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題名：探討不同層級因素對青少年吸菸行為階段的影響--以新竹地區高級中學在校生為例
書刊名：健康促進暨衛生教育雜誌
作者：姚克武／曾治乾 引用關係／葉國樑 引用關係
作者(外文)：Yao, Ke-wu／Tseng, Chie-chien／Yeh, Gwo-liang
出版日期：2011
卷期：31
頁次：頁55-70
主題關鍵詞：同儕團體；吸菸行為階段；青少年；Peer group；Stage of smoking behavior；Adolescents
原始連結：連回原系統網址new window
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本研究旨在探討不同層級因素對青少年吸菸行為階段的影響。以新竹縣市十二所高中、高職一至三年級學生為對象，有效研究樣本為6,152名在校生，採結構式問卷在課堂內填答，問卷回收後應用SPSS電腦軟體，以Logistic Mutiple Regression分析個人層級、家庭層級及同儕層級等變項和青少年吸菸行為階段的相關性。本研究主要發現包括：（1）男生和女生在行動期及持續期目前有吸菸之比率分別為11.3%和3.0%。（2）三年級在持續期相較於其他年級，吸菸的機會較高（勝算比為2.44）。（3）外控特質愈強，在行動期和持續期研究樣本吸菸的機會愈高（勝算比分別為1.11和1.11）；菸害認知愈高，在行動期和持續期研究樣本吸菸的機會愈低（勝算比分別為0.72和0.69）。（4）父親教育程度愈低，研究樣本在行動期和持續期吸菸的機會愈高（勝算比分別為1.86和2.38）。（5）班上同學吸菸人數愈多，研究樣本在行動期和持續期吸菸的機會愈高（勝算比分別為1.09和1.10）。最後建議影響青少年吸菸行為階段的因素，除菸害認知、外控特質外，父親教育程度及同儕團體都是重要的因素。本研究可應用各種理論為依據來發展創新之策略，提供有關單位在未來研擬菸害防制教育的參考。
The purpose of this study was to explore the effects of different dimensions on the stage of smoking behavior of senior high school students in Hsinchu area. A self-designed structured questionnaire was used to survey 12 senior high school and vocational schools comprising total 6152 students. Logistic regression analysis was applied to explore the relationships among smoking behavior stage, personal, family, and peer factors. The major findings of this study includes: (1) Current smoking rate in action and maintenance stages for male and female students were 11.3% and 3.0%, respectively. (2) The12(superscript th) grade had more probability to smoke than the other grades in maintenance stage (odds ratio 2.44). (3) The stronger locus of control, the higher the subject's probability to smoke in action stage and maintenance stage (odds ratio 1.11, 1.11, respectively). The higher recognition of the smoking-related knowledge, the less probability the subject's to smoke in action stage and maintenance stages (odds ratio 0.72, 0.69, respectively). (4) The lower the father's education level, the higher the subject's probability to smoke in action stage and in maintenance stages (odds ratio 1.86, 2.38, respectively). (5) The higher the number of classmates in smoking, the higher the subject's probability to smoke in action stage and in maintenance stages (odds ratio 1.09, 1.10, respectively)Besides the recognition of the smoking-related knowledge of the locus of control, father's educational level and peer group were the two most important factors related to high school students smoking. The findings and conclusions of this study can provide policy makers to develop strategies for teenager smoking prevention.
期刊論文
1.楊雪華、陳端容、李蘭、柯姍如(20030600)。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  延伸查詢new window
2.黃松元、余玉眉、江永盛、陳政友、賴香如、何瑞琴(1991)。臺灣地區青少年吸菸行為調查研究。衛生教育論文集刊，5，45-66。  延伸查詢new window
3.Cattel, R. B.、Krug, S.(1967)。Personality factors profile peculiar to the student smoker。Journal of Counseling Psychology，14(2)，116-121。  new window
4.Janson, H.(1999)。Longitudinal patterns of tobacco smoking from childhood to middle age。Addictive Behavior，24(2)，239-249。  new window
5.Kandel, D. B.、Andrews, K.(1987)。Processes of adolescent socialization by parents and peers。International Journal of Addiction，22(4)，319-342。  new window
6.Oetting, E. R.、Beauavis, F.(1986)。Peer cluster theory: Drugs and the adolescent。Journal of Counseling Development，65(1)，17-22。  new window
7.Conred, K. M.、Flay, B. R.、Hill, D.(1992)。Why children start smoking cigarettes: Predictors of onset。British Journal of Addiction，87(12)，1711-1724。  new window
8.(1991)。From the Centers of Disease Control. Cigarette smoking among youth-1989。Journal of American Medical Association，264(19)，2493-2494。  new window
9.Eiser, J.、Eiser, C.、Gammage, P.、Morgan, M.(1989)。Health locus of control and health beliefs in relation to adolescent smoking。British Journal of Addiction，84，1059-1065。  new window
10.Steptoe, A.、Wardle, J.、Lipsey, Z.(1998)。A longitudinal study of work load and variations in psychological well-being, cortisol, smoking, and alcohol consumption。Annals Behavior of Medicine，20(2)，239-249。  new window
11.Tyas, S. L.、Pederson, L. L.(1998)。Psychological factors related to adolescent smoking: a critical review of the literature。Tobacco Control，7，409-420。  new window
12.Soteriades, E. S.、DiFranza, J. R.(2003)。Parent's Socioeconomic Status, Adolescents' Disposable Income, and Adolescents' Smoking Status in Massachusetts。American Journal of Public Health，93(7)，1155-1160。  new window
13.Prochaska, James O.、Velicer, Wayne F.(1997)。The Transtheoretical Model of Health Behavior Change。American Journal of Health Promotion，12(1)，38-48。  new window
14.Mayhew, K. P.、Flay, B. R.、Mott, J. A.(2000)。Stages in the Development of Adolescent Smoking。Drug and Alcohol Dependence，59(suppl.1)，S61-S81。  new window
研究報告
1.Smith, P.、Begley, L.、O'loughlin, J. L.、Snider, J.(2002)。Smoking behavior。  new window
2.李蘭、陳秀熙、潘怜燕(1999)。民國八十八年臺灣地區成人及青少年之吸菸率及吸菸行為調查：菸害防制法實施一年後之初評。臺北：行政院衛生署。  延伸查詢new window
圖書
1.周桂如(2000)。吸菸之行為研究。臺北：國家衛生研究院論壇。  延伸查詢new window
2.Bartholomew, K. L.、Parcel, G. S.、Kok, G.(2001)。Intervention mapping- Designing theory and evidence based health promotion programs。Mountain View, Ca.：Mayfield Publishing Company。  new window
3.US Center of Disease Control and prevention(2010)。Best practices for comprehensive tobacco control programs-2007。Atlanta, GA：US Department of Health and Human Services。  new window
4.Eysenck, H. J.(1965)。Smoking, Health and personality。New York：Basic books。  new window
5.US Department of Health and Human Services。The health consequences of smoking: a report of the Surgeon General。Atlanta, GA：US Department of Health and Human Services。  new window
其他
1.Loureiro, M. L.，Galdeano, A.，Vuri, D.(2006)。Smoking Habits: Like Father, Like Son, Like Mother, Like Daughter。  new window
圖書論文
1.Smith, G. M.(1970)。Personality and smoking: A review of the empirical literature。Learning Mechanisms in Smoking。Chicago：Aldine Publishing Company。  new window
 
 
 
 
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