研究生: |
劉珮吟 Liu Pei-Yin |
---|---|
論文名稱: |
職場無菸政策對員工採行菸害防制行為及其相關因素之影響研究─以雲林縣餐飲業為例 Effects of a smoke-free restaurant policy on employees’ behaviour of anti-smoking and its influential determinants |
指導教授: |
董貞吟
Tung, Chen-Yin |
學位類別: |
碩士 Master |
系所名稱: |
健康促進與衛生教育學系 Department of Health Promotion and Health Education |
論文出版年: | 2004 |
畢業學年度: | 92 |
語文別: | 中文 |
論文頁數: | 135 |
中文關鍵詞: | 無菸職場 、無菸餐廳 、菸害防制行為 |
英文關鍵詞: | smoke-free workplaces, smoke-free restaurant, anti-smoking behaviour |
論文種類: | 學術論文 |
相關次數: | 點閱:199 下載:24 |
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本研究旨在探討職場無菸政策落實現況、執行利益及障礙性,並探討不同職場菸害防制政策對員工採行菸害防制行為及其相關因素之影響,以提供日後推行「無菸職場」之參考。本研究採橫斷式調查研究設計,以雲林縣餐飲業為例,共訪查69家餐廳(認證之無菸餐廳16家、非無菸餐廳53家)及232位員工,重要研究結果如下:
一、受訪餐廳中「無菸餐廳」組在「菸害防制現況」或「政策接受度」上皆顯著優於「非無菸餐廳」組,但「菸害處理機制」及「員工訓練」上,兩者皆明顯不足。
二、「性別」、「教育程度」及「吸菸習慣」是影響研究對象採行菸害防制行為最重要的社會人口學變項,尤以「吸菸習慣」的主要效果最顯著。
三、不同職場菸害防制政策對員工採行菸害防制行為及其相關因素上的確 有顯著差異,「無菸餐廳」員工之表現顯著優於其他兩組;而「未認證但有制菸政策」之員工亦優於「無禁菸區」組。
四、「自我效能」、「支持性環境」、「吸菸習慣」、「職場菸害暴露警覺度」及「行動利益性」等五個變項最能預測員工採行「菸害防制行 為」,其聯合解釋變異量達59.8%,尤以「自我效能」最具預測力。
依本研究結果,建議未來可針對員工進行菸害防制教育課程,參酌本研究中重要變項設計教材,加強自我效能、警覺度、行動利益性認知等,尤其在勸阻顧客吸菸行為的應對上,應於訓練中妥善規劃。而在無菸政策施行上,可針對「未認證但有制菸政策」餐廳優先宣導,增加政策推廣性;於「空間規劃」上給予業者適當支援,以降低其推行之障礙,並盡速推動立法,將無菸職場納入法令規範,營造無菸的支持性環境。
The main purpose of this study were to investigate the implementation of smoking-restriction policies in the restaurants and also to explore the effects of different policies on employees’ behaviour of anti-smoking and its influential determinants.Totally, there were 69 restaurants, including 16 identified smoke-free restaurants, with 232 workers in Yun-lin Country in the sample. The main findings were as follows:
1.The identifiable smoke-free restaurants performed better implementation and compliance willingness to the smoke-free poliy than other restaurants.
2.There was significant correlation between behaviour of anti-smoking and demographic variables, Predisposing factors, Reforcing factors, and enabling factors.
3.There were significant different effects on subjects’ behaviour of anti-smoking and its influential determinants with different smoking-restriction policies, and the workers in the identifiable smoke-free restaurants performed best behaviour of anti-smoking.
4.Significant predictors included self-efficacy, support emviornment, smoker, awareness of ETS, and perceived benefits, the totally variance explained was 59.8% for behaviour of anti-smoking.
This study provides clear evidence that a smoke-free restaurant policy has been effective at increasing employees’ behaviour of anti-smoking. It’s sugguested that educational campaigns targeted to workers should enhance their self-efficacy and establish a totally support emviornment to anti-smoking.
