簡易檢索 / 詳目顯示

研究生: 許瀞云
論文名稱: 國中學生吸菸行為相關因素之研究 -以新北市某國民中學為例
The study on the cigarette smoking behavior and related factors among students in junior high schools for one school at New Taipei city
指導教授: 葉國樑
Yeh, Gwo-Liang
曾治乾
Tseng, Chie-Chien
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
論文出版年: 2013
畢業學年度: 101
語文別: 中文
論文頁數: 89
中文關鍵詞: 國中生吸菸行為重要他人吸菸菸品可近性與可獲得性
英文關鍵詞: junior high students, smoking behavior, significant others’ smoking, accessibility/availability of tobacco.
論文種類: 學術論文
相關次數: 點閱:170下載:41
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 本研究目的在解國中生吸菸行為的現況,探討國中學生個人背景因素、重要他人吸菸經驗及社會環境因素與吸菸行為之關係並分析其對吸菸行為之預測力。採立意取樣方式以新北市某國中學生為研究對象,問卷採用行政院衛生署國民健康局「全球青少年吸菸行為調查 Global Youth Tobacco Survey, GYTS」樣本問卷,共獲得有效問卷338份回收率96%,其重要研究結果如下:
    1. 研究對象的吸菸行為與個人背景因素中的性別、年齡、學業成績、零用錢及父母親婚姻狀況與吸菸行為有顯著關係;與父母親教育程度無關係存在。
    2. 研究對象之父母親及好友有吸菸其吸菸行為的比率愈高。
    3. 研究對象接觸菸品廣告及促銷率越高其吸菸行為的比率愈高。
    4. 研究對象越容易獲得菸品其吸菸行為的比率愈高。
    5. 研究對象接觸二手菸頻率越高其吸菸行為的比率愈高。
    6. 研究對象吸菸行為最具有效預測力的變項為「父母親婚姻狀況」為分居、離婚或喪偶與「菸品可近性及可獲得性」比率越高,發生吸菸行為機率則越高,所以上述兩個自變項對研究對象之吸菸行為最具有效預測力。
    綜上述研究結果,依據本研究結論提出菸害預防教育與公共衛生政策相關建議,作為未來推動青少年菸害防制工作之參考。

    The purpose of this study was to understand the current status of cigarette smoking
    behavior and related factors among students in junior high schools, to explore their personal
    background factors, significant others’ smoking experience, relationship between social
    environmental factors and smoking behavior, and the capability of predicting the smoking
    behavior based on the above-mentioned factors.We applied the cluster sampling approach,
    targeted on students from one junior high school in New Taipei City, and adopted the
    questionnaire template forms of Global Youth Tobacco Survey (GYTS) prepared by
    Department of Health, Bureau of Health. And the results of study are as follows:
    1. The smoking behaviors of targets are related to gender, age, academic achievement,
    pocket money and parental marital status, but unrelated to parental education level.
    2. The ratio of targeted students who are smokers is higher when their parents or friends
    are smokers.
    3. The ratio of targeted students who are smokers is higher when they easily access
    tobacco advertisement or product promotion.
    4. The ratio of targeted students who are smokers is higher when they easily access
    tobacco.
    5. The ratio of targeted students who are smokers is higher when they frequently access
    second-hand smoke.
    6. The most two dominant variables for predicting smoking behaviors are parental marital
    status (separated, divorced or widowed) and accessibility/availability of tobacco. The
    ratio of targeted students who are smokers is higher when the respective ratio of said
    two factors is higher. The said two factors have most effective capability of predicting
    of smoking behaviors.
    Based on the study results, we make related suggestions on smoking prevention
    education and public health policy in order to promote adolescent tobacco control work.

    誌 謝......................................................... i 摘 要........................................................ ii 目 次 ....................................................... vi 圖目次 .................................................... Viii 表目次 ...................................................... ix 第一章 緒論 第一節 研究動機與重要性 ................................... 1 第二節 研究目的 ........................................... 6 第三節 研究問題 ........................................... 7 第四節 研究假設 ........................................... 8 第五節 名詞定義 ........................................... 9 第六節 研究限制 ............................................. 12 第二章 文獻探討 第一節 青少年吸菸行為之現況分析........................... 13 第二節 吸菸行為之相關理論................................. 16 第三節 影響青少年吸菸行為之因素........................... 21 第三章 研究方法 第一節 研究架構 .......................................... 30 第二節 研究對象 .......................................... 31 第三節 研究工具 .......................................... 32 第四節 研究步驟 .......................................... 35 第五節 資料處理與分析 .................................... 37 第四章 研究結果與討論 第一節 研究對象各類變項之描述性統計 ...................... 38 第二節 研究對象之人口學變項與吸菸行為之關係............... 47 第三節 研究對象之重要他人吸菸經驗與吸菸行為之關係 ........ 50 第四節 研究對象之社會環境因素與吸菸行為之關係 ............ 51 第五節 研究對象之人口學變項、重要他人吸菸經驗、社會環境因素對吸菸行為之預測情形...................................... 52 第五章 結論與建議 第一節 結論 .............................................. 58 第二節 建議 .............................................. 59 參考文獻 .................................................... 60 中文部分 .................................................... 61 英文部分 .................................................... 66 附錄 施測問卷..................................................... 72

