研究生: |
紀雪雲 |
---|---|
論文名稱: |
中華民國、韓國、泰國菸害防制立法及其施行成效之研究 A STUDY ON THE LEGISLATION AND IMPLEMENTATION EFFECTS OF TOBACCO CONTROL LAWS IN TAIWAN, KOREA, AND THAILAND |
指導教授: | 黃松元 |
學位類別: |
博士 Doctor |
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: | 2000 |
畢業學年度: | 88 |
語文別: | 中文 |
論文頁數: | 224 |
中文關鍵詞: | 菸害防制 、立法 |
英文關鍵詞: | tobacco control, legislative |
論文種類: | 學術論文 |
相關次數: | 點閱:231 下載:42 |
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本研究採質性研究,以了解中華民國、韓國、泰國菸害防制立法內容、執法情形及施行成效如何?亞太地區菸害防制工作未來展望如何?以及提出對我國菸害防制工作之建言。
本研究經蒐集各國政府出版品、網站資訊、研究報告、透過友人赴該國相關單位蒐集資料,並經兩次調查訪問蒐集資料,經整理其重要結論及建議如下:
一、中、韓、泰三國菸害防制相關立法內容之策略:
我國與泰國類似,包括限制公共場所(工作場所)吸菸、限制菸品促銷及廣告、限制青少年吸菸、菸盒應印製警語。我國並訂有應辦理菸害防制教育之策略。韓國所立之法,屬通案原則性,非專門為防制菸害而立之法,故其在法條內容僅出現原則性之規範,實際策略均授權衛生福利部訂定。
二、中、韓、泰三國菸害防制立法施行成效:
由於資料庫不甚健全、立法實施至今時間尚短,在分析立法前後之效果受到上述之限制,且由於本次研究國家之執法不甚嚴謹而致效果不是很顯著。
三、亞太地區未來展望:
未來亞太地區為防制菸害而立法,應以確保健康為主立專門法,且應嚴格追蹤執行情形,才能達到立法的目的;應籌募非政府支出穩定財源,以為推動菸害防制工作之基金方能確保菸害防制工作能持續進行;應建立地區性評估指標及資料庫,以提供確切的施政及防制策略之參據。
四、對我國之建言:
以現有公共衛生資料庫為基礎有系統的建立永久性的菸害防制工作評估資料庫,以家庭、學校為推動青少年吸菸防制工作之基礎,推動方式以讓家長、教師、學生能積極投入之方式,組織民間反菸人士建立責任區定期稽查、協助政府有限人力以落實菸害防制法,菸品福利捐及罰款應提撥充足經費辦理菸害防制教育,菸害防制教育應區隔對象有系統長期規劃辦理。
五、對研究之建議:
下列研究重點可能在先進國家已做過,但本研究發現在亞太地區其結論並不一致,故值得進一步研究,包括:經濟危機對吸菸行為的影響程度、影響期間(多久會有淡化現象),若立法並嚴格執法其對吸菸行為的影響多久會有淡化現象?零售菸價調整幅度對菸品消費的影響,多久會有淡化現象?
This is a qualitative study, which intends to understand the contents of tobacco control laws in Taiwan, Korea, and Thailand, their implementation, and the effects of implementation. The study also intends to point out the future directions of tobacco hazards control in the Asia-Pacific region and make some recommendations for Taiwan’s tobacco hazards control efforts.
The present study has extensively reviewed government publications, web site information, research reports, and other documents collected either directly or through friends and acquaintances, and by way of two surveys for data collection. Major findings and recommendations are as follows:
1. Contents of Tobacco Control and Other Relevant Laws in Taiwan, Korea, and Thailand
Taiwan and Thailand are similar in the contents of their tobacco control laws to restrict smoking in public areas and work sites, regulate sales and promotion of tobacco products, prohibit smoking of minors, and enforce labeling of health warnings on cigarette packs. The Korean laws are relatively general and are not legislated specifically for the control of tobacco hazards. The Korean laws stipulate several regulations in principle and leave the formulation of specific strategies to the Ministry of Health and Welfare.
2. Implementation Effects of the Tobacco Hazards Control Laws in Taiwan, Korea, and Thailand
For the inadequacy of information, and also for the short period of time since the implementation of the laws in these countries, analysis of the effects before and after the implementation of these laws was somewhat limited. Countries under the present study are relatively lenient in law enforcement, the effects of these laws are not significant.
3. Prospects of Tobacco Control in the Asia-Pacific Region
In the future, for tobacco hazards control laws in countries in the Asia-Pacific region to be effective, they should be enacted specifically for the purpose of health promotion and protection, and enforced with rigor. More funds should be raised and more stable financial sources secured for the sustained promotion of tobacco hazards control. Regional criteria for assessment and databanks should be established to provide the administration with precise and prompt information for reference in the formulation of control strategies.
4. Recommendations for Taiwan
A permanent database for the assessment of tobacco hazards control should be established based on the existing public health database. Families and schools should be the primary units for the promotion of anti-smoking in adolescents. Parents, schoolteachers, and students should be encouraged to participate actively in the promotion. Private citizens in anti-smoking should be organized to be responsible for the periodic inspection of their responsibility areas to assist the government in the enforcement of the tobacco hazards control laws. Sufficient funds should be made available from tobacco taxes for anti-smoking education. Various anti-smoking education activities should be designed and conducted for different target groups on regular basis.
5. Issues for Further Study
Studies on the following issues may have been conducted in some developed countries, findings in the Asia-Pacific region are generally inconsistent and more studies are needed. These issues are what is the impact of economic crisis on smoking behavior, and how long will the impact last and fade-out? How long will the impact of law enforcement on smoking behavior last and fade-out? And, what is the impact of price adjustment of tobacco products on tobacco consumption and how long will the impact last and fade-out?
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