泰雅族國中生飲酒防制衛生教育介入成效研究

泰 雅 族 國 中 生 飲 酒 防 制 衛 生 教 育 介 入

成 效 研 究

林昭光

*

陳政友

**

羅文敏

***

林若蓓

****

摘要

酒精濫用是臺灣原住民的健康威脅，而且情況愈來愈嚴重。泰雅族屬於 臺灣16個原住民族中的一族，其國中青少年的飲酒盛行率高達53.1%。雖然 泰雅族的耆老們並不認同，但是族中大多數年輕一代的族人普遍認為飲酒是 他們的文化傳統之一。本研究旨在探討飲酒防制衛生教育介入後，對泰雅族 國中生之飲酒知識、拒酒自我效能、飲酒行為意圖之效果。本研究採準實驗 研究設計，立意取樣新北市烏來區某國中泰雅族學生52人為實驗組，與桃園 市復興區某國中泰雅族學生97人為對照組，兩組樣本共149人。在飲酒防制衛 生教育介入前，兩組皆接受前測作為介入效果的比較基礎，實驗組接受四週 有關飲酒防制的教學；對照組不接受任何實驗處理。飲酒防制衛生教育介入 後進行後測，以了解介入後所產生的效果。本研究以結構式問卷（包含社會 健康促進與衛生教育學報 第 48 期，頁 95-129，2017 年 12 月

Journal of Health Promotion and Health Education No. 48, pp. 95-129, December 2017 * 國立陽明大學人文與社會教育中心副教授 ** 國 立 臺 灣 師 範 大 學 健 康 促 進 與 衛 生 教 育 學 系 教 授 （ 通 訊 作 者 ） ， E - m a i l : [email protected] 通訊地址：臺北市和平東路一段162號，聯絡電話：02-77341111 *** 原住民族委員會社會福利處副處長 **** 國立頭城家事商業職業學校進修部護理師 投稿日期：106年7月3日；修改日期：106年10月10日；接受日期：106年12月29日 DOI: 10.3966/207010632017120048004 04-4-林昭光+陳政友+羅文敏+林若蓓_p095-130.indd 95 2018/5/14 上午 11:54:52

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學報　第 48 期 人口學變項、飲酒知識量表、拒酒自我效能量表、飲酒行為意圖量表）作為 前、後測工具。回收的資料以卡方檢定、t檢定及單因子共變數分析檢驗飲酒 防制衛生教育介入對「飲酒知識」、「拒酒自我效能」及「飲酒行為意圖」 的影響。本研究發現飲酒防制衛生教育介入對實驗組研究參與者「飲酒知 識」、「拒酒自我效能」及「飲酒行為意圖」方面的影響都達到統計上的顯 著程度，顯示本介入在上述效標變項上有良好成效。 關鍵詞： 拒酒自我效能、泰雅族國中生、飲酒行為意圖、飲酒防制衛生教育 介入、飲酒知識 04-4-林昭光+陳政友+羅文敏+林若蓓_p095-130.indd 96 2018/5/14 上午 11:54:52

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二、本研究以新北市烏來區泰雅族某國中與桃園市復興區泰雅族某國中 為研究對象，研究結果不能推論至其他地區之泰雅族國中生。

林昭光、陳政友、羅文敏、林若蓓　泰雅族國中生飲酒防制衛生教育介入成效研究

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The Effect of a Drinking Abuse Preventive

Intervention on Atayal Junior High School

Students in Taiwan

Chao-Kuang Lin

*

Cheng-Yu Chen

**

Wen-Min Lo

***

Jo-Pei Li

****

Abstract

Evidence suggests alcohol abuse is a growing threat to the health of indigenes in Taiwan. The prevalence of alcohol use among junior high school students of Atayal tribe, one of the sixteen indigenous tribes, was 53.1%. Despite the disapproval of the elders, most tribal people of younger generations assumed heavy drinking is one of their cultural traditions. This study aimed to explore the effect of a drinking abuse preventive intervention on changing the cognition of drinking, self-efficacy of anti-drinking, and the drinking intention of Atayal junior high school students. A quasi-experimental design was conducted, the experimental group (N = 52) was recruited from a Atayal junior high school located in New Taipei City and obtained a four-week program regarding the prevention of drinking abuse, while the comparison group (N = 97) was recruited from another Atayal junior high school located in Taoyuan City and obtained no intervention. Both groups took pre-tests and post-tests in order to evaluate the effect of the

* Associate Professor, Education Center for Humanities and Social Sciences, National Yang-Ming University

** Professor, Department of Health Promotion and Health Education, National Taiwan Normal University (Corresponding author), E-mail: [email protected]

*** Deputy Director, Department of Social Welfare for Council of Indigenous Peoples **** Nurse, Department of Continuing Education Affiliated, National Tou Cheng Home

Economics and Commercial Vocational High School

林昭光、陳政友、羅文敏、林若蓓　泰雅族國中生飲酒防制衛生教育介入成效研究

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intervention. A structured questionnaire (incorporating demographic variables, the cognition of drinking scale, the self-efficacy of anti-drinking scale and the drinking intention scale) were used for data collection. The data was analyzed by using Chi-square test, t-test and analysis of covariance (ANCOVA). The alcohol abuse preventive intervention effectively enabled Atayal junior high schools students strengthen their cognition of drinking, self-efficacy of refusing drinking, and lessen drinking intention to reduce their risk of alcohol abuse.

Key words: self-efficacy of anti-drinking, Atayal junior high school students, drinking intention, drinking abuse preventive intervention, cognition of drinking