| Summary: | 碩士 === 慈濟大學 === 公共衛生學系碩士班 === 103 === Delaying the age of youth smoking for adult smoking prevention is the focus of health promoting school. This study was to investigate the risk factors of smoking and to assess the effectiveness of anti-smoking curricula in smoking prevention and cessation among non-smoking and smoking students in one vocational high school located in the middle of Hualien County.
Materials and Methods: This study used a quasi-experimental design. We conducted purposive sampling to assign students of each class to the intervention group and the control group for each grade. Students in the intervention group received a 2 hours anti-smoking curriculum which was chaired by peer voluntary performers. The anti-smoking curriculum was divided to 6 units, (a) knowledge of smoking harm; (b) anti-smoking tips; (c) do not smoke to save money; (d) Fear appeals quitting smoking ads; (e) students successfully quitting experience sharing; (f) true or false of smoking harm knowledge game. The control group received general anti-smoking activities of health-promoting school. Both groups conducted the same questionnaires including questions of smoking harm knowledge, smoking attitudes, anti-smoking self-efficacy, smoking intentions or quitting behaviors one week before and after, and 3 months after the intervention period. We implemented CO tests and curriculum content evaluation at the same occasions as well.
Results: The risk factors of smoking were consciousness of poor performance, the best friends smoking, good friends prone to smoking and consciousness of smoking prohibited in school after controlling gender, age, marriage of parents. For non-smokers or smokers, the intervention and control groups were of no significant difference in knowledge, attitudes, self-efficacy, or smoking intention/cessation. However, the saving money unit of curriculum was the most popular among the students, followed by sharing of students that successfully quitted and quitting advertisements with fear appeal.
Conclusion: The result of this study were of no significant difference in 2 hour peer voluntaries base for anti-smoking between the intervention and control group for smoking or no smoking students of the vocational high school in the middle of Hualien County. The reasons possibly were time too short for the anti-smoking curriculum, performer themselves with insufficient training, mental immaturity in part of performers, contents not attractive, poor teacher support, grade, characteristics of class. We suggest the quitting for saving money unit, looking for appropriate students sharing their successful quitting experiences and cooperating with other teachers for playing fear appeal quitting advisement in health related classes can be the valuable reference for tobacco prevention and control in our school.
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