stornaiuolo, V. (2009). Age-related differences in factors associated with cigarette smoking among Italian high school students. J Cardiovasc Med (Hagerstown), 10(7), 529-534.

Google Scholar

Bricker, J. B., Peterson, A. V., Jr., Leroux, B. G., Andersen, M. R., Rajan, K. B., & Sarason, I. G. (2006). Prospective prediction of children's smoking transitions: role of parents' and older siblings' smoking. Addiction, 101(1), 128-136.

Google Scholar

Can, G., Topbas, M., Oztuna, F., Ozgun, S., Can, E., & Yavuzyilmaz, A. (2009). Factors contributing to regular smoking in adolescents in Turkey. J Sch Health, 79(3), 93-97.

Google Scholar

CDC. (1994). Surgeon General's Report—Preventing Tobacco Use Among Young People. Smoking & Tobacco Use Retrieved Dec 21, 2009, from http://www.cdc.gov/tobacco/data_statistics/sgr/1994/index.htm

Google Scholar

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國中生吸菸行為之相關因素探討:以台中縣為例

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