一、中文部分
台灣省菸酒公賣局(1996):台灣省菸酒公賣局局志。台北:公賣局。
行政院衛生署(1993):中華民國七十七年~八十一年衛生統計(二),行政院衛生署編印。
行政院衛生署(2003.3.17):新聞稿/沒有菸位,美食加味,全國無菸餐廳啟動及民調結果。Retrieved 2003.4 from http://health99.doh.gov.tw/eat/1/1_1.htm
行政院衛生署(2003):無菸餐廳各國成效及相關法規。Retrieved 2003.5.6 from http://health99.doh.gov.tw/eat/3/3_1.htm
行政院衛生署國民健康局(2003):各縣市男、女性重要健康促進知識、態度與行為指標成果報告書。
宋鴻樟(2001):餐飲業勞工肺部相關疾病調查研究期末報告,行政院勞委會勞工安全衛生研究所。
李美芳(2003):以PRECEDE模式探討青少年避免二手菸行為及其相關因素,高雄醫學大學護理學研究所碩士論文。
李麗紅(2002):吸菸和二手菸暴露與子宮頸細胞病變相關性之研究,高雄醫學大學職業安全衛生研究所碩士論文。
李蘭、陳秀熙、潘怜燕(1999):民國八十八年台灣地區成人及青少年之吸菸率及吸菸行為調查:菸害防制法實施一年後初評,台北:行政院衛生署。
吳世勳、吳聰能(1998):國人吸菸、喝酒、嚼檳榔之世代分析1994~1997。台北:行政院衛生署。
林紡而(2001):台北地區年輕女性吸菸行為之初探性研究,國立台灣大學衛生政策與管理研究所碩士論文。
林采虹(1999):桃園市國中生健康認知知覺因素與菸害防制之關係研究,國立台灣師範大學衛生教育學系碩士論文。
卓如(1992):影響有吸菸經驗者戒菸的相關因素探討,國立台灣大學公共衛生研究所碩士論文。
紀雪雲(2000):中華民國、韓國、泰國菸害防制立法及其施行成效之研究,國立台灣師範大學衛生教育學系博士論文。
姚元青(1994):國立台灣師範大學學生飲食行為及其影響因素之研究。國立台灣師範大學衛生教育學系碩士論文。
晏涵文(1995):預防吸菸教育計畫介入效果之研究。台北:行政院衛生署。
財政部國庫署菸酒管理資訊網(2001):81至90年度菸市場占有率分析表。Retrieved 2003.5.1 from http://www.dnt.gov.tw/dbmode/
馬藹屏(2000):臺灣地區青少年對菸害防制法之認知、遵行意願及遵行行為之研究,國立台灣師範大學衛生教育學系博士論文。
陳怡君(1991):臺北市三所國小學童二手菸暴露情況問卷調查,國立台灣大學公共衛生研究所碩士論文。
陳秀娟(2003):桃園縣高中職學生吸菸行為之相關探討─跨理論模式之應用,中山醫學大學醫學研究所碩士論文。
陳秋蓉(1999):「日本勞工健康管理制度及特定作業健康檢查實施」考察紀要,勞工安全衛生簡訊,44,44。
陳春萬(1999):日本勞工健康狀況調查,勞工安全衛生簡訊,44,17。
國家衛生研究院論壇(2000):吸菸之流行病學研究。台北:國家衛生研究院。
陳培君、李中一、林瑞雄、宋鴻樟(2002):婦女吸菸及二手菸暴露和低出生體重嬰兒,台灣衛誌,21(5),321-328。
陳淑靜(1991):吸菸家庭中兒童二手菸暴露之研究,國立台灣大學公共衛生研究所碩士論文。
陳隆彬(2001):台中縣太平市國中學生拒絕吸菸行為相關因素之研究,國立台灣師範大學衛生教育學系碩士論文。
陳靜芝(1987):國中學生對二手菸之反應及其相關因素之研究,國立台灣師範大學衛生教育學系碩士論文。
陳霈儒(2000):國中學生對菸害防制法之遵行意願與遵行行為相關因素研究,國立台灣師範大學衛生教育學系碩士論文。
張筱玲、張淑如、 陳秋蓉、宋鴻樟(2001):餐飲業勞工疾病調查研究報告,行政院勞委會勞工安全衛生研究所。
張筱玲、張淑如(2001):廚師的肺部疾病問題探討,行政院勞委會勞工安全衛生研究所。
張澤芸、張媚(1999):台灣地區職業衛生護理人員對吸菸員工的勸戒行為及其影響因素探討,公共衛生,25(4),257-267。
張曉卉(2003):別讓二手菸毒害你,康健雜誌,50,12。
郭許智、謝文斌(1997):菸害危險性與戒菸研究之進展,當代醫學,24(11),16-21。
勞工安全衛生研究所(2001/01/17):新聞稿/勞工健康危害調查結果。Retrieved 2003.4.5 from http://www.iosh.gov.tw/data/f5/news900117.htm
勞工安全衛生研究所(2002/12/9):新聞稿/臺灣地區勞工危害暴露概況。Retrieved 2003.4.6 from http://www.iosh.gov.tw/data/f5/news911209.htm
黃敦硯(1999):我國菸害防制法執行之研究,國立中興大學公共政策研究所碩士論文。
焦興鎧(1997):職場禁菸在美國所引起之法律爭議,勞資關係論叢,6,45-75。
董氏基金會菸害防制組(2003):4月1日起紐約市室內全面禁菸,大家健康雜誌,52,12。
董氏基金會菸害防制組(2003):無辜的受害者,大家健康雜誌,54,16。
楊日昇(2000):空氣中二手菸環境暴露及生物偵測之研究,私立中國醫藥學院環境醫學研究所碩士論文。
劉玉菁(1998):以自我效能、社會支持探討某工廠男性吸菸員工之戒菸行為,國立臺灣大學護理系碩士論文。
劉德齡、石東生(1995):職場通風效率與污染控制評估技術研究,勞工安全衛生簡訊,14,14。
歐曉蓁(1995):台北縣某國中男生嚼檳榔行為研究。國立台灣師範大學衛生教育學系碩士論文。
廖國盟(2001):台灣地區女性肺腺癌分子流行病學研究,國立台灣大學流行病學所碩士論文。
韓柏檉(2003.2.25):打造健康無菸用餐環境,都會時報生活版。
謝淑卿(1992):臺灣地區成人菸害認知、與行為衝突之探討,國防醫學院護理學研究所碩士論文。
謝淑卿、尹祚芊(1996):成人菸害認知、與行為衝突之探討,護理研究,4(3),219-223。
