The Smoking Behaviors of Indigenous Taiwanese: Individual and Family/Community Factors of Influence

台灣原住民個人和家庭／社區吸菸行為的預測

10.1097/jnr.0000000000000014

陳杏雯(Hsing-Wen Chen)；祝年豐(Nain-Feng Chu)；陳興夏(Hsing-Hsia Chen)；葉美玲(Mei-Ling Yeh)

原住民 ； 吸菸 ； 個人 ； 家庭 ； 社區 ； indigenous Taiwanese ； smoking ； individual ； family ； community

The Journal of Nursing Research

22卷1期（2014 / 03 / 01）

12 - 19

英文

背景　吸菸雖為全球之第六大死亡原因，但它是可以預防的。而對原住民族群的吸菸問題，應付出更多的關注與相關影響因素的澄清。目的　本研究旨在檢視台灣原住民吸菸行為與其個人和家庭／社區因素間之關係。方法　使用台灣中部家訪資料進行二手資料分析。對562位20歲至50歲的成年原住民資料採用卡方檢定和階層邏輯斯回歸分析，以確認原住民個人和家庭／社區的吸菸行為相關因素。結果　總體之吸菸率為57.48%（男性39.15%，女性18.33%）。男性的吸菸勝算比明顯高於女性。吸菸者有固定性伴侶者是沒有的0.45倍，吸菸者家中具吸菸成員者是沒有的2.68倍，而吸菸者居住山區者是非居住的7.03倍。結論　原住民的吸菸議題仍然需持續多加關切。當提供煙草有害影響的介入措施時，可以多專注於居住山區年輕原住民，也可以自其固定伴侶著手。除此，還需同時著重男性、女性成年人和戶長的吸菸行為，從而改善他們及其家庭成員的吸菸狀況。

Background: Smoking, a self-selected behavior, is the sixth leading cause of death worldwide. Factors related to smoking in Taiwan's indigenous Malayo-Polynesian population should be elicited and addressed.Purpose: This study examined the relationship between smoking behavior and individual and family/community factors in indigenous Taiwanese.Methods: This study was a secondary analysis of data obtained from household visits in central Taiwan that included a population of 562 indigenous adults aged 20-50 years. Data were analyzed using the chi-square test and hierarchical logistic regression to determine individual and family/community relevant factors of smoking behaviors.Results: The smoking rate in the population studied was 57.48% (39.15% men, 18.33% women). The odds ratio for smoking was markedly higher in men than in women. Smokers were 0.45 times more likely to have fixed sexual partners. The OR for smoking was 2.68 times in households with smokers and 7.03 times in people living in mountainous areas.Conclusions: The issue of smoking in indigenous Taiwanese deserves further attention and concern. Further interventions for the harmful effects of tobacco can focus on younger indigenous people living in mountain regions and on smokers' sexual partners. In addition, male adults, female adults, and heads of households should take a greater role in changing the smoking behaviors of smokers and their family members.

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