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台灣地區成年人之吸菸率與吸菸行為:八十八年度之全國性調查

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 !"#$%&'()&'*+,

 !"#$%&'



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 !

LEE-LAN YEN*, LING-YEN PAN

 !"#$%&'#(&')*+,-./01234567898:

Graduate Institute of Health Policy and Management, College of Public Health, National Taiwan University. No.1, Jen-Ai Rd., Sec.1, Taipei, Taiwan, R.O.C.

 !Correspondence author. E-mail: [email protected]

  !"#$%&'()*+,-. /0. 123456*789:;<+  !"#$  !"#$%&'()*+,-./01234-567893:;  !"#$%&%'()*+,-./012345678  !"#$(1)  !"#$%&'()*+,-47.29%5.23%(2) !"#$ %&'()* 18.519.9(3)47.41% !"#$%65.74% !"#$%&'()*+,"-(4)  !"#$ %&'( )&*+,-. /01234.56$ 78923+,4.:  !"#$%&'()'*+,-./01(5) !"#$ %&'()*+ ,-./  !"#$%&'()*+,-./0123!4  !"#$%&'()*+,  !"#$%&'()*+,-./(01%&2345678&*9:;<=>?@A  !"#$%&'()*+,-./0(123*+4567*+89&:;0<=>?@  !"#$%&'()*+,-./( ! 200019(6)423-436)  !"#$%&'$()$*+,-$./012

Smoking prevalence and behaviors of adults in Taiwan:

A national survey, 1999

Objectives: In order to facilitate tobacco control task, people's prevalence and behaviors related to cigarette use need to be monitored regularly. A national smoking survey was thus conducted in Taiwan. Methods: Based on demographic data and previous smoking rates, the sample size was estimated. Using a set of structured questionnaires, a telephone company was entrusted to collect data in January 1999. Results: (1) Current smoking rates for male adults and female adults are 47.29% and 5.23%, respectively. (2) The average age for first trial of cigarette smoking is between 18.5 and 19.9 years, respectively. (3) Among the adults, 47.41% of daily smokers and 65.74% of occasional smokers reported that they had ever tried to quit smoking last year. (4) The variables including age, educational level, living place, whether the roommate is smoking, attitudes toward smoking ban in public places, and whether the workplace has smoking ban are significant predictors for male and female adults' smoking status. (5) Age, educational level, whether the roommate is smoking, and attitudes toward smoking ban in public places are significant predictors to quit smoking for male adults. Conclusions: Female adults' smoking rates tend to increase. The research projects focusing on investigating female smoking should be en-couraged. In order to urge a smoker to quit, the innovative strategies should be created. The effective cessation methods should be introduced to those smokers who attempt to quit. In order to protect the employees' health, the employers should conduct smoking ban in workplace. (Chin J

Public Health. (Taipei): 2000;19(6):423-436)

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(5)

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polytomous logistic regression !"#$

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polytomous logistic regression

 !    !"#$%&"#  !"#$%&"#  !"#$%&"#  !"#$%&"#   (95%  ! )  (95%  ! )  (95%  ! )  (95%  ! )  ( )  18-24 1.00 1.00 1.00 1.00  25-44 1.12(0.72  1.75) 2.78(2.02  3.84)*** 0.95(0.60  1.51) 3.07(2.18  4.32)***  45-64 1.21(0.72  2.06) 1.95(1.34  2.85)*** 1.05(0.61  1.83) 2.34(1.56  3.51)***  65+ 0.95(0.45  2.00) 1.91(1.19  3.06)** 0.91(0.40  2.06) 2.34(1.40  3.90)**  !  !"# 1.00 1.00 1.00 1.00  !"# 0.76(0.39  1.48) 2.66(1.77  4.00)*** 0.79(0.39  1.60) 2.27(1.49  3.45)***  1.81(1.07  3.07)* 3.32(2.29  4.80)*** 1.93(1.14  3.28)* 2.91(2.00  4.24)***  ( ) 1.25(0.80  1.95) 2.39(1.76  3.25)*** 1.31(0.84  2.03) 2.16(1.58  2.96)***  !  !"# 1.00 1.00  ! 1.13(0.71  1.80) 1.14(0.84  1.55)  ! 0.97(0.61  1.56) 0.92(0.67  1.25)  !  ! 1.00 1.00 1.00 1.00  ! 1.16(0.52  2.57) 0.98(0.57  1.70) 1.20(0.54  2.70) 0.99(0.56  1.76)  !" 1.80(1.01  3.23)* 1.78(1.21  2.63)** 1.74(0.96  3.14) 1.73(1.15  2.60)**  !" 1.75(0.95  3.22) 1.76(1.18  2.63)** 1.70(0.91  3.15) 1.74(1.14  2.66)**  !" 1.23(0.65  2.31) 1.53(1.02  2.29)* 1.21(0.63  2.32) 1.57(1.02  2.40)*  !" 0.90(0.31  2.65) 2.43(1.38  4.28)** 0.61(0.17  2.25) 2.55(1.38  4.71)**  !"  1.00 1.00  1.07(0.74  1.56) 1.87(1.47  2.38)***  !"#$%  1.00 1.00  1.10(0.74  1.65) 1.37(1.03  1.81)*  !"#$%&'() 0.57(0.33  1.00) 0.85(0.60  1.22)  !"#$%&'  1.00 1.00  ! 1.91(0.71  5.17) 2.88(1.47  5.61)**  !" 2.06(0.97  4.35) 3.51(2.12  5.79)*** n 1582 1501 Likelihood Ratio 425.56 885.17 * p 0.05  **  p 0.01  ***  p 0.001

