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題名：高職全校無菸策略和班級預防吸菸教學介入之成效--以臺灣北部某縣市為例
書刊名：衛生教育學報
作者：賴香如 引用關係／吳德敏／李碧霞 引用關係／祝年豐／趙國欣
作者(外文)：Lai, Hsiang-ru／Wu, Der-min／Lee, Pi-hsia／Chu, Nain-feng／Chao, Kuo-hsin
出版日期：2005
卷期：24
頁次：頁89-114
主題關鍵詞：全校無菸策略；班級預防吸菸教學；高職生；吸菸行為；School-wide no smoking strategies；Classroom-based smoking prevention education；Vocational schools；Smoking behavior
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學校長久以來都是預防青少年吸菸的重要據點，主要從政策、環境和課程方面著手。本研究旨在探應全校無菸策略和班級預防吸菸教學對高職學生菸害相關知識、態度、行為和技能的影響。 研究採不等組前、後測準實驗設計，選取臺灣北部某縣市三所高職一至三年級18班515名學生為對象，並依班級分為三組。實驗組一接受全校無菸策略和六節預防吸菸教學介入；實驗組二只接受全校無菸策略介入；對照組則不接受任何處理。在介入前後，分別進行調查，再以單因子共變數分析和卡方檢定來評估介入成效。 研究主要發現如下：1.在全校無菸策略和班級預防吸菸教學兩層面的介入後，實驗組一的菸害知識、反菸態度、吸菸行為、拒絕技巧和替代方案都顯著高於對照組。2.在全校無菸策略介入後，實驗組二的反菸態度、拒菸自我效能和採用替代方案可能性均比對照組高。3.菸害知較差、拒絕技巧不足和採用替代方案可能性較低的學生，在接受了班級預防吸菸教學介入後，其菸害知識、拒絕技巧和採用替代方案可能性均變佳。 建議高職在執 行全校無菸策略之外，仍需強化預防吸菸定，以求降低學生之吸菸行為。未來可加強與家長、社區建立反菸夥伴關係，再評估其成效。
Schools have long been a priority setting for adolescent smoking prevention the main focuses of schools included policy, limited change, and classroom-based prevention curriculum on smoking related knowledge, attitudes, behavior and skills. A cohort pre-post quasi-experimental design was chosen. Five hundred fifteen students selected from three vocational schools were divided into three groups by class unit. Experiment group 1 received school-wide strategies and a six-session teaching. Experiment group 2 only received school-wide strategies. There was no treatment for the control group. Analysis of covariate was used to examine the effectiveness of the intervention. The major results of this study were as follows. 1.After the treatment of school-wide strategies and classroom-based education, smoking-related knowledge, attitudes, behavior, refusal skill and the possibility of taking alternatives of E1 were higher than those of the control group. 2.After the treatment of school-wide strategies, smoking-related attitude, self-efficacy and the possible of taking alternatives of E2 nere higher than those of the control group. 3.Classromm-based smoking prevention education had significant impacts on those who have lower knowledge, less refusal skill, and less likely to take alternatives.
期刊論文
1.Schofield, M. J.、Lynagh, M.、Mishra, G.(2003)。Evaluation of a Health Promoting Schools program to reduce smoking in Australian secondary schools。Health Education Research: Theory and Practice，18(6)，678-692。  new window
2.Moore, L.、Roberts, C.、Tudor-smith, C.(2001)。School smoking policies and smoking prevalence among adolescents: multilevel analysis of cross-sectional data from Wales。Tobacco Control，10，117-123。  new window
3.Ashley, M. J.、Northrup, M. A.、Femence, R.(1998)。The Ontario Ban on smoking on school property: Issues and challenges in enforcement。Canadian Journal of Public Health，89(4)，229-232。  new window
4.Centers for Disease Control and Prevention(1994)。Guidelines for school health programs to prevent tobacco use and addiction。Morbidity and Mortality Weekly Report，43(RR-2)，1-18。  new window
5.Centers for Disease Control and Prevention(1998)。Tobacco use among high school students- United States, 1997。Morbidity and Mortality Weekly Report，47(2)，229-233。  new window
6.Dalis, G. T.(2001)。The effect of personal/social skills lessons: The miss link in prevention curricula on urban middle school student tobacco use。American Journal of Health Education，32(4)，199-207。  new window
