:::

詳目顯示

回上一頁
題名:國小學童菸害防制多元計畫介入成效評估:整合行為改變模式之應用
作者:黃素妃
作者(外文):Huang, Su-Fei
校院名稱:國立臺灣師範大學
系所名稱:健康促進與衛生教育學系
指導教授:郭鐘隆
黃久美
學位類別:博士
出版日期:2018
主題關鍵詞:菸害防制整合行為改變模式國小學童Smoking preventionIntegrated behavior change modelElementary school students
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:0
  • 點閱點閱:3
背景:預防學童避免菸品危害是公共衛生優先議題,本研究應用整合行為改變模式評量國小學童菸害防制介入之成效。方法:採準實驗研究設計,立意取樣新北市2行政區8所偏遠國小3-6年級學童為研究對象,其中 4所學校進行菸害防制多元介入計畫,另4所學校對照組則持續常規活動。以自填式問卷蒐集介入前(T1)、介入後(T2),並探討6個月後(T3)的延宕效果。結果:共510位參與研究,94.1%學童從未吸菸(即使一口都沒),有64.5%學童暴露二手菸。以GEE分析菸害防制多元介入計畫之成效,結果顯示進步的有:學童的菸害知識(T2: β = 0.65, p < 0.001, T3:β = 0.41, p = 0.027),不吸菸的行為意圖(T3: β =0.50, p = 0.045),拒吸二手菸自我效能(T2: β =4.55, p = 0.010)。然而學童在吸菸決策利益、決策障礙、社會模範、社會壓力、不吸菸的自我效能、二手菸暴露、拒吸二手菸的行為意圖則無統計上顯著差異。結論:在幾乎所有學童不吸菸,但二手菸暴露仍高的情況下,本菸害防制多元介入計畫仍具部分成效,本研究有助於提供未來推動菸害預防教育多元介入計畫之參考。
Background: Preventing children from smoking and the risk of second-hand smoke (SHS) is considered as a priority issue for public health. This study aimed to evaluate the effectiveness of a smoking prevention intervention based on behavior change model among elementary school students.
Method: We applied a quasi-experimental research design. The third to sixth graders from eight elementary schools in New Taipei City were recruited. Four of them were allocated as the intervention group, in which we conduct the intervention program, while the other ones were the comparison group, in which the regular activities were implemented. Questionnaires were used to collect the information at the baseline (T1), after the end of intervention (T2), and six-month follow-up (T3).
Result: There are 510 students participating this research. 94.1% of them never smoke (even one puff), and 64.5% are exposed to the second-hand smoke. Using generalized estimating equations, we found the effectiveness of intervention on smoking knowledge (T2: β = 0.65, p < 0.001, T3:β = 0.41, p = 0.027), intention to non-smoke (T3:β=0.50, p = 0.045),and SHS refusal self-efficacy (T2: β =4.55, p = 0.010). No statistical significant difference was obtained on pros and cons, social norms, social modelling, social pressure, smoking resistance self-efficacy, intention to smoke, SHS exposure, and intention to avoid SHS exposure.
Conclusion: For children who do not smoke but are exposed to SHS, it suggests that a smoking prevention intervention based on behavior change model is partially effective. This research provide some information for the promotion of multicomponent smoking prevention programs in the future.
Akhtar, P. C., Haw, S. J., Currie, D. B., Zachary, R., & Currie, C. E. (2009). Smoking restrictions in the home and secondhand smoke exposure among primary schoolchildren before and after introduction of the Scottish smoke-free legislation. Tobacco Control, 18(5), 409-415.
Ali, M. M., & Dwyer, D. S. (2009). Estimating peer effects in adolescent smoking behavior: A longitudinal analysis. Journal of Adolescent Health, 45(4), 402-408.