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 !"#$%&'()*+,-./0'123456logistic regression  !  !"#$%      (95% !)  (95% !) () 18-24 1.00 1.00 25-44 1.55(0.872.76) 1.58(0.862.90) 45-64 2.92(1.585.37)*** 2.84(1.505.36)** 65+ 6.32(3.1812.57)*** 4.00(1.928.37)***  !  !"# 1.00 1.00  !"# 0.44(0.260.73)** 0.43(0.250.74)***  0.44(0.270.71)*** 0.36(0.240.54)***  () 0.51(0.340.77)** 0.46(0.280.75)***  !  !"# 1.00  ! 0.81(0.541.21)  ! 0.76(0.501.17)  !  ! 1.00  ! 0.74(0.341.58)  !" 0.73(0.441.21)  !" 0.81(0.481.37)  !" 0.67(0.391.17)  !" 0.76(0.361.63)  !"  1.00  0.57(0.410.79)***  !"#$%  1.00  0.88(0.601.29)  !"#$%&'() 1.38(0.852.25)  !"#$%&'  1.00  ! 0.34(0.120.97)*  !" 0.70(0.381.28) n 1111 1044 -2 Log L 1098.9 1007.202 *p0.05**p0.01***p0.001

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()  !"#

polytomous logistic regression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 !"#$%&'()*+,-./01234

polytomous logistic regression

 !    !"#$%&"#  !"#$%&"#  !"#$%&"#  !"#$  !   (95%  ! )  (95%  ! )  (95%  ! )  (95%  ! )  ( )  18-24 1.00 1.00 1.00 1.00  25-44 0.87(0.37  2.01) 1.19(0.57  2.49) 0.83(0.35  1.98) 1.49(0.65  3.44)  45-64 0.26(0.07  0.97)* 0.80(0.31  2.04) 0.20(0.05  0.90)* 1.04(0.35  3.06)  65+ 0.35(0.06  2.06) 0.87(0.26  2.93) 0.26(0.02  2.65) 0.59(0.10  3.36)  !  !"# 1.00 1.00 1.00 1.00  !" 2.92(0.75  11.32) 1.07(0.39  2.94) 3.58(0.84  15.31) 0.82(0.25  2.65)  3.97(1.28  12.28)* 1.92(0.79  4.68) 4.34(1.35  13.96)* 1.62(0.60  4.40)  ( ) 1.55(0.62  3.89) 1.12(0.51  2.45) 1.27(0.49  3.31) 0.91(0.38  2.19)  !  !"# 1.00 1.00 1.00 1.00  0.33(0.10  1.10) 2.58(1.06  6.28)* 0.27(0.08  0.95) 2.27(0.81  6.37)  ! 0.35(0.15  0.82)* 1.62(0.73  3.63) 0.38(0.13  1.10) 2.22(0.81  6.09)  !  !" 1.00 1.00 1.00 1.00  ! 4.81(1.20  19.26)* 2.28(0.74  6.97) 4.77(1.18  19.39)* 3.44(0.92  12.91)  ! 0.88(0.09  8.60) 2.33(0.70  7.82) 0.94(0.10  9.32) 3.28(0.78  13.92)  !" 3.49(0.98  12.45) 3.36(1.35  8.36)** 2.71(0.73  10.00) 4.74(1.56  14.44)**  !" 2.88(0.77  10.80) 2.21(0.84  5.77) 2.70(0.70  10.46) 2.81(0.86  9.18)  !" 4.84(0.94  24.90) 1.25(0.24  6.36) 5.72(1.07  30.51)* 1.98(0.34  11.65)  !"  1.00 1.00  1.94(0.90  4.18) 2.93(1.45  5.90)**  !"#$%  1.00 1.00  1.35(0.60  3.01) 1.92(0.85  4.34)  !"#$%&'() 0.60(0.19  1.95) 1.20(0.46  3.12)  !"#$%&'  1.00 1.00  ! 2.73(0.33  22.34) 10.17(2.99  34.58)***  !" 3.65(1.02  13.03) 5.03(2.04  12.36)*** n 1769 1633 Likelihood Ratio 211.9 388.3 * p 0.05  **  p 0.01  ***  p 0.001

