請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/33621
完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 詹長權 | |
dc.contributor.author | Yun-Han Yuan | en |
dc.contributor.author | 袁韻涵 | zh_TW |
dc.date.accessioned | 2021-06-13T04:50:59Z | - |
dc.date.available | 2007-08-03 | |
dc.date.copyright | 2006-08-03 | |
dc.date.issued | 2006 | |
dc.date.submitted | 2006-07-17 | |
dc.identifier.citation | Preamble
1. Brownson RC, Eriksen MP, Davis RM, et al. Environmental tobacco smoke: health effects and policies to reduce exposure. Ann Rev Public Health. 1997;18:163-85. 2. Stockwell HG, Goldman AL, Liman GH, et al. Environmental tobacco smoke and lung cancer risk in nonsmoking women. J Nat Cancer Inst. 1992;84:1417-1422. 3. Manuel J. Environmental tobacco smoke. Environ Health Perspect. 1999;107:A196-A201. 4. Dejmek J, Solansk y I, Podrazilova K, et al. The exposure of nonsmoking and smoking mothers to environmental tobacco smoke during different gestational phases and fetal growth. Environ Health Perspect. 2002Jun;110(6):601-6. 5. Witschi H, Joad JP, Pinkerton KE. The toxicology of environmental tobacco smoke. Annu Rev Pharmacol Toxicol. 1997;37:29-52. Part 1 1. Tutka P, Wielosz M, Zatonski W. Exposure to environmental tobacco smoke and children health. Int J Occup Med Environ Health 2002;15(4):325-35. 2. Mannino D, Siegel M, Husten C, et al. Environmental tobacco smoke exposure and health effects in children: results from 1991 National Health Survey. Tobacco Control 1996;5:13-8. 3. Chan-Yeung M, Dimich-Ward H. Respiratory health effects of exposure to environmental tobacco smoke. Respirology 2003 Jun;8(2):131-9. 4. Gilliland FD, Berhane K, Islam T, et al. Environmental tobacco smoke and absenteeism related to respiratory illness in schoolchildren. Am J Epidemiol. 2003May15;157(10):861-9. 5. Samet JM, Lewit EM, Warner KE. Involuntary smoking and children's health. Future Child. 1994Winter;4(3):94-114. 6. Moskowitz WB, Mosteller M, Schieken RM, et al. Lipoprotein and oxygen transport alterations in passive smoking preadolescent children. Circulation. 1990Feb;81(2):586-92. 7. Feldman J, Shenker IR, Etzel RA, et al. Passive smoking alters lipid profiles in adolescents. Pediatrics. 1991Aug;88(2):259-64. 8. Weitzman M, Cook S, Auinger P, et al. Tobacco smoke exposure is associated with the metabolic syndrome in adolescents. Circulation. 2005Aug 9; 112 (6):862-9. 9. World Health Organization Division of Noncommunicable Disease Tobacco Free Initiative. International Conference on Environmental Tobacco Smoke and Children Health: consultation report. Geneva: World Health Organization Division of Noncommunicable Disease Tobacco Free Initiative; 1999.Avaliable at: http://www.who.int/tob. 10. Tamim H, Musharrafieh U, El Roueiheb Z, et al. Exposure of children to environmental tobacco smoke (ETS) and its association with respiratory ailments. J Asthma. 2003;40(5):571-6. 11. Wen CP, Levy DT, Cheng TY, et al. Smoking behaviour in Taiwan, 2001. Tob Control. 2005Jun;14 Suppl 1:i51-5. 12. Gergen PJ, Fowler JA, Davis WW, et al. The burden of environmental tobacco smoke exposure on the respiratory health of children 2 months through 5 years of age in the United States: Third National Health and Nutrition Examination Survey, 1988 to 1994. Pediatrics 1998;101:8. 