题名

臺灣青年COVID-19期間電子菸使用易感之調查與防制

并列篇名

A Study on Prevention of e-Cigarette Use Susceptibility among Taiwan Youths during COVID-19

DOI

10.29916/JMPP.202206_16(1).0002

作者

熊乃歡(Nai-Huan Hsiung);邱紹群(Shao-Chun Chiu)

关键词

電子菸 ; 使用易感 ; 社會學習理論 ; 結果預期 ; COVID-19 ; e-cigarette ; use susceptibility ; social learning theory ; outcome expectancy ; COVID-19

期刊名称

管理實務與理論研究

卷期/出版年月

16卷1期(2022 / 06 / 01)

页次

13 - 29

内容语文

繁體中文

中文摘要

現階段臺灣正處疫情期間,我們對於臺灣青年的電子菸使用動機及易感知之甚少。透過社會學習理論與結果預期模型文獻,本研究假設疫情期間社群媒體菸品曝光度(媒體影響、社群影響)、正向結果預期(社交誘因、情感誘因、感官誘因)、負向結果預期(健康疑慮與成癮疑慮)與紙菸使用經驗對臺灣青年電子菸使用易感可能存在影響。本研究共蒐集到266位臺灣青年的有效樣本數據,並以結構方程模型檢驗數據有效性及驗證研究假設。結果顯示,僅有情感誘因、感官誘因與使用經驗會影響臺灣青年使用電子菸的易感程度。本研究實證結果將有助於政府菸害防制相關單位,針對臺灣青年未來吸食電子菸的重要影響因素對症下藥,以降低菸害防制成本並確保臺灣青年健康。

英文摘要

While the COVID-19 pandemic prevention, increasingly isolation may result in psychosocial stress, which is a risk factor for e-cigarettes. There is sparse evidence for the intention behind using e-cigarette among young Taiwanese. Based to social learning theory and outcome expectancy, this study provides empirical support for a motivation behind using e-cigarettes by testing the impacted variables derived from the integrated model of smoking on social media (social media and social effect), positive outcome expectation (social, emotion, sensation), negative out-come expectation (harm for health and addiction), and experience with conventional cigarettes. A cross-sectional e-survey was conducted among Taiwanese youths. A total of 266 smokers aged 19-25 years were recruited through an access panel. Findings indicated that in the COVID-19 context, the influences of emotional, sensational stimulations, and experience with conventional cigarettes positively predicts the level of intention for using e-cigarettes. The current study identified the psychosocial mechanisms of intention of e-cigarettes Taiwanese's user during the COVID-19 pandemic, which could be used as an empirical basis for the development of interventions to prevent tobacco. These efforts can help health promotion and reduce the costs of tobacco harm actually outweigh any financial benefits.

