题名

Predictors of Cigarette Smoking Behavior among Military University Students in Taiwan

并列篇名

台灣軍校大學生吸菸行為之預測因子

作者

王桂芸(Kwua-Yun Wang)；楊嘉禎(Chia-Chen Yang)；祝年豐(Nain-Feng Chu)；吳德敏(Der-Min Wu)

关键词

軍校大學生 ； 吸菸態度 ； 自我效能 ； 吸菸行為 ； 預測因子 ； military university students ； cigarette smoking attitude ； self-efficacy ； cigarette smoking behavior ； predictors

期刊名称

The Journal of Nursing Research

卷期/出版年月

17卷3期（2009 / 09 / 01）

页次

161 - 169

内容语文

英文
中文摘要

Background: The smoking rate among Taiwanese adolescents remains high. In any age group, smoking behavior can be influenced by personal, social, and familial factors. In adolescents, many factors, including psychological, physical, emotional, and interpersonal relationships, both social and familial, interact to influence smoking behavior. At present, no data are available on smoking behavior in military students in Taiwan. Understanding the factors that influence smoking behavior is a critical element in smoking cessation programs. Purpose: The purpose of this study was to investigate the prevalence and predictors of smoking behaviors among military university students in Taiwan. Methods: Using a cross-sectional design, 2,477 students were recruited for this study from seven universities across Taiwan. Structured questionnaires were used to collect data covering demographics, family environment, school environment, cigarette smoking attitudes, self-efficacy, and cigarette smoking behaviors. Both descriptive statistics and logistic regression were for the data analysis. A probability threshold of .05 was considered as statistically significant. Results: The prevalence of smoking among students in Taiwan has been recently reported as 5.7%. Of this number, 12.8% started smoking after enrollment in school and 33.3% became regular smokers. The main reason for first contact with smoking was curiosity. Avoiding the stress and the difficulties of smoking cessation explained continuing smoking behaviors. Over 80% of smokers attempted to quit but could not decide when to start. Age, peer influence, and self-efficacy were major predictors of student smoking behaviors. Conclusions/Implications: Smoking prevalence was not high among these students. However, more than one in four smokers became regular smokers after enrollment at school. Tobacco control and prevention strategies proved to be of vital importance, as peer influence and self-efficacy represented major predictors of smoking behaviors.
英文摘要

