山地鄉中學生飲酒認知、態度及行為之初探－－以宜蘭縣某山地鄉中學為例

An investigation of the cognition, attitudes and behaviors regarding alcohol use among aboriginal and non-aboriginal secondary school students of a mountain area in I-Lan, Taiwan

目的：瞭解山地鄉中學生對飲酒之認知、態度及行為並比較原住民、非原住民學生之差異。方法：採用結構式問卷，以受訪者自填之方式進行資料收集。本研究對象為某山地鄉中學國、高中部之全校學生共416 人，計回收有效問卷346份(83.17﹪)。結果：（一）本研究受試學生飲酒盛行率為36.40%，較文獻中相似之研究為高；（二）本研究原住民學生之飲酒多始自國小五、六年級，而非原住民飲酒學生則多自國中一年級開始飲酒；（三）原住民學生是否飲酒會受到兄弟姊妹、朋友(同學)及經常往來的親戚的影響，而非原住民學生則主要受到朋友(同學)之影響。（四）飲酒態度分數與飲酒認知分數有顯著正相關；（五）回歸分析之結果，在對飲酒認知、態度與飲酒使用年數之模式上，達顯著之預測能力。結論與建議：研究結果顯現中學生飲酒之盛行率在樣本山地鄉仍屬偏高，政府宜加強並落實山地鄉學校之相關主題衛生教育。最後，本研究回歸分析之結果，在飲酒認知、態度對飲酒使用年數之預測模式上，顯現良好之預測能力，可供後續實務與研究工作之參考。

Goal: The study investigated the cognition, attitudes, and behavior regarding alcohol use among students attending a high school located in a mountain area of Taiwan. It was hoped that the results of this study could aid the government and related organizations in promoting and carrying out their anti-alcohol policies and projects. Methodology: Using a structured questionnaire, this study surveyed all junior and senior high school students of one mountain area secondary school. The response rate was 83.17% (346 out of 416). Results: The 36.40% prevalence ratio of drinking among the mountain area secondary school students obtained in this study was higher than the results from similar studies in non-mountain areas. Of the aboriginal students having a higher prevalence ratio, most started drinking at the 5th or 6th grade, whereas most non-aboriginal students did not start until the 7th grade. Both kin and friends (classmates) had a significant influence on aboriginal students＇ drinking behavior, while non-aboriginal students were significantly influenced by friends (classmates) only. Drinking attitude and cognition exhibited significant positive correlation. Regression models showed fairly good R2 in explaining relationships among drinking cognition, attitude, and years of drinking. Suggestion: Considering the high prevalence ratio of drinking among the mountain area secondary school students, it is important that more relevant public health programs should be designed for and implemented in mountain area schools. Finally, the regression results offer further insights to future alcohol use researchers.