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  • 學位論文

台灣版青少年吸菸依賴量表之心理計量測試

Psychometric Testing of The Cigarette Dependence Questionnaires on a Taiwanese Adolescent Sample

指導教授 : 黃芷苓

摘要


台灣地區在1994年高中生吸菸率10.7%,到了2005年是13.99%,青少年吸菸率有逐年上升的趨勢,大多數的吸菸青少年到了成人時期仍會持續吸菸,其主要造成原因是尼古丁依賴。但目前國內缺乏青少年吸菸依賴量表之檢測工具,因此無法針對青少年進行吸菸依賴評估。本研究選用兩個國外常用的青少年吸菸依賴量表在台灣進行翻譯和測試,Dimensions of Tobacco Dependence Scale(DTDS)及Hooked On Nicotine Checklist(HONC)量表,藉此了解這些量表在國內吸菸青少年的適用性。本研究設計為橫斷之描述性研究,採立意取樣,研究對象為中、南部九所高中職學校的吸菸學生,有效樣本共293位。效度評估方面,DTDS與HONC量表的專家內容效度指標值,分別為0.92與1。另外,採用吸菸依賴之重要生理指標,呼出一氧化碳、唾液的古丁尼濃度以及Fagerstrom Test of Nicotine Dependence (FTND)量表,做為效標關聯效度的檢定,結果DTDS、HONC量表與呼氣一氧化碳之相關,分別為.13 (p<.05)、.09;與唾液古丁尼之相關,分別為.31 (p<.01)、.23 (p<.01);與FTND量表之相關,分別為.57 (p<.01)、.59 (p<.01)。建構效度是進行吸菸依賴量表之探索性因素分析,結果DTDS量表是二個因素結構,可解釋36.57%的變異量,HONC量表則是一個因素結構,可解釋35%的變異量。信度評估方面,是進行內在一致性檢測,由於DTDS量表為連續性分數,其Cronbach alpha為0.95,HONC採二分計分,其KR-20為0.84。因此DTDS及HONC量表在國內進行的測試結果,都呈現不錯的信效度,未來研究可以使用這二個量表進行國內青少年吸菸依賴的評估。

關鍵字

吸菸依賴 青少年 效度 信度

並列摘要


The smoking rate of Taiwanese adolescents is gradually increasing, which reached 10.7% and 13.99% among the Taiwanese senior high school students in 1994 and 2005 respectively. As teenagers begin smoking, most of them continue smoking in adulthood. Nicotine dependence is the main reason in the maintenance of smoking from adolescent into adulthood. The instruments for measuring cigarette dependence in adolescents are not available in Taiwan so that cigarette dependence of adolescent smokers could not be assessed. The aims of the study are to translate and to test two worldwide used questionnaires, Dimensions of Tobacco Dependence Scale (DTDS) and Hooked on Nicotine Checklist (HONC). The results can help us to understand whether these scales can be appropriately used to assess cigarette dependence of adolescent smokers in Taiwanese. This study is a descriptive and cross-sectional study using the purposive sampling. The student smokers were recruited from nine senior high schools and vocational high schools in the middle and southern Taiwan. The effective sample size is 293. The content validity index of the Chinese version of the DTDS and the HONC are 0.92 and 1, respectively. The important biomarkers (expired carbon monoxide, CO and saliva cotinine) and the Fagerstrom Test of Nicotine Dependence (FTND) are used to examine the criterion-related validity. The correlation coefficients of the DTDS and the HONC and expired CO are .13 (p <.05) and .09. The correlation coefficients of the DTDS and the HONC and saliva cotinine are .31(p <.01) and .23 (p <.01). The correlation coefficients of the DTDS and the HONC and FTND scale are .57 (p <.01) and .59 (p<.01). The internal structure of the DTDS was first examined using EFA with promax rotation. Two factors emerged from the factor analysis that accounted for 36.57% of the variance. One factor of the HONC was determined by factor analysis, accounting for 35% of the variance. The internal consistency is evaluated by reliability coefficient. The items of the DTDS are continuous variables. The Cronbach’s alpha of the DTDS is 0.95. The items of the HONC was dichotomous variables. The Kuder-Richardson coefficient (KR-20) is 0.84. The results demonstrated that the Chinese version of the DTDS and the HONC have good reliability and validity. Future research can use these scales to assess cigarette dependence of adolescent smokers in Taiwan.

並列關鍵字

cigarette dependence adolescent validity reliability

參考文獻


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被引用紀錄


Lin, C. Y. (2010). 利用幹細胞達成唾液腺再生 [doctoral dissertation, National Taiwan University]. Airiti Library. https://doi.org/10.6342%2fNTU.2010.01208

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