Background: The smoking rate among Taiwanese adolescents remains high. In any age group, smoking behavior can be influenced by personal, social, and familial factors. In adolescents, many factors, including psychological, physical, emotional, and interpersonal relationships, both social and familial, interact to influence smoking behavior. At present, no data are available on smoking behavior in military students in Taiwan. Understanding the factors that influence smoking behavior is a critical element in smoking cessation programs. Purpose: The purpose of this study was to investigate the prevalence and predictors of smoking behaviors among military university students in Taiwan. Methods: Using a cross-sectional design, 2,477 students were recruited for this study from seven universities across Taiwan. Structured questionnaires were used to collect data covering demographics, family environment, school environment, cigarette smoking attitudes, self-efficacy, and cigarette smoking behaviors. Both descriptive statistics and logistic regression were for the data analysis. A probability threshold of .05 was considered as statistically significant. Results: The prevalence of smoking among students in Taiwan has been recently reported as 5.7%. Of this number, 12.8% started smoking after enrollment in school and 33.3% became regular smokers. The main reason for first contact with smoking was curiosity. Avoiding the stress and the difficulties of smoking cessation explained continuing smoking behaviors. Over 80% of smokers attempted to quit but could not decide when to start. Age, peer influence, and self-efficacy were major predictors of student smoking behaviors. Conclusions/Implications: Smoking prevalence was not high among these students. However, more than one in four smokers became regular smokers after enrollment at school. Tobacco control and prevention strategies proved to be of vital importance, as peer influence and self-efficacy represented major predictors of smoking behaviors.
主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. Chang, C. J.,Wang, P. L.(2004).The process of formation, maintenance, abstinence and relapse on smoking behavior.Chinese Mental Health Journal,17(4),29-66.
    連結：
  2. Cheng, T. Y.,Wen, C. P.,Tsai, M. C.,Tsai, S. P.(2003).The current status of smoking behavior in Taiwan: Data analysis from National Health Interview Survey in 2001.Taiwan Journal of Public Health,23(6),453-464.
    連結：
  3. Alexander, C.,Piazza, M.,Mekos, D.,Valente, T.(2001).Peers, schools, and adolescent cigarette smoking.Journal of Adolescent Health,29(1),22-30.
  4. Bidstrup, P. E.,Frederiksen, K.,Siersma, V.,Mortensen, E. L.,Ross, L.,Vinther-Larsen, M.(2009).Social-cognitive and school factors in initiation of smoking among adolescents: A prospective cohort study.Cancer Epidemiology, Biomarkers & Prevention,18(2),384-392.
  5. Bidstrup, P. E.,Frederiksen, K.,Siersma, V.,Mortensen, E. L.,Ross, L.,Vinther-Larsen, M.(2008).Social-cognitive and school factors in lifetime smoking among adolescents.Cancer Epidemiology, Biomarkers & Prevention,17(8),1862-1871.
  6. Busen, N. H.,Modeland, V.,Kouzekanani, K.(2001).Adolescent cigarette smoking and health risk behavior.Journal of Pediatric Nursing,16(3),187-193.
  7. Centers for Disease Control and Prevention.(2002).Trends in cigarette smoking among high school students-United States, 1991-2001.MMWR. Morbidity & Mortality Weekly Report,51(19),409-412.
  8. Centers for Disease Control and Prevention.(2008).smoking among adults-United States, 2007.MMWR. Morbidity & Mortality Weekly Report,57(45),1221-1226.
  9. Cheng, C. W.,Juang, D. F.,Hsueh, S. C.(2008).A study on college students' smoking behaviors and recognition of tobacco hazard prevention and control-Meiho Institute of Technology as an example.Journal of Meiho Institute of Technology,27(1),121-138.
  10. Chou, K. R.(2000).Smoking behavior study.Taipei:National Health Research Institutes.
  11. Christakis, D. A.,Garrison, M. M.,Ebel, B. E.,Wiehe, S. E.,Rivara, F. P.(2003).Pediatric smoking prevention interventions delivered by care providers: A systematic review.American Journal of Preventive Medicine,25(4),358-362.
  12. Chu, N. F.,Wu, D. M.,Shen, M. H.,Lai, H. R.(2001).Survey of cigarette smoking and betel-nut chewing behaviors among military employees and retired soldiers: Behaviors of cigarette smoking and betel-nut chewing behaviors among military employees and retired soldiers in the offshore islands of Taiwan (DOH90-TD-1181).
  13. de Moor, C.,Cookson, K.,Elder, J. P.,Young, R.,Molgaard, C. A.,Wildey, M.(1992).The association between teacher attitude, behavioral intentions and smoking and the prevalence of smoking among seventh-grade students.Adolescence,27(107),565-578.
  14. Department of Health, Executive Yuan.(2005).Healthy people 2010 in Taiwan.Taipei:Department of Health, Executive Yuan.