    中文部分
    行政院衛生署(2009)。吸菸對健康危害.菸害防制館[cited 2009 1028];
    Available from: http://tobacco.bhp.doh.gov .tw/Show.aspx? Menuld= 178.
    行政院衛生署(2009) 。青少年吸菸行為調查. 健康數字123 一國民健 康指標互動查詢網站。[cited 2009 0820];Available from: http://olap.bhp.doh.gov.tw / S earc h/02 _ L i s tS um mary. as px?menu= 1 00000000008&mode=9&mid=4.
    行政院衛生署。(2009) 。菸害防制策略。菸害防制館。[cited 2009 1020];,Available from: http://tobacco.bhp.doh.gov . tw/Show.aspx?Menuld=358.
    行政院衛生署國民健康局(2010)。96年度父母親吸菸情形,按性別、 年齡、曾經吸菸與否分。Available at. http://olapbhpdohgovtw/search/ShowReportaspx ?mode=9&tarld=28 4&year=96&com _year =&ftype=SEX,AGEGP,VAR01_l&fvals=%, 1 ,%&fpage=0&CityWhere=&City Name=&chart= 1 &addType=, 2007c.
    行政院衛生署國民健康局(2010)。96年度好朋友吸菸情形, 按性別、 年齡、曾經吸菸與否分Available at: http://olapbhpdohgovtw/search/ShowReportaspx ?mode=9&tarI d=286&year=96&com _year =&ftype =SEX,AGEGP,VAR01_1 &fvals=%, 1,%&fpage=0&CityWhere=&City Name=&chart=1 &addType.,2007d
    行政院衛生署國民健康局(2011)。台灣菸害防制年報。台北:行政 院衛生署。
    李景美、黃惠玲、苗迺芳(2000),「青少年物質使用之社會學習及社 會聯結因素研究-以在學生為例」,健康促進暨衛生教育雜誌, 20:17-34。
    李景美(2008) :菸幕不再-談青少年菸害預防教育策略。學校衛生, 52,15。
    李景美(2003):青少年菸害預防-策略層面之探討。醫護科技學刊, 5(4),293-308。
    李景美(1980):學校藥物教育之探討。健康教育,66,36-39。
    李筱惠(2007)。台北縣某國中學生吸菸行為相關因素之研究。未出版
    碩士論文,國立台灣師範大學健康促進與衛生教育學系,台北市。
    李家宜、林慧淳與江東亮(2003)。地區剝奪程度、個人社經地位、與
    台灣男性成人的吸菸行為。台灣公共衛生雜誌,22(1),10-16。
    洪女玉(2006)。中學生吸菸行為相關因素研究,大明學報,7,121-140。
    張明惠(2003)。青少年戒菸教育課程介入成效之探討-以台北市某公 立高職學生為對象。未發表的碩士論文。台北:國立臺灣師範大 學衛生教育研究所。
    張齡尹、李蘭、張新儀(2008)。學生攻擊行為與其初次使用菸和酒時 間之關係。臺灣公共衛生雜誌,27(6),530-542。
    葉美玉、李景美 (1999):當今青少年藥物濫用預防策略趨向—個人及 社會技巧訓練。學校衛生,35,45-68。
    葉淑杏、曾弘富、楊淑帆、黃怡棻、趙雅琪、蔡宜珊、李淑宜(2005)。
    高雄青少年吸菸行為及其相關因素之探討。福爾摩沙醫務管理雜
    誌,1(1),76–86。
    國家衛生研究院衛生政策研發中心/論壇(2005)。全國菸害防治策略會議總結報告書。台北:國家衛生研究院。
    臺安醫院(1993):讓呼吸自由清新戒煙計畫:主持人指導細則。臺 北市:臺安醫院。Bureau of Health Promotion, Department of Health, Taiwan, ROC. (2009). Taiwan tobacco control annual report 2009. Taipei: Department of Health, Taiwan, ROC.]

