黃純健曾月霞Chiun-Chien HuangYueh-hsia Tseng陳依婷Yi - Ting Chen醫學研究所2026-10-282004-12-012003https://handle.ncl.edu.tw/11296/nr8v74https://scholars.csmu.edu.tw/handle/123456789/35027「物質使用」是指菸、酒、及非法藥物之使用，由於青少年物質使用的情形逐漸增加，且有年齡下降趨勢，因此本研究目的主要在瞭解青少年吸菸、飲酒及藥物使用之現況，並確認影響學生物質使用的因素。本研究採橫斷式相關性研究設計，使用「青少年對使用菸、酒及非法藥物之意見調查表」進行資料收集。以登記於彰化縣市教育局12所高職學校的學生為可及母群體，由12所學校中隨機抽取4 所，再以年級分層，每校一、二、三年級各抽出1班作為施測對象，共抽出12個班級，總計476位學生參與本研究。資料以SPSS10.0軟體進行統計分析，統計方法包括描述性統計、t檢定、變異數分析、Scheffe事後比較及逐步多元迴歸。研究結果(1)有33.4 %的高職學生曾經吸菸，65.5 %曾經飲酒，第一次吸菸的平均年齡為12.66歲，第一次喝酒為13.68歲。非法藥物的使用方面，以「從未使用」之學生居多(98.5%)，然而有1.5 %學生表示「曾使用過」安非他命、強力膠、大麻、紅中、青發、及MDMA等物質。(2)「性別」、「母親教育程度」、「對父母親的依附」與吸菸行為有關；「父親教育程度」、「學業成績排名」、「對教育的期望」、「對父母親的依附」則與飲酒行為有關。(3)「對菸、酒傳統規範之信念」是預測吸菸、飲酒的主要因素。本研究結果可作為教育單位及父母親瞭解青少年物質使用之現況，主動關心高危險群學生，加強反菸、酒、毒害的宣導，並將實施範圍推廣至青少年學校及家庭，以防範青少年物質使用。Substance use refers to cigarette smoking, alcohol drinking, and use of illicit drugs. Substance use in adolescents is increasing, and the age to use substance is younger than before. The purposes of this study were to understand the status of smoking, drinking and use of illicit drugs in students of vocational senior high schools and to identify factors related to substance use. A cross - sectional correlational research design was used.「Substance Use in Adolescents Questionnaire」was used to collect data. Accessible population was students in 12 vocational senior high schools in Chung-hua area. Stratified random sampling was used to obtain 476 subjects. Statistic methods including descriptive analysis, t test, analysis of variance, Scheffe’s test and multiple regression were used to analyze the data. The results of the study reveal that (1) There are 33.4 % of the students smoking and drinking. The age is 12.66 years old for first smoking and is 16.68 years old for first drink. Most of the students (98.5 %) reported that they did not use illicit drugs. However, 1.5 % of the students did use amphetamine, inhalants, cannabis, secobarbital, amobarbital and MDMA. (2)Gender, mother’s educational level, and attachment to parents are related to smoking behavior. Father’s educational level, education achievement, education aspiration and attachment to parents are related to drinking behavior. (3) The main predictor of smoking and drinking behavior is belief about smoking and drinking. The findings of this study provide information about the status of substance use in aldolescents and to design interventions to prevent adolescents from substance use.高中職學生物質使用社會連結理論students of vocational senior high schoolsubstance useSocial Bond Theorythesis