「青春無煙/菸」校園電子煙防制教學活動成效之探討 “Youth Smoke-Free” Teaching Activities for Preventing E-Cigarette Use: A Pilot Study

• Published in: Jiao yu ke xue yan jiu qi kan 2021-04, Vol.66 (4), p.167-182
• Main Authors: 劉冠儀 Kuan-Yi Liu, 廖容瑜 Jung-Yu Liao, 張文琪 Wen-Chi Chang, 劉芳怡 Fang-Yi Liu, 呂莉婷 Li-Ting Lu
• Format: Article
• Language: English
• Subjects: campus; e-cigarette prevention; teaching activities; youth smoke-free; 教學活動; 校園; 電子煙危害防制; 青春無菸煙
• ISSN: 2073-753X
• DOI: 10.6209/JORIES.202112_66(4).0006

根據相關統計資料顯示，各國電子煙的盛行率逐年攀高，尤其青少年使用電子煙的平均盛行率已達16.4%。衛生福利部國民健康署（2021）推估我國青少年使用電子煙已超過5.7萬人，對青少年健康之危害甚大。為了能淨化校園，杜絕電子煙對青少年的戕害，發展電子煙防制措施已是刻不容緩。本研究採「前導試驗」方式，以某所國小為場域進行實務教學，旨在瞭解透過本教學方式是否能提升教學成效。收案時間為2021年3月至4月，由場域學校之教師執行本研究的實務教學活動，執行期間共計53人於教學前後完成問卷施測，結果發現在知識、自我效能等變項能有正向的提升效果，顯示本研究設計之教學活動具可行性，可作為校園電子煙危害防制的實務措施。 Aim and Motivation of the Study Additives in electronic cigarettes (e-cigarettes) can damage the autonomous nervous, central nervous, cardiovascular, and digestive systems. Furthermore, these additives may contain cannabis, amphetamine, and other drugs. Therefore, e-cigarettes can be a route through which additive substances enter the body and cause physical and mental harm. Studies have indicated that the progression to future smoking in nonsmoking adolescents increased six-fold after e-cigarette use. A 2018 study revealed that the mean prevalence of e-cigarette use among adolescents in nine countries was 16.4%. The prevalence of e-cigarette use among adolescents in Taiwan is gradually increasing; in March 2021, nearly 60,000 Taiwanese adolescents used e-cigarettes, which illustrates the popularity of e-cigarette use in Taiwanese youth. Therefore, increasing adolescents’ caution toward e-cigarettes and preventing e-cigarettes from harming schools have become urgent concerns in health education. Literature Review In 2020, Liu, Gaiha, and Halpern-Felsher investigated methods for controlling e-cigarette use by examining 16 e-cigarette prevention and cessation or treatment programs. Of these programs, few were related to e-cigarette intervention. However, seven studies have evaluated the cognitive effectiveness of e-cigarette control programs. Two studies were conducted in 2021: that of Gaiha et al. referenced the Stanford Tobacco Prevention Toolkit to develop a 30-minute e-cigarette prevention educational activity and that of Weser et al. employed virtual reality to design an e-cigarette prevention activity called “Invite Only VR: A Vaping Prevention Game” (Invite Only VR). In the first study, researchers were able to increase junior and senior high school students’ e-cigarette awareness and decrease the students’ behavioral intention to try e-cigarettes. The second study demonstrated that moderate knowledge and perceived harm in junior high school students led to a decrease in reported likelihood of using e-cigarettes; however, no significant changes in attitudes, social perceptions, and self-efficacy were observed. Existing e-cigarette prevention and control