二、英文部分
Action on Smoking and Health (ASH) (2001):Smoking in the Workplace.UK: National Asthma Campaign Trades Union Congress & WHO-Europe Partnership Project.
Alice, L., Tai, L., Su, P., Su, L., Xiao, G.& Yan, S.(2000): Exposure to and actions against passive smoking in non-smoking pregnant women in Guangzhou, China, Acta Obstet Gynecol Scand,79,947-952.
Arborelius, E., Hallberg, A-C.& Hkansson, A.( 2000):How to prevent exposure to tobacco smoke among small children: a literature review Acta Pdiatr Suppl 434,65-70.
Anders, K.& Tohr, N.(2001):Tobacco use and exposure to environmental tobacco smoke in relation to certain work characteristics Scand J Soc Med, 26(3),183-189.
Averbach, A. R., Lam, D., Lam, L-P., Sharfstein, J., Cohen, B., and Koh, H. (2003):Smoking behavior and attitudes among male resturant workers in Boston’s chinatown:a pilot study.Tobacco Control,12,227-231.
Biener, L.& Siegel M.(1997):Behavior intentions of the public after bans on smoking in restaurants and bars, American Journal of Public Health, 87(12), 2042-2044.
Biener, L., Aseltion RH., Cohen J.& Anderla M.(1998):Reactions of adults and teenaged smokers to the Massachusetts, American Journal of Public Health, 88(9), 1389-1391.
Borland, R., Chapman S., Owen N.,& Hill D.(1990):Effect of workplace bans on cigarette consumption, American Journal of Public Health, 80, 178-180.
Borland, R., Owen N.,& Hocking B.(1991):Changes in smoking behavior after a total workplace smoking bans, American Journal of Public Health,81(5), 130-134.
Caroline, M.F.,& Stanton A.G.(2002):Effect of smoke-free workplaces on smoking behavior:systematic review, Behavior Medical Journal , 325(27), 188-191.
Clara, M., Kathleen, S., Young, I., Julie, E.,& Richard, W.(2000):The Effect of a Structured Smoking Cessation Program, Independent of Exposure to Existing Interventions, American Journal of Public Health ,90(5), 751-756.
Clayton S. (1991). Gender differences in psychosocial determinants of adolescent smoking. Journal School Health,61(3),115-120.
Gillis, A. J. (1993). Determinants of a health-promoting lifestyle: An integrative review. Journal of Advanced Nursing,18, 345-353.
Coombes, Rebecca(2004).One hospitality worker a week dies from passive smoking,study shows.BMJ,328,1222.
John, H.(2002):Tobaccoism American Journal of Public Health,92(6),283-286.
Katherine, A.& Ross, C.(2002):Risk Factors for Exposure to Environmental Tobacco Smoke among Ethnically Diverse Women in the United States, Journal of Women’s Health & Gender-based Medicine,11(1),45-51.
