菸品的使用是全球所面臨的公共衛生威脅之一，也是第二大的健康危險因子，青少年吸菸將造成健康傷害，影響未來身心發展，近年來新興菸品的出現，青少年接觸電子煙的比率逐年上升，根據研究顯示使用電子煙會增加吸菸的意圖與行為，因此欲瞭解青少年電子煙使用行為之現況及青少年電子煙使用行為與吸菸意圖及吸菸行為之關聯性。
本研究以新北市五所都會區國中七年級學生為研究對象，於2020年6月採用問卷調查，共取得560份有效樣本，資料以描述性統計、卡方檢定、獨立樣本t檢定及二元邏輯斯迴歸等統計方法進行數據分析。
研究結果發現：
一、青少年沒有使用電子煙者占95.36%，有使用電子煙者占4.64%。
二、青少年電子煙使用行為與吸菸意圖有達到統計上的顯著相關。
三、青少年電子煙使用行為與吸菸行為有達到統計上的顯著相關。
四、青少年電子煙使用行為及家庭二手菸暴露與吸菸行為有達到統計上的顯著相關。
本研究結果顯示，電子煙使用行為與吸菸意圖及吸菸行為有顯著相關，但由於本研究為橫斷性研究，建議未來以縱貫性研究來瞭解電子煙使用行為與吸菸意圖及吸菸行為之因果關係。此外，電子煙使用行為及家庭二手菸暴露與吸菸行為有顯著相關，因此建議校園菸害防制課程應連結家長參與，鼓勵吸菸的家人積極戒菸，建立正向的反菸家庭規範，以減少青少年使用電子煙和吸菸行為。

The use of tobacco products is one of the public threats we are facing around the world. Also, it causes major health problems only second to obesity. Smoking in adolescents will especially result in their health hazards and their physical and mental developments in the future. In recent years, new tobacco products roll out, and the rate of adolescents’ exposure to e-cigarettes is gradually rising. According to previous researches, the use of e-cigarettes may increase smoking intentions and behaviors. Therefore, it is necessary to understand the current situation of teenagers’ use of e-cigarettes and the association of e-cigarettes use with smoking intentions and smoking behaviors among adolescents.
This study takes the seventh-grade students from junior high schools in five metropolitan areas of New Taipei City as the research objects. In June 2020, a questionnaire survey was carried out, and a total of 560 valid samples were obtained. The data was analyzed by statistical methods, such as descriptive statistics, chi-square test, independent sample t-test, and binary logistic regression.
The findings of the study are:
1. Adolescents who did not use e-cigarettes accounted for 95.36 percent, and those who used e-cigarettes accounted for 4.64 percent.
2. Adolescents’ use of e-cigarettes has significant statistical association with their smoking intentions.
3. Adolescents’ use of e-cigarettes has significant statistical association with their smoking behaviors.
4. Adolescents’ use of e-cigarettes and their household secondhand smoke exposure have significant statistical association with their smoking behaviors.
The findings of this study show that the adolescents’ use of e-cigarettes is significantly related to their smoking intentions and smoking behaviors. Yet, since this particular study is a cross-sectional study, it is recommended that a longitudinal study should be carried out in the future to further understand the causal relationship between the use of e-cigarettes and smoking intentions and smoking behaviors. In addition, the use of e-cigarettes and household secondhand smoke exposure are significantly related to smoking behaviors. Therefore, to reduce adolescents their use of e-cigarettes and smoking behaviors, courses on tobacco hazards prevention at school should involve parents to further encourage smoking family members to quit smoking and establish positive anti-smoking family norms.

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