13. Ashley MJ, Ferrence R. Reducing children’s exposure to environmental tobacco smoke in home: issues and strategies. Tob Control 1998;7:61-5. 14. Emmons KM, Wong M, Hammond SK, et al. Intervention and policy issues related to children's exposure to environmental tobacco smoke. Prev Med. 2001Apr; 32(4):321-31. 15. Roseby R, Waters E, Polnay A, et al. Family and carer smoking control programmes for reducing children's exposure to environmental tobacco smoke. Cochrane Database Syst Rev. 2003;(3):CD001746. 16. Kurtz ME, Kurtz JC, Johnson SM, et al. Exposure to environmental tobacco smoke--perceptions of African American children and adolescents. Prev Med. 1996May-Jun;25(3):286-92. 17. Schuster MA, Franke T, Pham CB. Smoking patterns of household members and visitors in homes with children in the United States. Arch Pediatr Adolesc Med. 2002Nov;156(11):1094-100. 18. Ownby DR, Johnson CC, Peterson EL. Passive cigarette smoke exposure of infants: importance of nonparental sources. Arch Pediatr Adolesc Med, 2000Dec;154(12):1237-41. 19. Norman GJ, Ribisl KM, Howard-Pitney B, et al. Smoking bans in the home and car: Do those who really need them have them? Prev Med. 1999Dec;29(6 Pt 1):581-9. 20. Overpeck MD, Moss AJ. Children's exposure to environmental cigarette smoke before and after birth. Health of our nation's children, United States, 1988. Adv Data. 1991Jun 18; (202):1-11. 21. Wen CP, Tsai SP, Cheng TY, et al. Role of parents and peers in influencing the smoking status of high school students in Taiwan. Tob Control. 2005Jun;14 Suppl 1:i10-5. 22. Berman BA, Wong GC, Bastani R, et al. Household smoking behavior and ETS exposure among children with asthma in low-income, minority households. Addict Behav. 2003 Jan-Feb;28(1):111-28. 23. Leech JA, Wilby K, McMullen E. Environmental tobacco smoke exposure patterns: a subanalysis of the Canadian Human Time-Activity Pattern Survey. Can J Public Health.1999;90:244 –249. 24. McMillen RC, Winickoff JP, Klein JD, et al. US adult attitudes and practices regarding smoking restrictions and child exposure to environmental tobacco smoke: changes in the social climate from 2000-2001. Pediatrics. 2003Jul;112(1 Pt 1):e55-60. 25. Jordan TR, Price JH, Dake JA, et al. Adolescent exposure to and perceptions of environmental tobacco smoke. J Sch Health. 2005May;75(5):178-86. 26. Yin TJ, Wu FL, Liu YL, et al. Effects of a weight-loss program for obese children: a 'mix of attributes' approach. J Nurs Res. 2005Mar;13(1):21-30. 27. Schenker R, Coster W, Parush S. Participation and activity performance of students with cerebral palsy within the school environment. Disabil Rehabil. 2005May20;27(10):539-52. 28. Simiyu DE, Wafula EM, Nduati RW. Mothers' knowledge, attitudes and practices regarding acute respiratory infections in children in Baringo District, Kenya. East Afr Med J. 2003 Jun;80(6):303-7. 29. Hovell MF, Zakarian JM, Wahlgren DR, et al. Reducing children's exposure to environmental tobacco smoke: the empirical evidence and directions for future research. Tob Control. 2000;9Suppl 2:II40-7. 30. Cummings KM, Markello SJ, Mahoney M, et al. Measurement of current exposure to environmental tobacco smoke. Arch Environ Health. 1990 Mar-Apr;45(2):74-9. Part 2 1. de Benedictis FM, Selvaggio D, de Benedictis D. Cough, wheezing and asthma in children: lesson from the past. Pediatr Allergy Immunol. 2004Oct;15(5):386-93. 