國家衛生研究院 NHRI:Item 3990099045/3574
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/3574


    Title: A study of smoking disparity and factors associated with children smoking behavior in the mountain and city schools in Taiwan
    Authors: Huang, HL;Chen, T;Chen, FL;Magnus, J;Rice, J;Yen, YY;Hsu, CC
    Contributors: Center for Health Policy Research and Development
    Abstract: BACKGROUND: While higher smoking prevalences have been better described for adults and adolescents in the mountainous areas than in the plain area in Taiwan, no studies have previously examined whether this disparity begins with children in elementary schools. The purpose of this study was thus designed to explore clustering in smoking behavior among elementary school children attending mountain schools compared to those attending city schools. METHODS: This study analyzed data obtained by a survey on smoking behavior collected during the School Smoking Survey Project performed in 13 elementary schools of Taoyuan County, Taiwan. Overall, 1585 third and fourth graders (mean age 8.9 years) participated in the study. A multilevel logistic regression analysis was performed to explore the effects of school location on individual smoking behavior among elementary school children while controlling for individual-level characteristics. RESULTS: Overall, 34.9% of the elementary school students in the mountain schools reported having tried cigarette smoking compared to only 9.6% of students from city schools. Students attending mountain schools had a greater likelihood of reporting smoking than students attending city schools after controlling for individual-level characteristics (OR = 2.57, 95% CI = 1.10-5.99). CONCLUSIONS: A significant individual clustering in smoking behavior was found among third- and fourth-grade children attending mountain schools. The new findings suggest that the adult geographic smoking disparity begins in elementary school. Interventions aimed at reducing smoking disparity in adults need to target elementary schools in high-risk locations. ? 2009, American School Health Association.
    Date: 2009-02
    Relation: Journal of School Health. 2009 Feb;79(2):67-73.
    Link to: http://dx.doi.org/10.1111/j.1746-1561.2008.00378.x
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0022-4391&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000262943200004
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=59149087723
    Appears in Collections:[Chih-Cheng Hsu] Periodical Articles

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