| Summary: | 博士 === 國立臺灣師範大學 === 衛生教育研究所 === 91 === The purpose of this study was to explore the effect of health education intervention in the cognition of smoking hazard, self-efficacy of antismoking, the change of smoking amount, the cognition of drinking, self-efficacy of anti-drinking, and the change of drinking amount for urban aboriginal. A non-equivalent control groups design was conducted. Purposeful sampling was employed from two local churches in Shu Lin area. A total of 125 aboriginal subjects were recruited, and divided to experimental and control groups. Both experimental and control groups took pre-test in order to set baseline, and only the experimental group obtained 4-weeks classes regarding to the prevention of smoking and drinking. The experimental group took post-test immediately after intervention in order to evaluate the instant effect of teaching programs. The fellow-up （post posttest） evaluation in the next fourth weeks. Data was analyzed by using descriptive statistics, χ2-test, t-test, ANCOVA, and repeat measure ANCOVA. The results showed as following：（1）the knowledge in smoking hazard part, there is no difference between post and post post-tests in experimental group after the first and fourth week health education intervention（2）in the effect of self-efficacy of antismoking aspect, there is a significant difference between post and post-post tests after the first and fourth week intervention; （3）smoking behavior had been significantly improved after the first and fourth week health education intervention;（4）in experimental group, there is no difference between post and post-post tests after the first and fourth week intervention in the knowledge of drinking;（5）in experimental group, there is a significant difference between post and post-post tests after the first and fourth week intervention in the self-efficacy of drinking;（6）the drinking behavior had not been improved after the first week intervention in the experimental group, however the drinking behvior had obviously decreased after the fourth week intervention;（7）in the whole, at least 70% of subjects stated they liked each learning activity, and more than 80 %subjects admitted those learning activities were helpful.
The findings of this study can provide information regarding the prevention of smoking and drinking behaviors in order to increase the self-efficacy of antismoking as well as anti-drinking, and to decrease the smoking and drinking behaviors.
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