2. van Asperen PP. Cough and asthma. Paediatr Respir Rev. 2006 Mar;7(1):26-30. Epub 2006 Jan 24. 3. Asthma Research Strategy. United States Environmental Protection Agency. 2002 Sep. 4. Gilliland FD, Li YF, Peters JM. Effects of maternal smoking during pregnancy and environmental tobacco smoke on asthma and wheezing in children. Am J Respir Crit Care Med. 2001Feb;163(2):429-36. 5. Sturm JJ, Yeatts K, Loomis D. Effects of tobacco smoke exposure on asthma prevalence and medical care use in North Carolina middle school children. Am J Public Health. 2004 Feb;94(2):308-13. 6. Hsieh KH, Shen JJ. Prevalence of childhood asthma in Taipei, Taiwan, and other Asian Pacific countries. J Asthma. 1988;25(2):73-82. 7. 高菲菲, 莊慧君, 吳建昇, 蘇慧貞. 南台灣地區五年間居家特性, 遺傳因子與氣喘盛行率之變化. 一九九九年工業衛生學術研討會暨高雄醫學院工業衛生研究中心二十週年紀念論文摘要及專題演講論文集, 1999. 8. Kurtz ME, Kurtz JC, Johnson SM, et al. Exposure to environmental tobacco smoke--perceptions of African American children and adolescents. Prev Med. 1996May-Jun;25(3):286-92. 9. Siegel D, Lazarus N, Krasnovsky F, et al. AIDS knowledge, attitudes, and behavior among inner city, junior high school students. J Sch Health. 1991 Apr;61(4):160-5. 10. Simiyu DE, Wafula EM, Nduati RW. Mothers' knowledge, attitudes and practices regarding acute respiratory infections in children in Baringo District, Kenya. East Afr Med J. 2003 Jun;80(6):303-7. 11. Yin TJ, Wu FL, Liu YL, et al. Effects of a weight-loss program for obese children: a 'mix of attributes' approach. J Nurs Res. 2005Mar;13(1):21-30. Part 3 1. Kharrazi M, DeLorenze GN, Kaufman FL, et al. Environmental tobacco smoke and pregnancy outcome. Epidemiology. 2004Nov;15(6):660-70. 2. Li YF, Gilliland FD, Berhane K, et al. Effects of in utero and environmental tobacco smoke exposure on lung function in boys and girls with and without asthma. Am J Respir Crit Care Med. 2000 Dec;162(6):2097-104. 3. Gilliland FD, Li YF, Peters JM. Effects of maternal smoking during pregnancy and environmental tobacco smoke on asthma and wheezing in children. Am J Respir Crit Care Med. 2001Feb;163(2):429-36. 4. Jedrychowski W, Galas A, Pac A, et al. Prenatal ambient air exposure to polycyclic aromatic hydrocarbons and the occurrence of respiratory symptoms over the first year of life. Eur J Epidemiol. 2005;20(9):775-82. 5. DiFranza JR, Aligne CA, Weitzman M. Prenatal and postnatal environmental tobacco smoke exposure and children's health. Pediatrics. 2004Apr;113(4 Suppl):1007-15. 6. Dejmek J, Solansk y I, Podrazilova K, et al. The exposure of nonsmoking and smoking mothers to environmental tobacco smoke during different gestational phases and fetal growth. Environ Health Perspect. 2002Jun;110(6):601-6. 7. Chen LH, Petitti DB. Case-control study of passive smoking and the risk of small-for-gestational-age at term. Am J Epidemiol. 1995Jul 15;142(2):158-65. 8. Windham GC, Eaton A, Hopkins B. Evidence for an association between environmental tobacco smoke exposure and birthweight: a meta-analysis and new data. Paediatr Perinat Epidemiol. 1999Jan;13(1):35-57. 9. Misra DP, Nguyen RH. Environmental tobacco smoke and low birth weight: a hazard in the workplace? Environ Health Perspect. 1999Dec;107 Suppl 6:897-904. 10. Lannero E, Wickman M, Pershagen G , et al. Maternal smoking during pregnancy increases the risk of recurrent wheezing during the first years of life (BAMSE). Respir Res. 2006Jan 5;7:3. 