國小學生吸菸行為之質性研究：以桃園某國小為例

A qualitative study on elementary school students’ smoking behavior

目前吸菸人口，已從國高中階段下降至國小階段，本研究以桃園某國小十二位吸菸學生為對象，採質性研究方式，探討國小學生吸菸的歷程，研究結果：第一次吸菸最小的年齡是5歲，其次是8-12歲。研究發現：1.好奇心、2.缺乏家人關愛、3.個人內在壓力、4.菸品取得的來源，這四個因素誘發學童 吸菸行為── 『因』，而吸菸行為產生──『果』是內心產生矛盾心理。而社區、公園、撞球場、網咖成為兒童最常接觸吸菸的場所，也突顯出這些場所提供與販賣未成年兒童的漏洞。建議：1.家庭方面：重視父母言行身教、強化家庭功能。2.學校方面：個案長期追蹤、校方主動聯繫、將菸害課程往下延伸至學齡前階段。3.政府方面：限制吸菸的劇情與廣告、加強查緝違法販賣、以及進行全國兒童吸菸的普查。

The smoking population in Taiwan has extended from junior and senior high school students to elementary school students. In this study, qualitative methods were used to explore the reasons why the elementary school students start to smoke. A purposive sample of twelve smoking students were chosen out of an elementary school, and semi-structured interviews were conducted. The results indicated that one of samples started to smoke at the age five; others did so at the ages of 8-12. Four factors that induce the students' smoking behavior included curiosity, lack of family care, individual's internal pressures, and source of tobacco products. The results showed their smoking behavior was the struggle with health knowledge of and social recognition. The children often smoke in community, park, billiard, and Internet café, which implys the problem is the children can get access to tobacco there. It is suggested strengthening family functions, implementing the tobacco control act, and tutoring students tobacco hazard knowledge to prevent elementary school students from smoking.