Andrews, J. A., Gordon, J. S., Hampson, S. H., Gunn, B., Christiansen, S. M., & Slovic, P. (2013). Long-term efficacy of Click City®: Tobacco: A school-based tobacco prevention program. Nicotine & Tobacco Research, 16(1), 33-41.
Ariza, C., Nebot, M., Tomas, Z., Gimenez, E., Valmayor, S., Tarilonte, V., & De Vries, H. (2008). Longitudinal effects of the European smoking prevention framework approach (ESFA) project in Spanish adolescents. European Journal of Public Health, 18(5), 491-497.
Ausems, M., Mesters, I., van Breukelen, G., & De Vries, H. (2002). Short-term effects of a randomized computer-based out-of-school smoking prevention trial aimed at elementary schoolchildren. Preventive Medicine, 34(6), 581-589.
Ausems, M., Mesters, I., Van Breukelen, G., & De Vries, H. (2009). Smoking among Dutch elementary schoolchildren: Gender-specific predictors. Health Education Research, 24(5), 818-828.
Aveyard, P., Cheng, K., Almond, J., Sherratt, E., Lancashire, R., Lawrence, T., . . . Evans, O. (1999). Cluster randomised controlled trial of expert system based on the transtheoretical (“stages of change”) model for smoking prevention and cessation in schools. Bmj, 319(7215), 948-953.
Bach, L. (2017). The path to tobacco addiction starts at very young ages. Campaign for Tobacco-Free Kids, Washington DC.
Borzekowski, D. (2009). Considering children and health literacy: A theoretical approach. Pediatrics, 124, S282-288.
Botvin, G. J., & Griffin, K. W. (2007). School-based programmes to prevent alcohol, tobacco and other drug use. International Review of Psychiatry, 19(6), 607-615.
Botvin, G. J., Griffin, K. W., Paul, E., & Macaulay, A. P. (2003). Preventing tobacco and alcohol use among elementary school students through life skills training. Journal of Child & Adolescent Substance Abuse, 12(4), 1-17.
Brown, E. C., Catalano, R. F., Fleming, C. B., Haggerty, K. P., & Abbott, R. D. (2005). Adolescent substance use outcomes in the raising healthy children project: A two-part latent growth curve analysis. Journal of Consulting and Clinical Psychology, 73(4), 699.
Côté, F., Godin, G., & Gagné, C. (2006). Efficiency of an evidence-based intervention to promote and reinforce tobacco abstinence among elementary schoolchildren in a school transition period. Health Education & Behavior, 33(6), 747-759.
Cameron, R., Brown, K. S., Best, J. A., Pelkman, C. L., Madill, C. L., Manske, S. R., & Payne, M. E. (1999). Effectiveness of a social influences smoking prevention program as a function of provider type, training method, and school risk. American Journal of Public Health, 89(12), 1827-1831.
Campbell, R., Starkey, F., Holliday, J., Audrey, S., Bloor, M., Parry-Langdon, N., . . . Moore, L. (2008). An informal school-based peer-led intervention for smoking prevention in adolescence (ASSIST): A cluster randomised trial. The Lancet, 371(9624), 1595-1602.
Chang, H.-Y., Wu, W.-C., Wu, C.-C., Cheng, J. Y., Hurng, B.-S., & Yen, L.-L. (2011). The incidence of experimental smoking in school children: An 8-year follow-up of the child and adolescent behaviors in long-term evolution (CABLE) study. BMC Public Health, 11(1), 844.
Charlton, A. (1996). Children and smoking: The family circle. British Medical Bulletin, 52(1), 90-107.
Conrad, K. M., Flay, B. R., & Hill, D. (1992). Why children start smoking cigarettes: Predictors of onset. Addiction, 87(12), 1711-1724.
Control, C. f. D., & Prevention. (1994). Guidelines for school health programs to prevent tobacco use and addiction. Morbidity and Mortality Weekly Report, 43(RR-2), 1-24.