Karl, F. (2002):The Epidemiology of Smoking Health Consequences and Benefits of Cessation, Drugs 62(2),1-9.
Kelly, J., Melanie W., &Deborah A. T.(1999):Attitudes and experiences of restaurateurs regarding smoking bans in Adelaide, South Australia, Tobacco Control,8,62-66.
Kenneth, G.(1999):Lung Cancer and Environmental Tobacco Smoke, Occupational Risk to Nonsmokers Environmental Health Perspectives 107(6),885-890.
K”nzli N,Mazzoletti P,Adam M,G”tschi T,Mathys P,Monn C & Br”ndli O(2003):Smoke-free caf in an unregulated European city-highly welcomed and economically successful. Tobacco Control,12, 273-282.
Kurtz, M.E., Azikiwe U. & Kurtz J.C. (1993). Nigerian urdan married women’s perceptions of exposure to secondary tobacco smoke. Health Care for Women International,14(3),239-248.
Kurtz, M.E.,Johnson S.M., & Ross-Lee B. (1992). Passive smoking:Directions for health education among Malaysian college students. International Journal of Health Services,22(3), 555-565.
Lam, T.H., Chung S.F., Tam E.W., He Y.& Hedley A.J.(1995):Public opinion on smoke-free restaurants and experience of exposure to environmental tpbacco smoke(ETS) in restaurants, COSH Report No3.
Lam, TH., Janghorbani M., Hedley M.J., Ho S.Y., McGhee S.M. & Chan B.(2002):Public opinion on smoke-free policies in restaurants and predicted effect on patronage in Hong Kong, Tobacco Control,11, 195-200.
Longo, DR., Brownson ScD RC., Johnson JC., Hewett JE., Kruse RL., Novotny TE.& Logan RA.(1996):Hospital smoking bans and employee smoking behavior:results of a national survey, JAMA,275(16),1252-1257.
Mullooly, J.P., Schuman K.L., Stevens V.J., Glasgow R.E., & Vogt T.M.(1990). Smoking behavior and attitudes of employees of a large HMO before and after a work site ban on cigarette smoking. Public Health Reports,105(6), 623-628.
N. D. S (2001):National Tobacco Strategy 1999 to 2002-03 occasional paper Environmental Tobacco Smoke in Australia.
Peggy, R. (1999):Epidemiologic Evidence for Workplace ETS As a Risk Factor for Lung Cancer among Nonsmokers, Specific Risk Estimates Environmental Health Perspectives,107(6),865-872.
Recommendations and Reports (2002):Women and Smoking: A Report of the Surgeon General Executive Summary, Recommendations and Reports,51,1-12.
Richard, W.(2003):Lung Cancer New evidence links smoking and lung cancer in women, Women’s Health Weekly-January 9,18.
Siegel, M. (1993):Involuntary smoking in the restaurant workplace. A review of employee exposure and health effects. JAMA,270(4),490-493.
Skeer, and Siegel(2003):The descriptive epidemiology of local restaurant smoking regulations in Massachusetts: an analysis of the protection of restaurant customers and workers. Tobacco Control ,12,221-226.
Strecher, V.J., Bauman k.e., Boat b., Foelwe m.g., Greenberg R. & Stedman H. (1993).The role of outcome and efficacy expectations in an intervention designed to reduce infants’ exposure to environmental tobacco smoke. Health Education Research,8(1), 137-143.
Strecher, V. J. , Devellis, B. M. , Becker, M. H. , & Rosenstock, behavior change. Health education quarterly, 13 (1), 73-91.
Susan, K., Alan, R., Emily, W.,& Julie, H.(1993):Work-Site Smoking Policies: Their Population Impact in Washington State, American Journal of Public Health,83(7),1031-1033.
Tobacco Control(2000):Impact of workplace smoking restrictions on smoking behaviour and attitudes toward quitting in Japan, Tobacco Control ,9,435–437.
MIZOUE, T., KARI, R., HELOMA, A., YAMATO, H. & FUJINO, Y.(2000):Impact of workplace smoking restrictions on smoking behaviour and attitudes toward quitting in Japan, Tobacco Control ,9,435–437.
Workcover Nsw& The cancer council new south wales(2002):Passive smoking in the workplace Policy and control, A guide to achieving a smoke-free workplace.
Weber M. D., Bagwell D. A. S., Fielding J. E., & Glantz S. A.(2003):Long term compliance with California’s smoking-free workplace law among bars and restaurants in Los Angeles County, Tobacco Control ,12,269–273.