摘要: | 目的:本研究分析台灣菸害防制因子與國中生吸菸行為之關聯性。方法:使用2004年全球國中生吸菸行為調查(Global Youth Tobacco Survey,GYTS)資料,利用羅吉特模型(Logistic model)分析菸害防制政策變數與青少年吸菸的關聯影響,以Limdep 8.0軟體進行資料實證分析。結果:從22,339位學生選出4,232位曾經吸過菸之國中青少年為樣本。青少年抽中低價(≦NT$55)和抽免費菸相校於抽高價菸(≧NT$56)有多19倍及33倍的可能去抽菸。青少年曾戒過菸(OR=0.655 95% CI 0.531,0.808)、支持公共場所禁菸(OR=0.797 95% CI 0.642,0.989)看過反菸運動或遊行(OR=0.694 95% CI 0.521,0.825)及上過抽菸造成齒黃、無力及口臭課程(OR=0.761 95% CI 0.608-0.951)將有助於減少青少年吸菸行為。青少年零用錢越多、在廣告看板看過香菸廣告(OR=1.268 95% CI 0.962-1.673)及接受菸商提供免費香菸(OR=2.158 95% CI 1.545, 3.104)將會增加青少年吸菸行為。結論: 抽中低價和抽免費菸比抽高價菸更會增加青少年吸菸行為。這意含政府必須對免費菸及中低價菸之吸菸族群推行特定之衛生介入方案。 Objectives: We tried to identify tobacco control factors associated with current cigarette smoking among junior high school adolescents in Taiwan. Methods: We used data from the Taiwan Global Youth Tobacco Survey (GYTS) of 2004.Logistic regression analysis was used to assess theses associations. Data were analyzed in Limdep 8.0. Results: In total, 22,339 students completed the GYTS. Altogether 4,232 ever smokers participated in this study. In multivariate analysis, compared to respondents who smoke high price cigarette (≧NT$56), those who smoke free price and medium-lower price cigarette (≦NT$55) were 19 and 33 times more likely to report smoking, respectively. Meanwhile, less likely to report smoking was associated with trying to quit smoking (OR=0.655 95% CI 0.531, 0.808); supporting ban on smoking in public places (OR=0.797 95% CI 0.642,0.989); sawing anti-smoking messages at sporting or other events (OR=0.694 95% CI 0.521,0.825); being taught that smoking makes teeth yellow, causes wrinkles and smokers smell badly (OR=0.761 95% CI 0.608-0.951). Factors that were associated with reported smoking were: having more pocket-money, sawing pro-cigarette ads on billboard (OR=1.268 95% CI 0.962-1.673), and being offered free cigarettes by a tobacco company (OR=2.158 95% CI 1.545, 3.104). Conclusion: Among school adolescents in Taiwan, we found that adolescents who smoke free price or medium-lower price cigarette were strong likely report smoking than those who smoke higher price cigarette. Theses finding indicate the need to implement public health interventions pay attention to the determinants of smoking in this group. |