Cook, D. G., & Strachan, D. P. (1997). Health effects of passive smoking. 3. Parental smoking and prevalence of respiratory symptoms and asthma in school age children. Thorax, 52(12), 1081-1094.
Cremers, H.-P., Mercken, L., Candel, M., de Vries, H., & Oenema, A. (2015). A Web-based, computer-tailored smoking prevention program to prevent children from starting to smoke after transferring to secondary school: randomized controlled trial. Journal of Medical Internet Research, 17(3), e59.
Cremers, H.-P., Mercken, L., Oenema, A., & de Vries, H. (2012). A web-based computer-tailored smoking prevention programme for primary school children: Intervention design and study protocol. BMC Public Health, 12(1), 277.
Cremers, H.-P., Oenema, A., Mercken, L., Candel, M., & de Vries, H. (2014). Explaining socio-economic differences in intention to smoke among primary school children. BMC Public Health, 14(1), 191.
Crone, M. R., Spruijt, R., Dijkstra, N., Willemsen, M., & Paulussen, T. (2011). Does a smoking prevention program in elementary schools prepare children for secondary school? Preventive Medicine, 52(1), 53-59.
De Vries, H. (2017). An integrated approach for understanding health behavior; The i-change model as an example. Psychology and Behavioral Science International Journal, 2(2), 1-4.
De Vries, H., Dijk, F., Wetzels, J., Mudde, A., Kremers, S., Ariza, C., . . . Janssen, K. (2005). The European Smoking prevention Framework Approach (ESFA): effects after 24 and 30 months. Health Education Research, 21(1), 116-132.
De Vries, H., Engels, R., Kremers, S., Wetzels, J., & Mudde, A. (2003). Parents’ and friends’ smoking status as predictors of smoking onset: findings from six European countries. Health Education Research, 18(5), 627-636.
De Vries, H., Mesters, I., Van de Steeg, H., & Honing, C. (2005). The general public’s information needs and perceptions regarding hereditary cancer: An application of the Integrated Change Model. Patient Education and Counseling, 56(2), 154-165.
De Vries, H., Mudde, A., Kremers, S., Wetzels, J., Uiters, E., Ariza, C., . . . Janssen, K. (2003). The European smoking prevention framework approach (ESFA): Short‐term effects. Health Education Research, 18(6), 649-663.
De Vries, H., Mudde, A., Leijs, I., Charlton, A., Vartiainen, E., Buijs, G., . . . Nebot, M. (2003). The European smoking prevention framework approach (EFSA): An example of integral prevention. Health Education Research, 18(5), 611-626.
Dijkstra, M., Mesters, I., De Vries, H., Van Breukelen, G., & Parcel, G. (1999). Effectiveness of a social influence approach and boosters to smoking prevention. Health Education Research, 14(6), 791-802.
Dobbins, M., DeCorby, K., Manske, S., & Goldblatt, E. (2008). Effective practices for school-based tobacco use prevention. Preventive Medicine, 46(4), 289-297.
Dolcini, M. M., Adler, N. E., Lee, P., & Bauman, K. E. (2003). An assessment of the validity of adolescent self-reported smoking using three biological indicators. Nicotine & Tobacco Research, 5(4), 473-483.
Eiser, J. R., Morgan, M., Gammage, P., & Gray, E. (1989). Adolescent smoking: Attitudes, norms and parental influence. British Journal of Social Psychology, 28(3), 193-202.
Ferrante, M., Fiore, M., Leon, L., Costantidines, F., Castaing, M., Fallico, R., . . . Modonutti, G. B. (2012). Age of smoking initiation, tobacco habits and risk perception among primary, middle and high school students in southern Italy. Italian Journal of Public Health, 7(3), 262-267.
Gervais, A., O'loughlin, J., Meshefedjian, G., Bancej, C., & Tremblay, M. (2006). Milestones in the natural course of onset of cigarette use among adolescents. Canadian Medical Association Journal, 175(3), 255-261.
