- 學位論文
彰化縣國、高中學生對吸菸、飲酒、嚼檳榔
A Study of the cognition, attitude and behavior to cigarette smoking, alcohol drinking, and betel quid chewing of Chang-hua County resident’s junior and senior high school students.
摘要
目的：本研究主要是探討彰化縣國、高中學生吸菸、飲酒、嚼檳榔之相關調查。以口腔健康檢查與問卷作研究。 方法：彰化地區高中職27校37,050名學生，國中計40校55,314名學生。 研究設計國中部份以二階段叢集隨機抽樣設計，高中（職）部份以二階段系統抽樣方式，共抽出409名個案。問卷輸入資料建檔後以SAS、JMP等系統軟體進行資料整理及統計分析。研究結果發現，受試學生曾經使用菸、酒、檳榔之盛行率分別為嚼檳榔2.49％（男生4.52％、女生0.49％）、吸菸9.45％（男生13.64％、女生5.37％）、飲酒12.03％（男生13.79％、女生9.71％）與八十四年盧俊泰針對彰化縣國中生嚼檳榔之盛行率 4.7﹪比較，已有下降的趨勢。 對檳榔、菸、酒之知識、態度、行為研究中發現，「嚼檳榔態度分數」方面顯示，檳榔、菸、酒不曾使用者對「嚼檳榔態度分數」持正向態度，不認同嚼檳榔之行為。「吸菸態度分數」方面顯示，曾嚼檳榔者則認為吸菸會影響身體健康且公共場所應全部禁止吸菸。「飲酒態度分數」方面顯示，檳榔、菸、酒不曾使用者對不飲酒持有正向的態度，不認為飲酒可使人放鬆心情且會影響課業、浪費金錢、增加支出，並使人的判斷力和反應能力降低。 對數回歸分析顯示嚼檳榔之重要影響因素中，男生嚼檳榔比女生多7.45倍；高中﹙職﹚生比國中生多3.95倍；父母不合住比合住者高6.25倍。對數回歸分析顯示抽菸之重要影響因素中，男生之抽菸機率比女生多3.08倍；高中﹙職﹚比國中多3.49倍；每日零用錢100元以上比以下者高出2.19倍。對數回歸分析中喝酒之重要影響因素顯示，零用錢100元以上比以下者之喝酒機率高2.15倍。 青少年使用菸、酒、檳榔是否會影響其生活品質？研究結果發現青少年的生活品質，女生比男生差且高中也比國中差。有吸菸的女生生活品質明顯比沒有吸菸的差；男生則顯示有飲酒者生活品質明顯比沒有飲酒者差；有無嚼食檳榔對生活品質的影響則沒有顯著差異。 SF-36量表發現，心理構面（MCS）方面顯示男生生活品質比女生差。而身體構面（PCS）則顯示女生吸菸者生活品質比不吸菸者差。
並列摘要
Objective：This study focused on the relationship between cigarette smoking, alcohol drinking and betel quid chewing of junior and senior high school students in Chang-Hwa County with oral examination and questionnaires. Methad：Chang-Hwa County has 27 vocational senior high schools with 37,050 students and 40 junior high schools with 55,314 students. The research of junior high schools is composed by the measure design of two phase clusters samplings, and (vocational) senior high schools by measure of two phases systemic sampling modes, total 409 cases. After collecting compiling the questionnaire data data management and statistic analysis implemented by SAS, JMP etc. systematic software. The result showed the prevalence of cigarette smoking, alcohol drinking and betel quid chewing of interviewed students, seperately 2.49% for betel quid chewing (boys 4.52%, girls0.49﹪), cigarette smoking 9.45% ( boys 13.64%, girls 5.37%) and alcohol drinking 12.03% ( boys 13.79%, girls 9.71%), the trend is downwards. The study of cognition, behavior attitude and to cigarette smoking, alcohol drinking and betel quid chewing showed those who never used betel quid , cigarettes or alcohol did not agree with the behavior of betel quid chewing by the measure of attitude to betel quid chewing. By the part of cigarette smoking attitude measure, teenagers who have chewed betel quid or smoked did not keep good physical health and should inhibit smoking in public. By the alcohol drinking attitude measure those who refuse cigarette smoking, alcohol drinking and betel quid chewing have a positive attitude about not smoking. They not think alcohol drinking can be relaxing, it affects their studies smoking wastes their money, increases their costs, reduces their judgement and reaction. Logistic regression analysis shows the major factors of chewing betel quid are sex, educational level and parent marriage situation. It also pointed out that smoking was influnced by sex, educational level and daily pocket money. Alcohol drinking was decided by pocket money, drinking cognition and attitude. The result finds out the girl’s life quality is inferior to the boys, senior high schools students are worse than junior high school students, the boys who drink are inferior to non drinkers. SF-36 measure table shows: Mental component summary (MCS) shows, compared to the girls, the boys have a better life quality. Physical component summary (PCS) pointed the life quality of smoking schoolgirls is inferior to non smokers.