原住民學生菸、酒、檳榔預防性衛生教育計劃介入之成效評價

There is a scarcity in quasi-experimental studies focusing on the preventive health education for aboriginal adolescents. The death registry shows the first three death causes among Taiwan aboriginals are strongly associated with tobacco, alcohol and betel quid use. The purpose of this study is to explore the effects of health educational intervention program on knowledge, subjective norm, attitude, self-efficacy and behaviors regarding tobacco, alcohol and betel quid for aboriginal adolescents. Two different aboriginal junior high schools were included in this study. The results indicate that the knowledge, subjective norm, attitude, self-efficacy and behaviors regarding tobacco, alcohol and betel quid did not improve significantly. Only the knowledge regarding betel quid use, the score of experimental group was significantly higher than that of control group. Few students in experimental group reported that they have use tobacco, alcohol and betel quid at pre-test, however, they stop using or decreasing use amount at post test. Most students agree that the course is helpful and are satisfied with course activities and time arrangement. The major limitation of this study is study sample too small, so lack of enough power to detect the intervention effects. Students' level of literacy and educators' teaching experiences may also influence the intervention effects. We suggested that future studies could expand the number of study schools and integrate the preventive health educational program into regular school calendar to fulfill the goal of tobacco-, alcohol-and betel guid-free campus.