A Study of ETS exposure among Han and Aboriginal Pregnant Women inTaitung County

• Main Authors: Chiu-chu Lin, 林秋菊
• Other Authors: none
• Format: Others
• Language: zh-TW
• Online Access: http://ndltd.ncl.edu.tw/handle/61675683316846390792

碩士 === 慈濟大學 === 原住民健康研究所 === 95 === Abstract Enhancing self-protection to prevent the harm of secondhand smoke to pregnant women is an important health issue as studies have proven the danger of secondhand smoke to the health of pregnant women and fetuses. Understanding the current status of secondhand smoke exposure for aboriginal and Han pregnant women is even more urgent. This study aims to investigate the current status of secondhand smoke exposure, relevant knowledge, attitude toward secondhand smoke avoidance, and the difference between self-efficacy and behavior. As a cross-sectional study adopting the self-report questionnaire method, this research takes pregnant women who had pregnancy check-ups at 8 hospitals and clinics in Taitung County between October 2006 and March 2007. The questionnaire return rate is 71.9%. The results of this study show: (1) The secondhand smoke exposure rate is as high as 69.9% for pregnant women in Taitung County. The exposure rate for aboriginal pregnant women is significantly higher than that of the Han tribe (P＜0.01); the major exposure source and place are respectively the fathers of the fetus and home. (2) The average score for secondhand smoke knowledge is 9.83±2.31, at an intermediate-high level. The score for the Han study participants is significantly higher than that of aboriginals (P ＜ 0.01). (3) There is no significant difference among the avoidance attitude,self-efficacy and behavior for both Han and aboriginal pregnant women. (4) Older pregnant women with higher educational background and family income have significantly better secondhand smoke knowledge and avoidance attitude & behavior. The secondhand smoke avoidance behaviors of pregnant women who live in urban areas are significantly better than those in towns, mountains and off islands (P＜0.05). (5) There is a significant positive association among secondhand smoke knowledge,avoidance attitude, self-efficacy and avoidance behavior (P＜0.001). (6) The result of multiple regression analysis shows that variables including social demography, knowledge, attitude and self-efficacy may explain 65.8% of the variance for secondhand smoke avoidance behavior and a significant predictor of self-efficacy to secondhand smoke avoidance behavior (β=.516，P＜0.05). Conclusions: The problem of secondhand smoke exposure for pregnant women in Taitung County needs to be improved; especially those who live in remote areas and disadvantaged families.The health promotion model is suggested to be applied in order to create a supportive environment to prevent the harm of secondhand smoke and improve the self-efficacy for pregnant women to avoid secondhand smoke. Keywords: Secondhand smoke exposure, knowledge, attitude, self-efficacy, avoidance behavior