The Application of the PRECEDE Model to Understanding the Factors Associated with Children’s Smoking Behavior in Mountainous schools in Kao-Ping Areas of Taiwan.

• Main Authors: Feng-Hui Chang, 張鳳惠
• Other Authors: Hsiao-Ling Huang
• Format: Others
• Language: zh-TW
• Published: 2010
• Online Access: http://ndltd.ncl.edu.tw/handle/53284590612983504376

碩士 === 高雄醫學大學 === 口腔衛生科學研究所碩士在職專班 === 98 === Background: Tobacco use is one of the main risk factors for a number of chronic diseases, including oral cancer, periodontal, lung disease, and cardiovascular diseases. In Taiwan, the students in the mountain schools have reported higher prevalence of having tried cigarette smoking compared to students from city schools. The individual and environment-related factors associated with children’s smoking in mountainous area are worth exploring. Objective: Applying the education factors of the PRECEDE Model to discuss the association among the Predisposing factors (tobacco-related knowledge and attitude toward smoking), reinforcing factors (smoking status of peer, family and school staff), enabling factors (accessibility and availability of cigarettes, school policy) and children’s smoking behavior in ountainous schools in Kao-Ping Areas of Taiwan . Methods: We used the multistage cluster sampling to obtain a representative sample of 3rd to 6th grader in 20 mountainous elementary schools (n=1032). Polytomous logistic regression was used to analysis the relationship between students smoking behavior (Never”/”Ever”/”Current”) and three educational factors. Results: The results showed that prevalence of ever and current smoking among children in mountainous school was 21% and 8%, respectively. Other analysis showed that smoking by school children for the first time the number of third graders in the highest (25.5%).After controlling for confounding factors, the significant factors for children’s ever and current smoking behavior attitudes (odds ratio (OR) = 1.08 and 1.19), friends smoked (OR= 4.57and 14.86), school staff smoked (OR = 1.65 and 3.13). Students perceived high rates of smoking teachers and visitors at school (38.8% and 41.1%, respectively). Enabling factors were found to be no significantly correlated to children’s smoking.There are70.3% of students were ever bought cigarettes and 87.3% the boss or clerk could sell the cigarettes to them. Other significant factors on ever and current smoking behavior were alcohol consumption (OR = 4.19 and 3.43) and betel nut chewing (OR = 1.76 and 4.79). Other significant impact on students "ever" and "current" smoking behavior factors are alcohol consumption (OR = 4.19 and 3.43), and betel nut chewing (OR = 1.76 and 4.79, respectively). Conclusion: The predisposing factors (attitude toward smoking), and reinforcing factors (best friends and school staff smoked) were significantly related to students’ cigarettes smoking in those mountainous primary School.