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( !"#$) !"#$%&  !"#$%&'()*+,-./  !"#$%  !"#$%&'()"*+,- !"#$%&'()*+,-./0  !"#$%&'()*+,-./0  !"#$%&'()*+,-./0  !"#$%&'()*+,-./0  5 . 2 3 %  !"#$%&(  22% 26%) !"#$% &'()  !"#$%&'()*+,-./01  !"#$%&'()#*+,-./0  !"#$%&'()*+,'-#.  !"#$%&'()"*+,-./  !"#$%&'()*+,- ./  !"#$%&'()*+,-./0  !"#$%&'()*+,-./0  !"#$%&'   !"#$%&'(&)*+,  !"#$%&'()*+ !"#$%&'()*+ ,-18.47  !"#$%&'((19.89)  !"#$%&'()1820 !  !"#!$%&'()*+,-./  !"#$%&'()*+,-1820  !"#$%&'()*+,-./0  !"#$%&'()*+,-./0  !"#$"%&'()* +,-.  !"#$  !"# $ !"#$ %&'()*+,- !"#$%&'()*+,#  !"#$%&'()*+,-./0  !"#$%&'(') *+$  !"#$%&'()*+,-./  !"#$%&'()*+,-./"  !( !"#$%&) !"  !"#$%#&'()*+,-./   !"#$%&'()*+,-.  !"# $%&'4 7 . 4 1 %  65.74% !"#$%&'()*+,$  !"#$%&'()*+,-./ 3.173.93 !"#$%&'()*+  !"#$%&'()*+%,-.  !"#$%&'()*+,-./0  !"#$%&'()30.97% !  43.40% !"#$%&'()*  !"#$%&'()*+,-.&/  !"#$%&'()*+,-&./  !"#$%&'()*+,&-./  !"#$%&& '()*+,  !"#$%&79.5% !"#$%  !"#$%&'()*+,-.  !"#$%&'(')* +,-.  !"#$%&'()*+,-./  !"#$%&'()*!$%+,-.  !"#$%&'()&*+,-.   !"#$%&'()*+,-.  !"#$%&'45 ( 18-24) !"#$%&' ()(  !"#$) !"#$%&'()  !"#$%&'()*!+,-./  !"#$%&'()*+,-./  !"#$%&'()*+,-./0  !"#$%&'()*+  !"#$%#&'()*+,- !"#$%&'()*+,-./0  !"#$%&'()*#$+,-.  !"#$%&'()*+,-./0  !"#$%&'()*+,-./  !"#$%&'()*+,-"./  !"#$%&'()*"+$,-.  !"#$% !&'()*+,-.  !"#$%&'()*+,-."/  !"#$%&'()*+,-"./0  !"#$%&'()*+,-./0  !"#$%&'()*+,%&'  !"#$%&'()*+,-.  !"#$%&'()*+,-./0  !"#  1. !"#$%&'()*+,-!"