主题分类 社會科學 > 管理學
参考文献
  1. 朱美貞,陳珮青,張麗娟,李玉春(2015)。臺灣青少年吸菸及家庭二手菸暴露相關影響因素及菸害防制新法效益之探討。臺灣公共衛生雜誌,34(5),505-519。
    連結:
  2. 李蕙君,王玥心,賴志冠,張曉婷,陳曾基(2020)。電子煙與其相關危害。臨床醫學月刊,86(5),675-678。
    連結:
  3. 周曉慧,黃麗卿,詹欣隆(2019)。電子煙與呼吸道疾病的關聯。臺灣家庭醫學雜誌,29(4),159-170。
    連結:
  4. 邵于玲(2021)。大學運動員生活壓力、電子煙知覺風險和成癮認知與使用行為之關係。臺灣運動心理學報,21(2),1-20。
    連結:
  5. 邱天佑(2017)。運用修正計劃行為理論比較不同性別高中生吸菸意圖影響因素。顧客滿意學刊,13(2),257-277。
    連結:
  6. 陳再晉,鐘珮純,陳冠文,林廷育(2019)。我國電子煙管理及其閘門效應防制政策之省思。臺灣公共衛生雜誌,38(4),335-337。
    連結:
  7. 賴鼎富,林倩宇,廖邕(2019)。青少年電子煙使用與吸菸意圖或吸菸行為之關聯性:系統性文獻回顧。臺灣公共衛生雜誌,38(2),124-138。
    連結:
  8. 賴靜儀,陳俐文,陳棟樑(2018)。消費者綠色消費與健康意識認知對電子煙使用態度之研究。管理資訊計算,7(2),134-148。
    連結:
  9. Allen, J. G.,Flanigan, S. S.,LeBlanc, M.,Vallarino, J.,MacNaughton, P.,Stewart, J. H.,Christiani, D. C.(2016).Flavoring chemicals in e-cigarettes: Diacetyl, 2, 3-Pentanedione, and Acetoin in a sample of 51 products, including fruit, candy, and cocktail-flavored e cigarettes.Environmental Health Perspectives,124,733-739.
  10. Bandi, P.,Cahn, Z.,Sauer, A. G.,Douglas, C. E.,Drope, J.,Jemal, A.,Fedewa, S. A.(2021).Trends in e-cigarette use by age group and combustible cigarette smoking histories, U.S. adults, 2014-2018.American Journal of Preventive Medicine,60(2),151-158.
  11. Bandura, A.(1977).Social learning theory.Englewood Cliffs, NJ:Prentice Hall.
  12. Bandura, A.(1977).Self-efficacy: Toward a unifying theory of behavioral change.Psychological Review,84,191-215.
  13. Berg, C. J.,An, L. C.,Thomas, J. L.,Lust, K. A.,Sanem, J. R.,Swan, D. W.,Ahluwalia, J. S.(2011).Smoking patterns, attitudes and motives: Unique characteristics among 2-year versus 4-year college students.Health Education Research,26(4),614-623.
  14. Brandon, T. H.,Baker, T. B.(1991).The smoking consequences questionnaire: The subjective expected utility of smoking in college students.Psychological Assessment: A Journal of Consulting and Clinical Psychology,3,484-491.
  15. Brandon, T.,Juliano, L.,Copeland, A.(1999).Expectancies for tobacco smoking.How expectancies shape experience,Washington, DC:
  16. Chu, K. H.,Allem, J. P.,Cruz, T. B.,Unger, J. B.(2017).Vaping on instagram: Cloud chasing, hand checks, and product placement.Tobacco Control,26,575-578.
  17. Copeland, A. L.,Brandon, T. H.(2000).Testing the causal role of expectancies in smoking motivation and behavior.Addictive Behaviors,25,445-449.
  18. Correa, J. B.,Tully, L. K.,Doran, N.(2019).Expectancies and reasons for use of e-cigarettes among young adults: A longitudinal analysis.Psychology of Addictive Behaviors,33(8),730-736.
  19. Fornell, C. G.,Larcker, D. F.(1981).Evaluating structural equation models with unobservable variables and measurement error.Journal of Marketing Research,18(1),39-50.
  20. Gaiha, S. M.,Lempert, L. K.,Halpern-Felsher, B.(2020).Underage youth and young adult e-cigarette use and access before and during the coronavirus disease 2019 pandemic.JAMA Network Open,3(12),e2027572.
  21. Hershberger, A. R.,Karyadi, K. A.,Vander Veen, J. D.,Cyders, M. A.(2017).Beliefs about the direct comparison of e-cigarettes and cigarettes.Substance Use & Misuse,52(8),982-991.
  22. Hine, D. W.,Honan, C. A.,Marks, A. D. G.,Brettschneider, K.(2007).Development and validation of the smoking expectancy scale for adolescents.Psychological Assessment,19,347-355.
  23. Huang, G. C.,Unger, J. B.,Soto, Fujimoto, D., K.,Pentz, M. A.,Jordan-Marsh, M.,Valente, T. W.(2014).Peer influences: The impact of online and offline friendship networks on adolescent smoking and alcohol use.Journal of Adolescent Health,54,508-514.
  24. Kaufman, A. R.,Coa, K. I.,Nguyen, A. B.(2017).Cigarette smoking risk-reducing beliefs: Findings from the United States health information national trends survey.Preventive Medicine,102,39-43.
