運用問題行為理論探討大學生多重菸品使用因素－－以大台北地區八所大專院校為例

Applying Problem Behavior Theory to Investigate the Factors Affecting Tobacco Products Use by Students at Eight Universities in the Greater Taipei Area

背景：近年同時使用紙菸、電子煙、加熱菸之使用者比例大幅增加，政府應關切大學生多重菸品使用情形。
目的：以問題行為理論為依據，探討大台北地區大學生多重菸品使用之影響因素。
方法：採橫斷性研究設計，先方便取樣大台北地區八所大專院校，接著根據教育部大專院校校務資訊公開平臺之系所順序，對各校系級進行編號之後，再使用亂數表於各校三、四年級中隨機抽出一個系別班級，並在八個班級進行自願性網路自填問卷調查，完訪樣本數共115位，以多項式邏輯斯迴歸進行分析。
結果：大台北地區大學生多重菸品使用率為5.22%；邏輯斯迴歸分析發現，父母有菸品行為（adjusted odds ratio, AOR = 2.05）、家庭對菸品態度傾向支持（AOR = 4.23）、同儕有菸品行為（AOR = 4.33）及偏差行為（AOR = 103.99）、自身有偏差行為者（AOR = 90.44），越容易出現多重菸品使用情形。
結論／實務應用：家庭、同儕與自身偏差行為皆為大學生多重菸品使用之重要因素。建議政府未來應針對大學生父母提供更多的菸害防制教育資源，並整合菸害教育校園課程，利用社群媒體舉辦線上數位教育，同時提供學生關懷輔導措施，以降低大學生多重菸品之使用情形。

Background: There is growing concern related to the recent rise in consumption of cigarettes, electronic cigarettes, and heated tobacco products. The government should pay more attention to the use of various tobacco products by university students.
Purpose: Problem behavior theory was used in this study to explore the factors influencing the use of various tobacco products by university students in the Greater Taipei area.
Methods: In this cross-sectional study, convenience sampling was used to select eight institutions of higher education in the Greater Taipei area. Eight departments recognized by the Ministry of Education were then listed on a table for use in randomizing the selection of third- and fourth-year undergraduate students. A total of 115 participants filled out the questionnaires included in the self-administered online survey. Data analysis was conducted using logistic regression.
Results: The prevalence of tobacco-product use in the sample was 5.22%. Logistic regression analysis revealed having parents who smoked (adjusted odds ratio, AOR = 2.05), holding a positive attitude toward their parents’smoking (AOR = 4.23), having peers who smoked (AOR = 4.33), engaging in deviant behavior (AOR = 90.44), and having peers involved in deviant behavior (AOR = 103.99) to be associated with a higher likelihood of engaging in tobacco-product use.
Conclusions/ Implications for Practice: Family, peers and delinquency significantly influence the usage behavior of university students with regard to tobacco products. The government should allocate greater resources for tobacco harm prevention education aimed at the parents of university students. In addition, integrating tobacco harm education into campus curricula, utilizing social media for online digital education, and providing students with counseling and support measures are strategies that may help reduce the tobacco-product use among this vulnerable population.