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外文摘要
引文資料
題名:
學校層次菸害防制政策與個人層次特質對於學童吸菸行為之多層次分析:以屏東縣的國小為例
書刊名:
臺灣公共衛生雜誌
作者:
黃正銘
/
嚴雅音
/
陳富莉
/
許志成
/
李建宏
/
林雅瑩
/
黃曉靈
作者(外文):
Huang, Cheng-ming
/
Yen, Yea-yin
/
Chen, Fu-li
/
Hsu, Chih-cheng
/
Lee, Chien-hung
/
Lin, Ya-ying
/
Huang, Hsiao-ling
出版日期:
2010
卷期:
29:2
頁次:
頁145-158
主題關鍵詞:
學童
;
吸菸行為
;
多層次分析
;
校園菸害防制政策
;
School children
;
Smoking behavior
;
Multilevel
;
Tobacco-control policy
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
1
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
1
共同引用:0
點閱:46
目標:使用多層次分析探討學校菸害防制政策與個人層次特質因素對於學童吸菸行為之相關性。方法:採多步驟集束抽樣選取屏東縣26間國小,以學校為單位,於2008年調查國小三至六年級學童之吸菸行為及其相關影響因素、並同時收集學校層次結構性與菸害防制政策特質因素。共收集有效學生樣本數2350、家長樣本數3726與教職員樣本數52位。結果:學校層次特質及學童本身特質,可解釋學童吸菸行為變異量分別為85%與48%。多層次迴歸模式發現學校層次因素,含山地地區學校(AOR=2.40, 95%CI: 1.00-5.79)、有教職員吸菸的學校(AOR=2.57, 95%CI: 1.59-4.17)及未推廣戒菸輔導或活動的學校(AOR=2.88, 95%CI:1.39-5.94)對於學童個人吸菸行為具有顯著影響。同時自覺他人吸菸頻率、朋友與家人在面前吸菸頻率、喝酒與嚼食檳榔之行為等個人層次變項,亦為顯著影響因素。結論:學校層次特質與國小學童吸菸行為顯著相關,建議教育與衛生機構能重視這些高風險學校及落實校園菸害防制政策與推廣活動,避免國小學童吸菸行為之發生。
以文找文
Objectives: The aim of this study was to use a multilevel analysis to assess the school-level tobacco control policy and individual-level characteristics of students in relation to cigarette smoking among elementary schoolchildren. Methods: We conducted a multilevel study to assess two-level effects on smoking among 2,350 grade 3-6 students in 26 randomly selected elementary schools in southern Taiwan. The individual- and school-level characteristics regarding smoking were estimated using multi-level logistic regression. Results: School- and individual-level effects, accounting for 85% and 48% respectively of variance in the odds of being a smoker, indicated that the school cluster was very important. The risk of smoking was significantly associated with those schools located in a mountainous region [adjusted odds ratio (AOR=2.40, 95%CI:1.00-5.79)], schools where staff smoked (OR=2.57, 95%CI:1.59-4.17) and schools without anti-tobacco activities or curricula implementation (AOR=2.88, 95%CI:1.39-5.94). Individual-level characteristics having a significant relationship with student smoking behavior were student’s perceptions of smoking, having best friends or family always smoking in front of them, ever-drinking and -chewing betelnut behavior. Conclusions: The findings suggest that tobacco control policies and preventive programs should be strongly considered for implementation in those elementary schools where students are at the greatest risk for cigarette smoking.
以文找文
期刊論文
1.
Adams, M. L.、Jason, L. A.、Pokorny, S.、Hunt, Y.(2009)。The relationship between school policies and youth tobacco use。J Sch Health,79(1),17-23。
2.
Maes, L.、Lievens, J.(2003)。Can the school make a difference? A multilevel analysis of adolescent risk and health behaviour。Social Science and Medicine,56,517-529。
3.
Huang, H. L.、Lee, C. H.、Yen, Y. Y.、Chen, T.、Chen, F. L.、Ho, P. S.、Lai, T. C.(2009)。School-level contextual factors associated with betel quid chewing among schoolchildren in Taiwan。Community Dent Oral Epidemiol,37(1),58-67。
4.
