男同志俱樂部藥物使用防治教育成效評估

本研究目的在於評估以同志健康服務中心為防治教育平台之成效。採用理性行為理論及自我效能等概念變項，探討男同志對於俱樂部藥物使用的影響因素，並將價值澄清法的理念與功能及反毒技巧融入其衛教活動，發展俱樂部藥物防治教育，評估其對於男同志俱樂部藥物使用的行為意圖、態度、及自我效能的立即及延宕效果。研究採「不相等實驗對照組研究設計」，研究對象為大台北同學會、風城部屋、台中基地、陽光酷兒等四家同志健康服務中心為據點，其造訪者及其社會網絡所能觸及的18歲以上的男同志為研究對象。抽籤決定於台中基地於後測前辦理40分鐘的俱樂部藥物使用價值澄清防治教育為實驗組，其餘為對照組。各同志健康服務中心以回應者引介抽樣法招募參與者，並以匿名形式進行問卷調查。前測於102年9月6日至102年11月21日間辦理，實驗組99位，對照組235位。後測於103年3月19日至103年6月24日間執行，實驗組127位，對照組266位。後後測於103年8月25日至03年10月31日間辦理，實驗組133位，對照組247位。結果顯示由態度、主觀規範及自我效能所建構的模型，對於俱樂部藥物使用的行為意圖，具有58.0%變異量的解釋能力，其中自我效能是最有影響力的變項，其次是態度。外在變項對於模型僅具些微影響力。研究對象最重要的主觀規範係來自其親人。主要效標在二組皆未於前測、後測及後後測間之差異達顯著水準。在次要效標部分，實驗組持正向態度較強者，後後測與前測相比，其勝算有增加，並達統計顯著意義。由介入成效可知，本計畫啟發男同志同儕間對於不使用俱樂部藥物的正向態度。在現有常規俱樂部藥物使用防治教育，融入價值澄清教學法的活動，值得未來繼續推動。

關鍵字

男同志；俱樂部藥物；理性行為理論；自我效能

並列摘要

The present study aimed to evaluate the efficacy of prevention education using LGBT community health centers (LGBT center) as the platform. The theory of reasoned action and self-efficacy theory were adopted to explore the factors that influence the use of club drug among gay and bisexual men. The prevention program adopted principles of value clarification method and included refusal skills for illicit drugs. The immediate and delayed effect concerning intention, attitude, and self-efficacy of club drug use were evaluated. This study adopted non-equivalent experiment control group design. The study population was the visitor and their peer of 4 LGBT centers who is above 18 years old. One center was selected as experiment group where a 40-minute value clarification of club drug prevention program was conducted. There was not intervention in the control group. Participants were recruited using responder driven sampling. The pre-test was conducted during Sep. to Nov. 2013 with 99 and 235 effective sample in the experiment and control group respectively. The post-test was conducted during Mar. to Jun. 2014 with 127 and 266 effective samples in each group. The post-post-test was conducted during Aug. to Oct. 2014 with 133 and 247 effective samples in each group. The study result showed that the attitude, subjective norm and self-efficacy explained 58% of the variance of intention. The self-efficacy was the most powerful predictor of intention, following was the attitude. The external variable had little impact on the model. The most important source of subjective norm came from their families. There was not significant change of intention in both groups among pre-test, post-test and post-post-test. Among the secondary criterion, in the experiment group, odd of holding positive attitude increased significantly in post-post-test comparing with that in the pre-test. The result showed that this program inspired the peer to possess positive attitude about rejecting the use of club drug. Adopting value clarification in regular club drug prevention education is recommended.