7.Flay, B, R.。Approaches to substance use prevention utilizing school curriculum plus social environment change。Addictive Behaviors，25(6)，861-885。  new window
8.Goldstein, A. O.、Peterson, A. B.、Ribisl, K. M.、Skeckler, A.、Linnan, L.、McGloin, T.、Patterson, C.(2000)。Passage of 100% tobacco-free school policies in 14 North Carolina school districts。Journal of School Health，73(8)，293-299。  new window
9.Hamilton, G.、Cross, D.、Lower, T.、Resnucow, K.、Williams, P.(2003)。School policy: What helps to reduce teenage smoking?。Nicotine Tobacco Research，5，507-513。  new window
10.Holm, K.、Kremers, S. P.、de Vries, H.(2003)。Why do Danish adolescents take up smoking?。European Journal of Public Health，73，67-74。  new window
11.Johnson, M. R. D.、Bewley, B. R.、Banks, M. H.、Bland, J. M.、Clyde, D. V.(1985)。Schools and smoking: School features and variations in cigarette smoking by children and teachers。British Journal of Education Psychology，55，55-34。  new window
12.Peck, D. D.、Acott, C.、Richard, P.、Hill, S.、Schuster, C.(1993)。The Colorado Tobacco-Free Schools and Communities Project。Journal of School Health，63(5)，214-217。  new window
13.Pentz, M. A.、Brannon, B. R.、Charlin, V. L.、Barrett, E. J.、MacKinnon, D. P.、Flay, B. R.(1989)。The power of policy: The relationship of smoking policy to adolescent smoking。American Journal of Public Health，79，857-862。  new window
14.Wakefield, M. A.、Chaloupka, F. J.、Kaufinan, N. J.、Orleans, C. T.、Barker, D. C.、Ruel, E. E.(2000)。Effect of restrictions on smoking at home, at school, and in public places on teenage smoking: cross sectional study。British Medicine Journal，321(7257)，333-336。  new window
15.Wallance, D. C.、Lee, J. W.、Montgomery, S.、Blix, G.、Wang, D. T.(1999)。Evaluation of developmenlally appropriate programs for adolescent tobacco cessatioa。Journal of School Health，69，314-319。  new window
16.Zapata, L. B.、Forthofer, M. S.、Eaton, D. L.、Brown, K. M.、Bryant, C. A.、Reynolds, S. T.、McDermott, R. J.(2004)。Cigarette use in 6th through 10th grade: The Sarasota County Demonstration Project。American Journal of Health Behavior，28(2)，151-165。  new window
17.李景美、張鳳琴、賴香如、李碧霞、陳雯昭(2002)。臺北縣市高職一年級學生成癮物質濫用之危險與保護因子研究。衛生教育學報，17，73-88。new window  延伸查詢new window
18.Clarke, V.、White, V.、Hill, D.、Borland, R.(1994)。School structural and policy variables associated with student smoking。Tobacco Control，3，339-346。  new window
會議論文
1.黃松元、馬藹屛(2002)。學校菸害防制教育介入計畫。台灣菸害防制研討會。  延伸查詢new window
2.郭鐘隆(2002)。不吸菸與健康。國家衛生研究院第二期文獻回顧成果討論會。  延伸查詢new window
研究報告
1.黃松元、林東泰、陳政友、姜逸群、黃淑貞、賴香如、胡益進、馬藹屛(2001)。菸害防制法實施兩年之成效與評價。  延伸查詢new window
2.Chaloupka, F. J.(1996)。Price, tobacco control policies and youth smoking。  new window
學位論文
1.張富琴(2001)。台北市高中生危害健康行為之研究(碩士論文)。國立臺灣師範大學。  延伸查詢new window
2.高薏亭(2003)。三種預防吸菸教學方案實驗效果比較研究--以台北縣某國中一年級學生為對象(碩士論文)。國立臺灣師範大學，台北。  延伸查詢new window
圖書
1.林清山(1986)。心理與教育統計學。台北：東華出版社。  延伸查詢new window
2.教育部(2002)。國民中小學九年一貫課程暫行綱要--健康與體育學習領域。台北：教育部。  延伸查詢new window
3.教育部(2005)。普通高級中學課程暫行綱要--健康與護理。台北：教育部。  延伸查詢new window
4.嚴道、黃松元、馬藹屛、周曉慧、楊美雪、、羅德珮(1997)。台灣都會地區高中高職學生之吸菸行為與其心理健康狀況調査研究。台北：董氏基金會。  延伸查詢new window
5.Bastian, A.(2002)。Smoke-free education and child care。Australia：Quit SA & the State of South Australia。  new window
 
 
 
 
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