  25. Lorenzo-Blanco, E. I.,Unger, J. B.,Thrasher, J. F.(2021).E-cigarette use susceptibility among youth in Mexico: The roles of remote acculturation, parenting behaviors, and internet use frequency.Addictive Behaviors,113,106688.
  26. Mantey, D. S.,Cooper, M. R.,Loukas, A.,Perry, C. L.(2017).E-cigarette use and cigarette smoking cessation among Texas college students.American Journal of Health Behavior,41(6),750-759.
  27. Miech, R.,Patrick, M. E.,O’Malley, P. M.,Johnston, L. D.(2017).E-cigarette use as a predictor of cigarette smoking: Results from a 1-year follow-up of a national sample of 12th grade students.Tob Control,26(e2),e106-e111.
  28. Myers, D. G.(2013).Social psychology.New York, NY:McGraw-Hill.
  29. Pokhrel, P.,Fagan, P.,Herzog, T. A.,Laestadius, L.,Buente, W.,Kawamoto, C. T.,Lee, H. R.,Unger, J. B.(2018).Social media e-cigarette exposure and e-cigarette expectancies and use among young adults.Addictive Behaviors,78,51-58.
  30. Pokhrel, P.,Herzog, T. A.,Muranaka, N.,Fagan, P.(2015).Young adult e-cigarette users’ reasons for liking and not liking e-cigarettes: A qualitative study.Psychology & Health,30(12),1450-1469.
  31. Pokhrel, P.,Little, M. A.,Fagan, P.,Muranaka, N.,Herzog, T. A.(2014).Electronic cigarette use outcome expectancies among college students.Addictive Behaviors,39,1062-1065.
  32. Salimian, P. K.,Chunara, R.,Weitzman, E. R.(2014).Averting the perfect storm: Addressing youth substance use risk from social media use.Pediatric Annals,43(10),e242-e247.
  33. Sarstedt, M.,Henseler, J.,Ringle, C.(2011).Multi-group analysis in partial least squares (PLS) path modeling.Advances in International Marketing,22,195-218.
  34. Shadel, W. G.,Martino, S. C.,Setodji, C.,Cervone, D.,Witkiewitz, K.(2017).Does self-efficacy causally influence initial smoking cessation? An experimental study.Addictive Behaviors,73,199-203.
  35. Sleiman, M.,Logue, J. M.,Montesinos, V. N.,Russell, M. L.,Litter, M. I.,Gundel, L. A.,Destaillats, H.(2016).Emissions from electronic cigarettes: Key parameters affecting the release of harmful chemicals.Environmental Science and Technology,50,9644-9651.
  36. Stokes, A. C.(2020).Declines in electronic cigarette use among US youth in the era of COVID-19-A critical opportunity to stop youth vaping in its tracks.JAMA Network Open,3(12),e2028221.
  37. Villanti, A. C.,Johnson, A. L.,Rath, J. M.,Williams, V.,Vallone, D. M.,Abrams, D. B.,Hedeker, D.,Mermelstein, R. J.(2017).Identifying "social smoking" U.S. young adults using an empirically-driven approach.Addictive Behaviors,70,83-89.
  38. Wang, T. W.,Neff, L. J.,Park-Lee, E.,Ren, C.,Cullen, K. A.,King, B. A.(2020).E-cigarette use among middle and high school students-United States, 2020.Morbidity and Mortality Weekly Report,69(37),1310-1312.
  39. Weaver, S. R.,Majeed, B. A.,Pechacek, T. F.,Nyman, A. L.,Gregory, K. R.,Eriksen, M. P.(2016).Use of electronic nicotine delivery systems and other tobacco products among USA adults, 2014: Results from a national survey.International Journal of Public Health,61(2),177-188.
  40. Yan, X. S.,D'Ruiz, C.(2015).Effects of using electronic cigarettes on nicotine delivery and cardiovascular function in comparison with regular cigarettes.Regulatory Toxicology and Pharmacology,71,24-34.
  41. 王志效,吳岱穎,郭冠良,盛業瑄,吳逸帆,林志陵(2019)。電子煙概論。北市醫學雜誌,16(4),305-312。
  42. 朱群芳(2019)。青少年對電子煙的迷思。藥物濫用防治,4(4),89-90。
  43. 吳彥霖,唐憶淨,朱為民(2021)。電子煙的迷思與新知。家庭醫學與基層醫療,36(2),51-59。
  44. 邱家琳(2021)。如何納管新興菸品?專家:應考量稅收、走私與執法難題。2021 年 12 月 01日,取自 https://www.upmedia.mg/news_info.php?SerialNo=130307。
  45. 郭斐然(2019)。電子煙危害與公共議題。臺灣醫界,62(11),12-17。
  46. 郭栢瑜,施培艾,陳志道(2017)。淺談電子菸。家庭醫學與基層醫療,32(1),22-30。
  47. 黃慧文,陳稚尹,黃芷苓(2011)。青少年的規律吸菸和吸菸依賴影響因素之探討。護理雜誌,58(1),28-36。
  48. 衛生福利部國民健康署煙害防制組(2021)。國人吸菸行為調查結果。2021 年 10 月 1 日,取自 https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=1718&pid=9913。