11. Wen CP, Levy DT, Cheng TY, et al. Smoking behaviour in Taiwan, 2001. Tob Control. 2005Jun;14 Suppl 1:i51-5. 12. Scholenborn CA, Vickerie JL, Barnes PM. Cigarette smoking behavior of adults: United States, 1997-98. Hyattsville, Maryland: National Center for Health Statistics, 2003. 13. DeLorenze GN, Kharrazi M, Kaufman FL, et al. Exposure to environmental tobacco smoke in pregnant women: the association between self-report and serum cotinine. Environ Res. 2002Sep;90(1):21-32. 14. Hanke W, Sobala W, Kalinka J. Environmental tobacco smoke exposure among pregnant women: impact on fetal biometry at 20-24 weeks of gestation and newborn child's birth weight. Int Arch Occup Environ Health. 2004 Jan;77(1):47-52. Epub 2003 Oct 31. 15. Leung GM, Ho LM, Lam TH. The economic burden of environmental tobacco smoke in the first year of life. Arch Dis Child. 2003Sep;88(9):767-71. 16. Gentile D, Howe-Adams J, Trecki J, et al. Association between environmental tobacco smoke and diminished dendritic cell interleukin 10 production during infancy. Ann Allergy Asthma Immunol. 2004 Apr;92(4):433-7. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/33621 | - |
dc.description.abstract | 本篇論文為國小學童,氣喘兒童與新生兒二手菸相關議題研究,內容包含三大部分。第一部分為國小學童二手菸暴露評估與學校衛生教育介入方案成效評估,藉由問卷調查國小學童於不同場所內二手菸的暴露頻率與來源,評估學校衛生教育對於國小學生對於二手菸暴露之知識、態度與行為的影響。結果發現居家環境為國小學童二手菸暴露的主要場所,父親為主要的二手菸來源,而國小學童在週末與暑假期間二手菸的暴露較高。學校衛生教育能有效增加國小學童對於二手菸暴露的知識,但對二手菸的態度與行為沒有改善。第二部份為氣喘兒童營隊衛生教育介入方案成效評估,藉由問卷評估營隊衛生教育對於氣喘兒童二手菸暴露的知識、態度與行為的影響。研究結果顯示透過一天的營隊活動進行衛生教育能有效增加氣喘兒童對於二手菸暴露的知識,但對二手菸的態度與行為沒有顯著的改善。第三部份為母親與新生兒二手菸暴露調查以及二手菸與新生兒出生體重的相關性評估,透過問卷收集母親懷孕前與懷孕期間二手菸的暴露情形,以及新生兒出生後ㄧ歲內的二手菸暴露情形,評估母親懷孕期間二手菸暴露與新生兒低出生體重的相關性。結果發現懷孕母親與新生兒皆有高二手菸暴露。母親懷孕期間的二手菸暴露對於新生兒低出生體重沒有影響。綜合三部份的研究,可見十一至十二歲的國小學童,懷孕婦女與零到一歲的新生兒皆有嚴重的二手菸暴露。以學校為基礎或是營隊類型的衛教方案介入確實能增加兒童對於二手菸暴露的知識,然而無法改善兒童對於二手菸的態度與行為。雖然本研究對於二手菸暴露的量測屬於定性分析,結果顯示母親懷孕期間是否暴露二手菸與新生兒低出生體重沒有顯著的相關,未來可以量性分析進ㄧ步探討兩者之間的關係。未來在兒童與新生兒二手菸的研究上,能參考本研究的結果與建議,更有系統的評估二手菸的暴露與推動二手菸衛生教育介入方案。 | zh_TW |
dc.description.abstract | This thesis studied environmental tobacco smoke (ETS) in schoolchildren, asthmatic children and infants. There are three parts in this thesis. Part 1 was the evaluation of ETS exposure and the effectiveness of a school-based intervention program for changing children’s knowledge, attitude and practice (KAP) toward ETS. ETS exposure and KAP toward ETS before and after an intervention program were evaluated by questionnaire among schoolchildren. The results showed that home is the major setting for students’ ETS exposure with their fathers as the main sources. Schoolchildren have higher ETS exposure over summer vacation and weekends than weekdays. Knowledge improved through the school-based intervention program, but not attitude and practice against ETS exposure. Part 2 was the evaluation of the effectiveness of a camp-based intervention program for changing asthmatic children’s KAP toward ETS. KAP toward ETS before and after a one day camp-based intervention program were evaluated by questionnaire among asthmatic children. The one day camp-based intervention program in our study improved ETS knowledge of asthmatic children, but had no effects on their attitude and action against ETS exposure. In part 3 we investigated the exposure of pregnant women and infants to ETS and the relation between maternal ETS exposure and