Glynn, T. J. (1993). Improving the health of United States children: The need for early interventions in tobacco use. Preventive Medicine, 22(4), 513-519.
Greenlund, K. J., Johnson, C. C., Webber, L. S., & Berenson, G. S. (1997). Cigarette smoking attitudes and first use among third-through sixth-grade students: The Bogalusa heart study. American Journal of Public Health, 87(8), 1345-1348.
Hampson, S. E., Andrews, J. A., & Barckley, M. (2007). Predictors of the development of elementary-school children's intentions to smoke cigarettes: Hostility, prototypes, and subjective norms. Nicotine & Tobacco Research, 9(7), 751-760.
Hanewinkel, R., Isensee, B., Sargent, J. D., & Morgenstern, M. (2011). Cigarette advertising and teen smoking initiation. Pediatrics, 127(2), e271-e278.
Harrell, J. S., Bangdiwala, S. I., Deng, S., Webb, J. P., & Bradley, C. (1998). Smoking initiation in youth: the roles of gender, race, socioeconomics, and developmental status. Journal of Adolescent Health, 23(5), 271-279.
Health, U. D. o., & Services, H. (2012). Preventing tobacco use among youth and young adults: a report of the Surgeon General. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 3.
Ho, S. Y., Wang, M. P., Lo, W. S., Mak, K. K., Lai, H. K., Thomas, G. N., & Lam, T. H. (2010). Comprehensive smoke-free legislation and displacement of smoking into the homes of young children in Hong Kong. Tobacco Control, 19(2), 129-133.
Holliday, J. C., Moore, G. F., & Moore, L. A. (2009). Changes in child exposure to secondhand smoke after implementation of smoke-free legislation in Wales: A repeated cross-sectional study. BMC Public Health, 9(1), 430.
Homa, D. M., Neff, L. J., King, B. A., Caraballo, R. S., Bunnell, R. E., Babb, S. D., . . . Wang, L. (2015). Vital signs: Disparities in nonsmokers' exposure to secondhand smoke--United States, 1999-2012. Morbidity and Mortality Weekly Report, 64(4), 103-108.
Hopfer, S., Shin, Y., Davis, D., Elek, E., Kam, J., & Hecht, M. (2010). A review of elementary school-based substance use prevention programs: Identifying program attributes. Journal of Drug Education, 40(1), 11-36.
Huang, C., Koplan, J., Yu, S., Li, C., Guo, C., Liu, J., . . . Eriksen, M. (2013). Smoking experimentation among elementary school students in China: influences from peers, families, and the school environment. PloS One, 8(8), e73048.
Huang, H.-L., Hsu, C.-C., Magnus, J. H., Chen, F.-L., Rice, J., Lee, C.-H., . . . Chen, T. (2008). Perceived smoking prevalence at school-level and children's smoking initiation: A multi-level analysis of a cross-sectional data in Taiwan. Health Policy, 86(2), 213-221.
Huang, H.-L., Yen, Y.-Y., Lin, P.-L., Chiu, C.-H., Hsu, C.-C., Chen, T., . . . Chen, F.-L. (2012). Household secondhand smoke exposure of elementary schoolchildren in Southern Taiwan and factors associated with their confidence in avoiding exposure: A cross-sectional study. BMC Public Health, 12(1), 40.
Huang, H. L., Chen, T., Chen, F. L., Magnus, J., Rice, J., Yen, Y. Y., & Hsu, C. C. (2009). A study of smoking disparity and factors associated with children smoking behavior in the mountain and city schools in Taiwan. Journal of School Health, 79(2), 67-73.
Huque, R., Dogar, O., Cameron, I., Thomson, H., Amos, A., & Siddiqi, K. (2015). Children learning about second-hand smoking: A feasibility cluster randomized controlled trial. Nicotine & Tobacco Research, 17(12), 1465-1472.
