| Summary: | 博士 === 國立臺灣師範大學 === 健康促進與衛生教育學系 === 97 === This research examines junior high school students’ smoking within a social ecological framework that incorporates both environmental and individual factors relating to the use of tobacco by adolescents. The ecological influences that are examined correlate with the adolescent’s school environment. The research utilizes data collected from a random sample of 3,604 Miao-Li students via questionnaire from 37 different schools. Hierarchical Linear Regression(HLM) statistical methods are used to analyze the two-level data. The main findings show that school ecological variables are important influence in adolescent tobacco use. The aggregated measure of anti-social behavior and campus smoking of teachers and students are associated with smoking behavior. These relationships are still valid when important individual characteristics such as attitude toward smoking, efficacy of smoking refusing, anti-social behavior, and peer smoking are considered. The aggregated measure of campus smoking of teachers and students can moderate the relationship between attitude toward smoking and smoking behavior, the relationship between efficacy of refusing smoking and smoking behavior, and the relationship between anti-social behavior and smoking behavior. All of the attitude toward smoking, efficacy of smoking refusing, anti-social behavior, and peer smoking can partially mediate the relationship between the aggregated measure of anti-social behavior and smoking behavior, and the relationship between the aggregated measure of campus smoking of teachers and students and smoking behavior. These findings are consistent with a social ecological perspective that views the environment as a primary, independent determinant of behavior. Consequently, policy and prevention should focus on the need of developing ecological prevention models.
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