李蘭晏涵文2006-07-252018-06-292006-07-252018-06-292000-07-31http://ntur.lib.ntu.edu.tw//handle/246246/4741國科會八十九年度專題研究計畫成果報告. (NSC 89-2511-S- 002-001)本計畫為三年期之研究設計，針對台北市國中生樣本進行問卷調查(第一年)，以探討危害健康行為的分佈、組合及相關因子。另以焦點團體討論資料(第二年)，分析國中生對各項行為賦予的意義、成因和防制策略。本文為第三年應用行動研究法，推動「健康促進學校」計畫之成果報告。研究小組與台北市某一所中學，自1999 年10 月開始建立互信的伙伴關係。校內具有各類領導特質的學生，在參與成長團體並凝聚共識之後，於2000 年3 月正式成立自發性的學生社團(取名哈豆下社)，開始在校園內推動一系列以「拒菸」為主題的健康促進活動。其做法不同於傳統的說教模式，而是「社區組織」概念之落實。健康意識和行動先在校園紮根，然後擴大到附近社區和民眾。實驗計畫正式執行之前，先立意選取另一所性質相近之中學當作對照組。2000 年2 月中旬，兩所學校一至三年級，各有一半班級的學生被隨機抽出並全班一起接受問卷調查。實驗學校(11 個班，294 人)和對照學校(13個班，303 人)合計有597 人接受前測。實驗計畫結束後，2000 年6 月中旬在兩所學校同時舉行後測。兩次測量的配對資料經統計分析後，主要發現為：(1)可以預測國中生有吸菸經驗的主要因素包括：年級、外向特質、和拒絕技術；(2)實驗計畫結束後，和對照組學生比較，實驗組學生的菸害知識、反菸態度、對拒菸的知覺、接觸拒菸活動、戒菸行為等變項皆顯著地有正向改變。結果顯示，以「社區組織」模式推展「健康促進學校」計畫，確實能營造全校性的健康行動，並增進學生對健康議題的認知、態度和行為。A 3-year project was designed to investigate the junior high students’health risk behaviors. A set of questionnaires was used to collect data (1st year) and to understand the distribution, combination and factors relevant to adolescent’s health risk behaviors. For the following year, data collected by focus Group discussion was used to analyze the meanings, causes and controlling strategies related to health risk behaviors.This is the 3 rd year report. A study designed in action research was to initiate a health promoting school program. From October 1999, the partnership between research team and treatment school was established. The students with leadership were invited to attend a self-developing group. In March, 2000, a club called “ Ha-Do-Hsia ” was established in the treatment school. A series of activities focusing on smoking control were promoted. The strategies based on community organization were different from the traditional teaching methods. Health perception and action were rooted in campus and extended to the surrounding communities. Before health promoting school program was conducted, a comparison school with same characteristics as the treatment school was selected. Half of the classes were randomly chosen from each grade of both schools. In order to collect the pre-test data, 597 students (11 classes of treatment school and 13 classes of comparison school) were asked to fill out the questionnaires in mid January, 2000. After the experimental program was conducted, the post test data was collected from two schools.Data of pre-test and post test was paired for statistical analyses. Major results include that: (1) the predictors of smoking are grade, extrovert trait and refusing skills; (2) after the implementation of experimental program, the students of treatment group showed significantly and positively changed in knowledge, attitude, perception and accessibility relevant to smoking, as well as the cessation of smoking. It was proved that community development used as strategies for promoting health school could enhance students’ health cognition, attitude and behaviors.application/pdf135868 bytesapplication/pdfzh-TW國立臺灣大學公共衛生學院衛生政策與管理研究所吸菸青少年健康促進SmokingAdolescentHealth Promotion[SDGs]SDG3reporthttp://ntur.lib.ntu.edu.tw/bitstream/246246/4741/1/892511S002001.pdf