Hwang, M. S., Yeagley, K. L., & Petosa, R. (2004). A meta-analysis of adolescent psychosocial smoking prevention programs published between 1978 and 1997 in the United States. Health Education & Behavior, 31(6), 702-719.
Isensee, B., & Hanewinkel, R. (2012). Meta-analysis on the effects of the smoke-free class competition on smoking prevention in adolescents. European Addiction Research, 18(3), 110-115.
Isensee, B., Hansen, J., Maruska, K., & Hanewinkel, R. (2014). Effects of a school-based prevention programme on smoking in early adolescence: a 6-month follow-up of the ‘Eigenständig werden’cluster randomised trial. BMJ Open, 4(1), e004422.
Jackson, C. A., Henderson, M., Frank, J. W., & Haw, S. J. (2012). An overview of prevention of multiple risk behaviour in adolescence and young adulthood. Journal of Public Health, 34(suppl_1), i31-i40.
James, D. (2003). Evaluation of a Tobacco Prevention Curriculum for Elementary School Children. Health Educator, 35(2), 3-8.
Josendal, O., Aaro, L. E., Torsheim, T., & Rasbash, J. (2005). Evaluation of the school‐based smoking‐prevention program “BE smokeFREE”. Scandinavian Journal of Psychology, 46(2), 189-199.
Kobus, K. (2003). Peers and adolescent smoking. Addiction, 98(s1), 37-55.
Kremers, S., Mudde, A., & De Vries, H. (2004). Model of unplanned smoking initiation of children and adolescents: an integrated stage model of smoking behavior. Preventive Medicine, 38(5), 642-650.
La Torre, G., Chiaradia, G., & Ricciardi, G. (2005). School-based smoking prevention in children and adolescents: review of the scientific literature. Journal of Public Health, 13(6), 285-290.
Langlois, M. A., Petosa, R., & Hallam, J. S. (1999). Why do effective smoking prevention programs work? Student changes in social cognitive theory constructs. Journal of School Health, 69(8), 326-331.
Lantz, P. M., Jacobson, P. D., Warner, K. E., Wasserman, J., Pollack, H. A., Berson, J., & Ahlstrom, A. (2000). Investing in youth tobacco control: a review of smoking prevention and control strategies. Tobacco Control, 9(1), 47-63.
Lotrean, L., Dijk, F., Mesters, I., Ionut, C., & De Vries, H. (2010). Evaluation of a peer-led smoking prevention programme for Romanian adolescents. Health Education Research, 25(5), 803-814.
Maibach, E., & Murphy, D. A. (1995). Self-efficacy in health promotion research and practice: Conceptualization and measurement. Health Education Research, 10(1), 37-50.
McGee, C. E., Trigwell, J., Fairclough, S. J., Murphy, R. C., Porcellato, L., Ussher, M., & Foweather, L. (2016). Effect of a sport-for-health intervention (SmokeFree Sports) on smoking-related intentions and cognitions among 9-10 year old primary school children: a controlled trial. BMC Public Health, 16(1), 445.
Moore, G. F., Holliday, J. C., & Moore, L. A. (2011). Socioeconomic patterning in changes in child exposure to secondhand smoke after implementation of smoke-free legislation in Wales. Nicotine & Tobacco Research, 13(10), 903-910.
Nuhoglu, C., Gurul, M., Nuhoglu, Y., Karatoprak, N., Sonmez, E. O., Yavrucu, S., & Ozguner, A. (2003). Effects of passive smoking on lung function in children. Pediatrics International, 45(4), 426-428.
Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259-267.
Öberg, M., Jaakkola, M. S., Woodward, A., Peruga, A., & Prüss-Ustün, A. (2011). Worldwide burden of disease from exposure to second-hand smoke: a retrospective analysis of data from 192 countries. The Lancet, 377(9760), 139-146.
Passey, M. E., Longman, J. M., Robinson, J., Wiggers, J., & Jones, L. L. (2016). Smoke-free homes: what are the barriers, motivators and enablers? A qualitative systematic review and thematic synthesis. BMJ Open, 6(3), e010260.