    英文部分
    Akers, R. L. (1985). Social learning theory and adolescent cigarette Smoking. Social Problems, 32:455-73.
    Akers, R.L., and Lee G. (1996). A longitudinal test of social learning theory: adolescent smoking, Journal of Drug Issues ,26:317-43。
    Adelman, W. P., Duggan, A. K., Hauptman, P., & Joffe, A. (2001). Effectiveness of a high school smoking cessation program. Pediatrics, 107(4), 1-8.
    Aung, A. T., Hickman, N. J., & Moolchan, E. T. (2003). Health and performance related reasons for wanting to quit:Gender differences among teen smokers.
    Bandura A (1977) Self-efficacy:Toward a unifying theory of behavioral change.Psychological Review,84(2):191-215。
    Bricker J.B., Peterson A.V. Jr, Andersen, M.R.,Rajan, K.B., Leroux, B.G., Sarason, I.G. (2006)Childhood friends who smoke: do they influence adolescents to make smoking transitions? Addict Behaver;31 :889-900.
    Coleman-Wallace, D., Lee, J. W., Montgomery, S., Blix, G., & Wang, D. T. (1999). Evaluation of developmentally appropriate programs for adolescent tobacco cessation. Journal of School Health, 69 (8), 314-319.
    Dozois, D. N., Farrow, J., A., & Miser, A. (1995). Smoking patterns and cessation motivations during adolescence. The International Journal of the Addictions,30 (11), 1485-1498.
    Dino, G., Kamal, K., Horn, K., Kalsekar, I., & Fernandes, A. (2004).Stage of change and smoking cessation outcomes among adolescents. Addictive Behaviors, 29, 935-940.
    DiFranza, J. R. (2008). Hooked from the first cigarette. Scientific American, 298(5), 82-87.
    Ellickson, P. L. (1995). Systems-oriented prevention strategies and programs: Schools In R. H. Coombs & D. M. Ziedonis (Eds.), Handbook on drug abuse prevention: A comprehensive strategy to prevent the abuse of alcohol and other drugs (pp. 93-120). Boston, MA: Allyn and Bacon.
    Fetro, J. V. (1992). Personal and social skills. Santa Cruz, CA: ETR Associates.
    Fagan, P., Eisenberga, M., Frazier,L., Stoddard, A. M., Avmnin, J. S., & Sorensen, G.(2003). Employed adolescents and beliefs about self-efficacy to avoid smoking. Addictive Bebaviors, 28, 613-626.
    Hill, K.G., Hawkins, Catalano RF, Abbott RD, Guo J. (2005) .Family influences on the risk of daily smoking initiation. J Adolesc Health; 37:202-10.
    Krohn, M.D., Lonn Lanza-Kaduce, and Akers R. (1985). Social learning theory and adolescent cigarette smoking. Social Problems, 32:455-73.
    Karp, I., O’Loughlin, J., Paradis, G., Hanley, J., & Difranza, J.(2005). Smoking trajectories of adolescent novice smokers in a longitudinal study of tobacco use. Annals of Epidemiology,15(6), 445-452.
    Kim, Y. (2006). Adolescents’ smoking behavior and its relationships with psychological constructs based on transtheoretical model: A cross-sectional survey. International Journal of Nursing Studies, 43, 439-446.
    Khuder,S., Price, J., Jordan, T., Khuder, S., & Silvestri, K. (2008). Cigarette smoking among adolescents in Northwest Ohio: correlates of prevalence and age at onset. International Journal of Environmental Research and Public Health, 5(4), 278-289.
    Kyrlesi, A,Soteriades , ES, Warren, CW, Kremastinou, J, Papastergiou, P., Jones, N., et al. (2007). Tobacco use among students aged 13 ¡V 15 years in Greece: the GYTS project. BMC Public Health,7(1), 3.
    Myers, M. G.,& MacPherson, L. (2004). Smoking cessation efforts among substance abusing adolescents. Drug and Alcohol Dependence,73, 209-213
    Mackay, J., Erikson, M & Shafey, O. (2006). The Tobacco Atlas (2ed ed.) Georgia: American Cancer Society, 24-28.
    Riedel, B.W., Robinson, L. A., Klesges, R.C., &McLain-Allen, B. (2002). Whatmotivates adolescent smokers to make a quit attempt ? Drug and Alcohol Dependence, 68 (2), 167-174.
    Rice, V. H., Weglicki, L.S., Templin, T., Jamil, H., & Hammad, A. (2010). Intervention effects on tobacco use in Arab and non -Arab American adolescents. Addictive Behaviors,35(1), 46-48.
    Rudatsikira, E., Abdo, A.,& Muula, A. (2007). Prevalence and determinants of adolescent tobacco smoking in Addis Ababa, Ethiopia. BMC Public Health, 7(1), 176.
    Sutherland, E. H. and Cressey, D.R.(1978). Criminology . Philadelphia: J.B. Lippincott Company.
    Skinner, W.F. and Fream A. M. (1997).A social learning theory analysis of computer crime among college students. Journal of Research in Crime and Delinquency,34(4).
    Sussman, S., Dent, C.W., Nezami, E., Stacy, A.W., Burton, D., & Flay, B. R. (1998). Reasons for quitting and smoking temptation among adolescent smokers: Gender differences. Substance Use & Misuse,33(14), 2703-2720.
    Scragg R, and Laugesen M.(2007) Influence of smoking by family and best friend on adolescent tobacco smoking: results from the 2002 New Zealand national survey of year 10 students. Aust NZJ Public Health; 31:217-23.
    Turner, L., R., & Mermelstein, R. (2004). Motivation and reasons to quit: Predictive validity among adolescent smokers. American Journal of Health Behavior,28 (6), 542-550.
    Wen, C.P., Tsai S.P., Cheng T.Y., Hsu, C.C., Chen, T., Lin, H.S. (2005) Role of parents and peers in influencing the smoking status of high school students in Taiwan.Tob Control; 14 Suppl 1: i 10-5
    WHO (2009). WHO Report On The Global Tobacco Epidemic, in World Health Organization.

    下載圖示
    QR CODE