| Abstract: | 背景：我國自2009年修訂菸害防制法之後，這幾年間，政府相關主管機關除了加強違法取締與稽查外，亦積極辦理菸害防制衛教宣導、多元戒菸服務、營造無菸環境等措施，致2018年國人於在禁菸場所免受二手菸暴露之保護力已達94.6%，成果斐然。然而近年針對新興三手菸的認知部份，民眾仍不是很清楚，面對三手菸危害不可輕忽。目的：本研究目的在於瞭解臺北市成人暴露二手菸環境及對三手菸認知情形，並探討二者對無菸政策滿意度之影響。方法：本研究係屬次級資料庫分析，原始資料來源為臺北市政府衛生局「108年臺北市成人吸菸行為訪問」計畫，原始問卷以電話訪問方式，蒐集設籍於臺北市且年齡為18歲（含）以上之民眾，本研究則擷取問卷部份題項，分析1,633份三手菸認知與暴露二手菸環境對無菸政策滿意度之影響；統計工具則應用IBM SPSS Statistics 20.0統計軟體，進行描述性及推論性（包含二元邏輯斯迴歸分析)分析。結果：在控制人口學變項因素下，「婚姻狀況」為無伴侶者對無菸環境政策滿意度較高（OR=1.360, p<0.05），若無「公共場所暴露二手菸」經驗的臺北市民，亦對無菸環境政策滿意度較高（OR=2.067, p<0.001）；至於「三手菸的認知」高低，則對於無菸環境政策滿意度並無影響。結論：本研究發現無暴露公共場所二手菸者對無菸環境政策滿意度較高，三手菸認知方面未具影響性，因此持續現行防制二手菸多元性的措施、強化三手菸負面影響、環境管理、與戒菸遵從性可能是促進臺北市民對於無菸政策的支持的未來方向。
Background：Since my country revised the tobacco hazards prevention act in 2009, in the past few years, the relevant government authorities have not only strengthened bans and inspections for illegal tobacco use, but also actively handled tobacco hazard prevention and health education, diversified smoking cessation services, and created smoke-free enviornment. In 2018, the smoking ban has a protective efficacy of 94.6% with regard to prevention of exposure to second-hand smoke in non-smoking areas and the results have been remarkable. However, in recent years, the public is still not very clear about the cognition of emerging third-hand cigarettes, and the dangers of third-hand cigarettes should not be ignored.Objective：The purpose of this study is to understand the adults in Taipei City’s explosure to second-hand smoke environment and their perception of third-hand smoke, and explored their impact on satisfaction with smoke-free policies.Methods：This research is a secondary database analysis. The original source of the data is from the "Taipei City Adult Smoking Behavior Interview" project of the Taipei City Government Health Bureau. Phone interview was used to collect the data from citizens over 18 years old living in Taipei city. This study extracted part of the questionnaire and analyzed the impact of 1,633 participants’ third-hand smoke perceptions and exposure to second-hand smoke environment on smoke-free policy satisfaction. Data were analyzed using IBM SPSS Statistics 20.0 statistical software. Descriptive and inferential (including binary logistic regression analysis) analysis were performed.Results：Under the control of demographic variables,"marital status" is that people without a partner are more satisfied with the smoke-free environment policy (OR=1.360, p<0.05). If there is no experience in "public exposure to second-hand smoke in public places" for Taipei citizens, it also highly satisfied with the smoke-free environment policy (OR=2.067, p<0.001); as for the level of "third-hand smoke perception", it has no effect on the smoke-free environment policy.Conclusion：This study found that people who are not exposed to second-hand smoke in public places have an impact on the smoke-free environment, and the third-hand smoke is not influential. Therefore, continue to create measures to prevent the diversification of second-hand smoke, strengthen the negative effects of third-hand smoke, and environmental management , Smoking cessation and compliance may be the future of promoting the support of smoke-free policies for urban residents. |