Peterson, A. V., Kealey, K. A., Mann, S. L., Marek, P. M., & Sarason, I. G. (2000). Hutchinson Smoking Prevention Project: long-term randomized trial in school-based tobacco use prevention—results on smoking. Journal of the National Cancer Institute, 92(24), 1979-1991.
Petraitis, J., Flay, B. R., & Miller, T. Q. (1995). Reviewing theories of adolescent substance use: Organizing pieces in the puzzle. Psychological Bulletin, 117(1), 67.
Poole-Di Salvo, E., Liu, Y.-H., Brenner, S., & Weitzman, M. (2010). Adult household smoking is associated with increased child emotional and behavioral problems. Journal of Developmental and Behavioral Pediatrics, 31(2), 107.
Rosen, L. J., Noach, M. B., Winickoff, J. P., & Hovell, M. F. (2012). Parental smoking cessation to protect young children: a systematic review and meta-analysis. Pediatrics, 129(1), 141-152.
Samet, J. M., Marbury, M. C., & Spengler, J. D. (1987). Health effects and sources of indoor air pollution. Part I. American Review of Respiratory Disease, 136(6), 1486-1508.
Saulyte, J., Regueira, C., Montes-Martínez, A., Khudyakov, P., & Takkouche, B. (2014). Active or passive exposure to tobacco smoking and allergic rhinitis, allergic dermatitis, and food allergy in adults and children: a systematic review and meta-analysis. PLoS Medicine, 11(3), e1001611.
Simons-Morton, B. G., & Farhat, T. (2010). Recent findings on peer group influences on adolescent smoking. The Journal of Primary Prevention, 31(4), 191-208.
Spencer, L., Pagell, F., Hallion, M. E., & Adams, T. B. (2002). Applying the transtheoretical model to tobacco cessation and prevention: a review of literature. American Journal of Health Promotion, 17(1), 7-71.
Storr, C. L., Ialongo, N. S., Kellam, S. G., & Anthony, J. C. (2002). A randomized controlled trial of two primary school intervention strategies to prevent early onset tobacco smoking. Drug & Alcohol Dependence, 66(1), 51-60.
Thomas, R. E., McLellan, J., & Perera, R. (2013). School‐based programmes for preventing smoking. Evidence‐Based Child Health: A Cochrane Review Journal, 8(5), 1616-2040.
Thomas, R. E., McLellan, J., & Perera, R. (2015). Effectiveness of school-based smoking prevention curricula: systematic review and meta-analysis. BMJ Open, 5(3), e006976.
Topa, G., & Moriano, J. A. (2010). Theory of planned behavior and smoking: Meta-analysis and SEM model. Substance Abuse and Rehabilitation, 1, 23.
Vitoria, P. D., Kremers, S. P., Mudde, A. N., Pais-Clemente, M., & de Vries, H. (2006). Psychosocial factors related with smoking behaviour in Portuguese adolescents. European Journal of Cancer Prevention, 15(6), 531-540.
Vries, H. D., & Mudde, A. N. (1998). Predicting stage transitions for smoking cessation applying the attitude-social influence-efficacy model. Psychology and Health, 13(2), 369-385.
Wang, M. P., Ho, S. Y., & Lam, T. H. (2011). Parental smoking, exposure to secondhand smoke at home, and smoking initiation among young children. Nicotine & Tobacco Research, 13(9), 827-832.
Wiborg, G., & Hanewinkel, R. (2002). Effectiveness of the “Smoke-free class competition” in delaying the onset of smoking in adolescence. Preventive Medicine, 35(3), 241-249.
Wiehe, S. E., Garrison, M. M., Christakis, D. A., Ebel, B. E., & Rivara, F. P. (2005). A systematic review of school-based smoking prevention trials with long-term follow-up. Journal of Adolescent Health, 36(3), 162-169.
