| Summary: | 碩士 === 長榮大學 === 護理學系碩士班 === 98 === The smoking rate, 10.7% in 1994 and 14.8% in 2007, was gradually increasing for senior high school students in Taiwan. Previous research showed that parent, sibling and peer smoking contributed to predicting cigarette use in adolescents. However, little research examined the role of school regulation as a predictor of adolescents’ smoking behavior. The aims of the study were to examine the proposed models regarding the moderators and mediators of family and peer smoking influencing on adolescent smoking. Cross-sectional school-based survey was conducted in nine high schools in southern and middle area of Taiwan. The stratified randomly sampling by grade was used to select participants in each school. The effective sample size was 940. The passive parental consent was used in this study. The participants were asked to complete a self-reported questionnaire including 37 questions. After collecting data, the researcher provided individual and group health education. Data was managed using Microsoft Access 2003. Logistic regression was used to assess the risk factor for adolescent smoking. Hierarchical regrssion was used to test school smoking policy as a moderator of the effect of family smoking or peers smoking on cigarette use among adolescents. Structure equation modeling was used to assess the fit of the proposed models. The software JMP 7.0, SPSS 12.0, PRELIS 2 and LISREL 8.7.were employed to perform these analyses. School smoking policy was not a significantly risk factor for adolescent smoking. School smoking policy was a moderater of the effect of sibling smoking and adolescent smoking. However, it was controversial that school smoking policy moderated the relation between peer smoking and adolescent smoking behavior. The influence of parents, sibling or peer smoking on adolescents’ smoking is partially mediated by positive expectancy about smoking. The results of this study can help health professionals and health policy makers to explore ways to prevent smoking in adolescents.
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