  15. Giovino, G. A.(2007).The tobacco epidemic in the United States.American Journal of Preventive Medicine,33(6),318-326.
  16. Hill, K. G.,Hawkins, J. D.,Catalano, R. F.,Abbott, R. D.,Guo, J.(2005).Family influences on the risk of daily smoking initiation.Journal of Adolescent Health,37(3),202-210.
  17. Huang, S. J.(1997).Health belief, self-efficacy, social support and smoking behavior among college students.Chinese Journal of School Health,31,30-44.
  18. Kann, L.,Warren, C. W.,Harris, W. A.,Collins, J. L.,Douglas, K. A.,Collins, M. E.(1995).Youth risk behavior surveillance United States, 1993.Journal of School Health,65(5),163-170.
  19. Kaufman, N. J.,Castrucci, B. C.,Mowery, P.,Gerlach, K. K.,Emont, S.,Orleans, C. T.(2002).Predictors of change on the smoking uptake continuum among adolescents.Archives of Pediatrics & Adolescent Medicine,156(6),581-587.
  20. Kear, M. E.(2002).Psychosocial determinations of cigarette smoking among college students.Journal of Community Health Nursing,19(4),245-257.
  21. Lee, P. H.,Wu, D. M.,Chu, N. F.,Lai, H. R.,Chao, K. H.,Lee, H. Y.(2004).Correlates of cigarette smoking behavior among nine high school students in E-Lan County, Taiwan.Journal of Health Education,22,21-39.
  22. Liao, C. Y.(1994).Taipei, Taiwan, ROC.,National Taiwan University.
  23. Liou, M. Y.,Lu, C. M.(2005).Application of the trans-theoretical model to smoking behavior among freshmen.Journal of Health Education,24,47-70.
  24. Lippe, J.,Brener, N.,Kann, L.,Kinchen, S.,Harris, W. A.,McManus, T.(2008).Youth risk behavior surveillance-Pacific island United States territories, 2007.MMWR. Morbidity & Mortality Weekly Report,57(SS12),28-56.
  25. Malcon, M. C.,Meneze, A. M.,Chatkin, M.(2003).Prevalence and risk factors for smoking among adolescent.Revista de Saude Publica,37(1),1-7.
  26. Morabia, A.,Costanza, M. C.(2008).Starting to smoke too easily, starting to smoke too young.Preventive Medicine,47(1),2-3.
  27. Peng, J. H.,Wang, C.,Tung, Y. Y.,Wang, W. L.(2007).Factors influencing high-school students' smoking behavior from the perspective of problem behavior theory.Journal of Evidence-Based Nursing,3(3),236-245.
  28. Pinilla, J.,Gonzalez, B.,Barber, P.,Santana, Y.(2002).Smoking in young adolescents: An approach with multilevel discrete choice models.Journal of Epidemiology and Community Health,56(3),227-232.
  29. Prokhorov, A.,Hudmon, K. S.,Stancic, N.(2003).Adolescent smoking: Epidemiology and approaches for achieving cessation.Pediatric Drugs,5(1),1-10.
  30. Pyle, S. A.,Haddock, C. K.,Poston, W. S. C.,Robert, M.,Bray, R. M.,Williams, J.(2007).Tobacco use and perceived financial strain among junior enlisted in the U.S. Military in 2002.Preventive Medicine,45(6),460-463.
  31. Ridner, S. L.(2005).Predicting smoking status in a college-age population.Public Health Nursing,22(6),494-505.
  32. Sanchez, R. P.(2001).Cigar and pipe smoking in the U.S. military: Prevalence, trends, and correlates.Military Medicine,166(10),903-908.
  33. Sascoa, A. J.,Merrilla, R.M.,BenhaBm-Luzona, V.,Gérardd, J. -P.,Freyere, G.(2003).Trends in tobacco smoking among adolescents in Lyon, France.European Journal of Cancer,39(4),496-504.
  34. Tilson, E. C.,McBride, C. M.,Lipkus, I. M.,Catalano, R. F.(2004).Testing the interaction between parent-child relationship factors and parent smoking to predict youth smoking.Journal of Adolescent Health,35(3),182-189.
  35. Tyas, S. L.,Pederson, L. L.(1998).Psychosocial factors related to adolescent smoking: A critical review of the literature.Tobacco Control,7(4),409-420.
  36. UCI tobacco research center issues report detailing why teens are most vulnerable to smoking addiction
  37. Wen, C. P.,Tsai, S. P.,Cheng, T. Y.,Hsu, C. C.,Chen, T.,Lin, H. S.(2005).Role of parents and peers in influencing the smoking status of high school students in Taiwan.Tobacco Control,14(1),10-15.
  38. World Health Organization.(2004).The millennium development goals and tobacco control: An opportunity for global partnership.Geneva, Switzerland:World Health Organization.
  39. Yan, D.,Huang, S. Y.,Ma, A. P.,Xiao, H. W.(1994).A study on the cognition, attitudes, behavior and psychological traits regarding smoking, drinking and betel nuts chewing among adolescents in Taiwan, Republic of China (DOH83-HP-119-3M27; DOH84-HP-001-3M21).
  40. Yan, X. Y.(2001).Taipei, Taiwan, ROC,National Yang Ming University.
  41. Yen, L. L.,Pan, L. Y.(2000).Smoking prevalence and behaviors of adults in Taiwan: A national survey, 1999.Chinese Journal of Public Health,19(6),423-436.
被引用次数
  1. 程淑華,陳慧如,陳政友,朱基銘,王桂芸(2017)。台灣軍校大專生自我效能及健康控握信念與健康危害行為之關係。源遠護理，11(3)，35-46。
  2. 賴錦皇、黃姝嘉、曾雅梅、陳劭淇、高森永、邱于容、林富宮、李善茹、江香慧(2016)。國軍醫院免費戒菸門診成效之探討。臺灣公共衛生雜誌，35(6)，631-641。
  3. 隋安莉、陳青浩、吳芳純(2012)。青少年的吸菸行為與態度。嘉南學報（人文類），38，588-597。
print cancel