Wilkinson, A. V., Shete, S., & Prokhorov, A. V. (2008). The moderating role of parental smoking on their children's attitudes toward smoking among a predominantly minority sample: A cross-sectional analysis. Substance Abuse Treatment, Prevention, and Policy, 3(1), 18.
Wilson, K. M., Klein, J. D., Blumkin, A. K., Gottlieb, M., & Winickoff, J. P. (2011). Tobacco-smoke exposure in children who live in multiunit housing. Pediatrics,127(1), 85-92.
Wipfli, H., Avila-Tang, E., Navas-Acien, A., Kim, S., Onicescu, G., Yuan, J., . . . Samet, J. M. (2008). Secondhand smoke exposure among women and children: Evidence from 31 countries. American Journal of Public Health, 98(4), 672-679.
Yolton, K., Dietrich, K., Auinger, P., Lanphear, B. P., & Hornung, R. (2005). Exposure to environmental tobacco smoke and cognitive abilities among US children and adolescents. Environmental Health Perspectives, 113(1), 98.
Zhu, B.-P., Liu, M., Shelton, D., Liu, S., & Giovino, G. A. (1996). Cigarette smoking and its risk factors among elementary school students in Beijing. American Journal of Public Health, 86(3), 368-375.
吳嘉龍(2009)。台北縣某鎮國民小學高年級學生吸菸行為學業成就與健康體適能之相關研究(未出版之碩士論文)。國立臺北教育大學生命教育與健康促進研究所,臺北市。
李淑卿、張鳳琴、李景美、苗迺芳(2015)。學生菸酒媒體素養教育介入效果評價研究。學校衛生,67,49-72。
李淑卿、郭鐘隆(2005)。跨理論模式戒菸教育計畫介入應用於大專生之成效評價研究。衛生教育學報,23,145-160。new window
李景美(1998)。台北市中小學生對菸品廣告之反應研究。健康促進暨衛生教育雜誌,18,13-24。new window
李景美、苗迺芳、黃惠玲 (2000)。青少年物質使用之社會學習及社會連結因素研究-以在學生為例。健康促進暨衛生教育雜誌,20,17-34。new window
邱柔蒲(2007)。高職學生吸菸行為及其相關因素之研究-以新竹市某高中進修學校為例(未出版之碩士論文)。臺灣師範大學健康促進與衛生教育學系,臺北市。
張鳳惠(2010)。應用PRECEDE 模式探討高屏地區山地國小學童吸菸行為及其影響因素(未出版之碩士論文)。高雄醫學大學口腔衛生科學研究所,高雄市。
許原榕、楊振宇、嚴雅音、陳志章、陳富莉、蔡文玲, . . . 黃曉靈(2010)。屏東縣國小學童菸害知識,態度,社會環境因素與吸菸行為之相關探討。Taiwan Journal of Oral Medicine Sciences, 26(2),106-119。
楊雪華、陳端容、李蘭、柯姍如(2003)。雙親和同儕團體對高中生吸菸行為的影響。醫學教育,7(2),128-139。new window
廖信榮、李景美、何文雀、顏麗娟、林世華、苗迺芳、龍芝寧(2005)。臺北市國民小學五年級學生菸害預防教育介入成效分析。學校衛生,47,25-52。
廖信榮、李景美、林世華、苗迺芳、龍芝寧、李淑卿, . . . 周怡汝(2013)。臺北市國中學生菸害預防教育介入成效研究。學校衛生,63,25-47。
鄭佳玟、莊德豐、薛夙君(2008)。大專生吸菸行為與菸害防制認知之研究—以美和技術學院為例。美和技術學院學報, 27(1),121-138。
關仁俊(2009)。南投縣原住民鄉國小高年級學童菸害調查與衛教介入成效分析(未出版之碩士論文)。亞洲大學健康管理研究所,臺中市。
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
QR Code
QRCODE