(13)

 !"#$%&'()*+,-".  !"#$%&'()*+,-./  !"#$%&'()*+,-./  !"#$%&'()*+,-+.  !"#$%&'()*+,-.  !"#$%&'()*+,-./  !"#$%&'()*+,-./  !"# !$% &'()*#+  !"#$%&'()*"+,- !"#$%&'()'*+,!"  !"# 2. !"#$%&'(!)*+,-.  !"#$%25-44 !"#$%  !"#$%&'()*+,-.  !"#$%&'()*+,-./  !"#$%&'()*+,-./  !"#$%&'()*+,-./  !"#$%&'()*+,-.  !"#$%&'()*+,-./  !"#$%&'()*+,-./  !"#$%&'()*+,-./  !"#$%&' 3. !"#$%&'"#()*+,- !"#$%&'()*+",  !"#$%&'()*+,-./  !"#$%&'()*+,-&'  !"#$%&'()*+,-./  !"#$%&'()*+,-./  !"#$%&'()*+,-4. !"#$%&'()*+!,-.  !"#$%&'()*+,-./  !"#$%&'()*+,-./  !"#$%&'()*+,-$.  !"#$%&'()*+,-.  !"#$%&'()*+,-.    !"#$%&'()*+,-.    ! " # $ % & ' ( ) * + , (DOH88-HP-Tobac03) !"#$%&  !"!#$%&'()*+,#-./  !"#$%&!'()*+,-./  !"#$%&'()*+,-./0  !"#$%!&'()*+,-./  !"#$%&'()*+,-#./  !"#$%&'()*+,-./0  !"#$%&'(  !

1. World Health Organization. Tobacco or Health: A Global Status Report. Geneva: World Health Organization, 1997. 2. The World Bank. Curbing the Epidemic:

Governments and the Economics of Tobacco Control. Washington, D.C.: The World Bank, 1999. 3. !"# $%& '()*+,  !"#$%&'()*+,-.  !"# 199413371-80 4. !"#$%&'()*+,-./  !"#$%&'()*+,-./  !"#(19931996) !" 199918199-208 5. !"#$%&'()!"*+,  !"#$%&'(( !").  !"#$%&'()1996 6. !"#$%&'()*+,!  !"#$%&'$()*+, 1999http://www.ttw.gov.tw/statis-tics/table5.htm

7. US Department of Health and Human Ser-vice. Preventing Tobacco Use Among Young People: A Report of Surgeon Gen-eral. Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service, Center for Disease Control and Pre-vention, National Center for Chronic Dis-ease Prevention and Health Promotion, Office on Smoking and Health, 1994. 8. Centers for Disease Control and Prevention.

Selected cigarette smoking initiation and quitting behaviors among high school stu-dents -- United States, 1997. MMWR 1998;47:386-9.

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Sur-vey, 1994: Technical Report. Ottawa: Min-ister of Supply and Services Canada, 1996.

10. !"#$!%&'()*+,-.

 !"#$%&'()*+,-!.  !"#$%1991

11. Peto R, Lopez A, Boreham J, Thun M, Heath CJ. Mortality from smoking in developed countries, 1950-2000: indirect estimates from national vital statistics. Oxford: Ox-ford University Press, 1994.

12. Centers for Disease Control. Smoking at-tributable mortality and years of potential life lost, United States, 1988. MMWR 1991;40:62-71.

13. Wen CP, Tsai SP, Yen DD. The health im-pact of cigarette smoking in Taiwan. Asia-Pacific Journal of Public Health 1994;7:206-13.

14. Liaw K-M, Chen C-J. Mortality attributable to cigarette smoking in Taiwan: a 12-year f o l l o w - u p s t u d y . T o b a c c o C o n t r o l 1998;7:141-8.

15. US Department of Health and Human Ser-vices, US Environmental Protection Agen-cy. Respiratory health effects of passive smoking: lung cancer and other disorders.

The report of the US Environmental Protec-tion Agency. Bethesda: NaProtec-tional Cancer Institute, 1993.

16. Steenland K, Thun M, Lally C et al. Envi-ronmental tobacco smoke and coronary heart disease in the American Cancer So-ciety CPS-II cohort. Circulation 1996; 94:622-8.

17. Bartlett JC, Miller LS, Rice DP, Max WB. Medical-care expenditures attributable to cigarette smoking-- United States, 1993. MMWR 1994;43:469-72.

18. !"#$%  !"#$%&

 !"#$%&'()*+,-1992

19. Thirty-Ninth World Health Assemble. To-bacco or Health: Resolution WHA39.14. Geneva: World Health Organization, 1986. 20. World Health Organization. Guidelines for Controlling and Monitoring the Tobacco Epedemic. Geneva: World Health Organi-zation, 1998.

21. Frey JH, Oishi SM. How to conduct inter-views by telephone and in person. Thousand Oaks, CA: Sage Publications, 1995.

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