birth weight. Information of ETS exposure was investigated by questionnaire among mothers with infants from birth to one year old. High prevalence of ETS exposure was observed among pregnant women and infants. There was no association between ETS exposure during pregnancy and birth weight. In this thesis, we found serious ETS exposure in schoolchildren aged 11 to 12 years, pregnant women and infants from birth to one year old. The school- or camp-based intervention program could increase ETS knowledge of schoolchildren and asthmatic children but couldn’t improve their attitude and practice against ETS exposure. There was no association between maternal ETS exposure and birth weight. However, because we used qualitative analysis for maternal ETS exposure, quantitative analysis of ETS exposure is recommended in future studies of the relation between maternal ETS exposure and birth weight. This thesis’s findings are useful for future studies of ETS exposure and intervention in children and infants. | en |
dc.description.provenance | Made available in DSpace on 2021-06-13T04:50:59Z (GMT). No. of bitstreams: 1 ntu-95-R93841002-1.pdf: 5684902 bytes, checksum: 03e815d7227fa62fb78a4434e93aa2f4 (MD5) Previous issue date: 2006 | en |
dc.description.tableofcontents | 論文中文摘要...... i
Thesis abstract......iii Contents......v List of tables......vii Preamble......1 Part 1: Evaluation of Environmental Tobacco Smoke (ETS) Exposure and the Effectiveness of a School-Based Intervention Program for Changing Children’s Knowledge, Attitude, and Practice (KAP) toward ETS......3 ABSTRACT ......4 INTRODUCTION......7 METHODS AND MATERIALS......9 RESULTS......16 DISCUSSION......27 Part 2: Evaluation of the Effectiveness of a Camp-Based Intervention Program for Changing KAP toward ETS in Children with Asthma......50 ABSTRACT ......51 INTRODUCTION......53 METHODS AND MATERIALS......54 RESULTS......57 DISCUSSION......58 Part 3: The Exposure of Pregnant Women and Infants to ETS and the Relationship between Maternal ETS Exposure and Birth Weight......62 ABSTRACT ......63 INTRODUCTION......65 METHODS AND MATERIALS......66 RESULTS......68 DISCUSSION......75 Conclusion......90 Recommendations......91 Acknowledgements......92 Reference......93 Appendix 1 國小學童二手菸暴露調查問卷......103 Appendix 2 國小學童二手菸介入方案短片-”歡迎加入無菸國”......107 Appendix 3 “給二手菸製造者的一封信”......118 Appendix 4 國小學童二手菸知識、態度、行為(KAP)問卷......119 Appendix 5 南投縣氣喘兒童營對流程表......121 Appendix 6 氣喘兒童營隊問卷......122 Appendix 7 懷孕母親與新生兒二手菸暴露調查問卷......126 | |
dc.language.iso | en | |
dc.title | 國小學童,氣喘兒童與新生兒二手菸相關議題研究 | zh_TW |
dc.title | Study on Environmental Tobacco Smoke (ETS) in Schoolchildren, Asthmatic Children and Infants | en |
dc.type | Thesis | |
dc.date.schoolyear | 94-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 陳保中,黃嵩立,溫啟邦 | |
dc.subject.keyword | 二手菸,國小學童,氣喘,新生兒,介入,出生體重, | zh_TW |
dc.subject.keyword | Environmental Tobacco Smoke (ETS),schoolchildren,asthma,infant,intervention,birth weight, | en |
dc.relation.page | 129 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2006-07-17 | |
dc.contributor.author-college | 公共衛生學院 | zh_TW |
dc.contributor.author-dept | 職業醫學與工業衛生研究所 | zh_TW |
顯示於系所單位: | 職業醫學與工業衛生研究所 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
ntu-95-1.pdf 目前未授權公開取用 | 5.55 MB | Adobe PDF |
系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。