Thompson, D. R.、Iachan, R.、Overpeck, M.、Ross, J. G.、Gross, L. A.(2006)。School connectedness in the health behavior in school-aged children study: The role of student, school, and school neighborhood characteristics。Journal of School Health,76(7),379-386。
5.
United States Department of Health and Human Services(1989)。Reducing the health consequences of smoking: 25 years of progress。MMWR Morb Mortal Wkly Rep,38(Suppl 2),1-32。
6.
Cameron R, Brown KS, Best JA, et al.(1999)。Effectiveness of a social influences smoking prevention program as a function of provider type, training method, and school risk。Am J Public Health,89,1827-31。
7.
Pierce JP, Choi WS, Gilpin EA, Farkas AJ, Merritt RK.(1996)。Validation of susceptibility as a predictor of which adolescents take up smoking in the United States。Health Psychol,15,355-61。
8.
Flay BR, Petraitis J, Hu FB.(1999)。Psychosocial risk and protective factors for adolescent tobacco use。Nicotine Tob Res,1(Suppl 1),59-65。
9.
Leatherdale ST, , Cameron R, Brown KS, Jolin MA, Kroeker C(2006)。The influence of friends, family, and older peers on smoking among elementary school students: low-risk students in high-risk schools。Prev Med,42,218-22。
10.
Huang HL, Chen T, Chen FL, et al.(2009)。A study of smoking disparity and factors associated with children smoking behavior in the mountain and city schools in Taiwan。J Sch Health,79,67-73.。
11.
Huang HL Hsu CC Magnus JH et al.(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,86,213-21。
12.
Chiou HJ.(2007)。Multilevel latent variable modeling of contextual variables: application of multilevel structural equation modeling on rater effects。Chin J Psychol,49,383-405。
13.
Wold B, Torsheim T, Currie C, Roberts C.(2004)。National and school policies on restrictions of teacher smoking: a multilevel analysis of student exposure to teacher smoking in seven European countries。Health Educ Res,19,217-26。
14.
O’Rourke TW.(2005)。Promoting school health--an expanded paradigm。J Sch Health,75,112-4。
15.
Rogers E Moon AM Mullee MA Speller VM Roderick PJ.(1998)。Developing the ‘health-promoting school’--a national survey of healthy schools awards。Public Health,112,37-40。
16.
Murnaghan DA, Sihvonen M, Leatherdale ST, Kekki P.(2007)。The relationship between school-based smoking policies and prevention programs on smoking behavior among grade 12 students in Prince Edward Island: a multilevel analysis。Prev Med,44,317-22。
17.
Lovatol, C. Y.、Sabistonl, C. M.、Hadd, V.、Nykiforuk, C. I.、Campbell, H. S.(2007)。The impact of school smoking policies and student perceptions of enforcement on school smoking prevalence and location of smoking。Health Education Research,22(6),782-793。
18.
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 Educ Res,18,627-36。
19.
Maas CJM, Hox JJJJ.(2004)。The influence of violations of assumptions on multilevel parameter estimates and their standard errors。Comput Stat Data Anal,46,427-40。
20.
Reid RJ, Peterson NA, Hughey J, Garcia-Reid P.(2006)。School climate and adolescent drug use: mediating effects of violence victimization in the urban high school context。J Prim Prev,27,281-92。
21.
McNeely C, Falci C.(2004)。School connectedness and the transition into and out of health-risk behavior among adolescents: a comparison of social belonging and teacher support。J Sch Health,74,284-92。
研究報告
1.
Bureau of Health Promotion(2006)。Global Youth Tobacco Survey (GYTS)。Taipei。
2.
Bureau of Health Promotion(2004)。Global Youth Tobacco Survey (GYTS).。Taipei。
3.
The Danish Heart Association(1996)。Status Report on Smoking in the School Setting。Copenhagen。
4.
Bureau of Health Promotion.(2002)。National Health Interview Survey (NHIS)。Taipei。
5.
Health Promoting School(2007)。Health-Promoting School Programs。Taipei。
圖書
1.
Rabe-Hesketh, Sophia、Skrondal, Anders(2005)。Multilevel and Longitudinal Modeling Using Stata。College Station:Stata Press。
2.
Department of Household Registration(2008)。The Cross-Reference of Japanese Colonial Period and Current District。Taipei。
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