宜蘭縣九所國、高中職學生吸菸行為之影響因素研究

The purpose of this study was to examine the relationship between tobacco knowledge, attitudes, self-efficacy, refusal skills, alternatives, exposure to environmental tobacco smoke (ETS) and smoking behavior among high school students. Self-administered questionnaires were used for the sample, supervised by class teachers. Randomly selected 52 classes from 5 senior and 4 junior high schools in E-Lan County were surveyed. Totally, 1946 students provided data with 97.2% response rate.
The results showed that the prevalence rate of smoking among junior and senior high school students were 17.6% and 24.4, respectively. Compared with nonsmokers, smoking students had lower self-efficacy, refusal skills and alternatives for smoking. On the contrary, smoking students were more likely to have family smoking and friend smoking. Junior high school students’ self-efficacy, antismoking attitudes, refusal skills, alternatives, family smoking and friend smoking were associated with smoking status. Moreover, these six variables could explain 34.5% of variance. Related to senior high school students, smoking status was associated with self- efficacy, anti-smoking attitudes, alternatives, and the likelihood of ETS exposure at home, family smoking and friend smoking. Totally, these six variables could explain 33.5% of variance. Developing antismoking programs, exploring ETS in campus and building smoking free school were recommended.