吸菸民眾對於菸盒警圖改版前後之認知與吸菸行為改變階段之變化-電話調查結果

The Variation between the Revision Graphic Warning Labels on Cigarette Package and Smoking Cessation Stage in Taiwan Smokers: Telephone Survey.

羅韻茹(Yun-Ru Luo)

指導教授 ： 陸玓玲

中山醫學大學/健康管理學院/公共衛生學系碩士班/碩士(2015年)

https://doi.org/10.6834/CSMU.2015.00042

摘要

目的：以電話調查方式探討全國18歲以上吸菸民眾在菸盒警圖改版前後，對於菸盒警圖有效性之態度傾向、自訴菸盒警圖對自己的影響、吸菸行為改變階段之變化，以及上述變化之影響因素。

材料與方法：本研究為一電訪調查追蹤研究設計，於103年5月進行第一次橫斷調查，並於同年10月進行追蹤。研究對象為台灣地區22縣市18歲以上之民眾，抽樣及資料收集依據縣市分層並於各層中採用採用亂數撥號法抽出所需電話樣本再進行戶中抽樣。共訪問1067名吸菸民眾，願意接受追蹤電訪者共686人，成功追蹤273人。研究工具為結構式問卷，內容包含社會人口學變項、吸菸行為相關變項等。改版前後差異之分析方式採用配對T檢定、卡方檢定以及McNemar 檢定；影響因子則採用迴歸模式分析。

結果：菸盒警圖改版後，發現1.吸菸者對於菸盒警圖有效性較改版前低，其中女性比男性更低；2.改版後，在產生戒菸想法以及避免在兒童面前吸菸者減少，與年齡及婚姻狀況有關；3.吸菸行為改變階段變好僅7.0%，且不受到社會人口學變項、有效性態度傾向及自訴影響等因素影響。

結論與建議：菸盒警圖改版後其有效性降低且少戒菸想法，亦不會使吸菸行為改變階段變好，但並非新版菸盒警圖無效，建議可於一年後或兩年後再次進行調查，以降低舊警圖的干擾效果。

關鍵字

菸盒警圖 ； 態度傾向 ； 自訴影響 ； 吸菸行為改變階段

並列摘要

Objective：Using telephone survey investigate nationwide smokers over 18 years about the variation of attitude on effectiveness, influence and smoking cessation stage of Graphic Warning Labels on cigarette package (GWL) between the revision. In addition, this study also investigate factors about the above-mentioned variation.

Materials and Methods：The telephone survey was took first Cross-sectional survey in May 2014, and followed in October. Object were people over 18 years in Taiwan, and collected data of using Random Digit Dialing (RDD) Stratified according to counties and Household Selection Sampling. The object were 1,067, and followed successfully 273 in people who agreed tracking telephone interview (N=686). We used structured questionnaire include sociodemographic variables and smoking-related variables et. The variation between the revision analyze by paired-t test, chi-square test and McNemar test, and factors analyze by regression model.

Result： After the revision of GWL, we found attitude on effectiveness of GWL was lower than before, and female were lower than male. Second, smokers who has quit attempts and avoid smoking in front of the child has reduced, and it was related about their age and marital status. Finally, smokers’ smoking cessation stage became better only 7.0%, and it was not relate by sociodemographic variables, attitude on effectiveness of GWL and influence of GWL.

Conclusions and suggestions： After the revision of GWL, effectiveness of GWL has lower, and smokers who has quit attempts have reduced and their smoking cessation stage haven’t become better. However, we cannot conclude New GWL in vain. We suggest survey after one or two years for reducing interference effect of old GWL.

並列關鍵字

Graphic Warning Labels on cigarette package ； attitude on effectiveness ； influence ； smoking cessation stage

參考文獻

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