原住民青少年飲酒的認知模式－－飲酒效果預期與拒酒自我效能的影響

A cognitive model of drinking among Taiwaneseindigenous adolescents: The influence of alcohol expectancies and drinking refusal self-efficacy

原住民青少年飲酒是一重要的議題。本研究旨在探討飲酒效果預期與拒酒的自我 效能對原住民青少年飲酒行為的影響。本研究以分層隨機選樣，選取臺灣東部六所高中職學校一至三年級學生，以自我填答的方式收集資料，共回收500份有效問卷。研究結果以多元回歸分析。結果顯示，原住民青少年對飲酒有正向效果預期（如降低壓力、增加自信、提升認知），在社交壓力下，最無法拒絕飲酒，其飲酒頻率亦會顯著增加。可見，飲酒效果預期與拒酒的自我效能，兩者對原住民青少年的飲酒行為有顯著的影響。本研究結果將可作為預防原住民青少年飲酒的參考策略。

Indigenous adolescents' alcohol use is an important issue in Taiwan. The purpose of this study was to use a cognitive model of drinking to analyze how alcohol-use expectations and drinking-refusal self efficacy influence drinking behavior among Taiwan's indigenous adolescents. A total of 500 students randomly selected from 10th to 12th grades of six high schools in eastern Taiwan participated in the survey. Survey data was self-reported and analyzed with multiple linear regression methods. The results showed that indigenous adolescents have positive-outcome expectations for drinking, such as increasing self-confidence, enhancing cognition, and relieving tension. Under pressure of social interaction, drinking is most difficult to refuse; frequency of usage will noticeably increase, as well. Both drinking expectations and drinking-refusal self-efficacy have noticeable influences on indigenous adolescents. This study's results can be used as a foundation for a strategy to prevent problem drinking of Taiwan's indigenous adolescents.