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研究生:胡藝瀚
研究生(外文):Yi-HanHu
論文名稱:菸品健康福利捐對青少年吸菸行為的影響
論文名稱(外文):The Impact of Tobacco Health and Welfare Surcharge on Smoking Behaviors in Adolescents in Taiwan
指導教授:胡淑貞胡淑貞引用關係
指導教授(外文):Shu-Chen Hu
學位類別:碩士
校院名稱:國立成功大學
系所名稱:公共衛生研究所
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
論文出版年:2012
畢業學年度:100
語文別:中文
論文頁數:51
中文關鍵詞:青少年吸菸菸品健康福利捐菸品價格
外文關鍵詞:Tobacco Health and Welfare Surchargeyouth smoking behaviorstobacco priceTaiwan
相關次數:
  • 被引用被引用:4
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背景:菸價是影響人們吸菸與否的最重要政策之一,文獻指出年輕人較成人更易受價格的影響,較高的菸稅有助於降低青少年的吸菸率。然而,根據國內目前的數據顯示,成年人吸菸率呈現穩定下降的趨勢,但是青少年吸菸率則未有此現象。
目的: 探討課徵菸品健康捐對青少年吸菸行為的影響,包括吸菸率、吸菸量和自行購買香菸的比率。
方法:為瞭解2002年課徵每包5元及2006年課徵每包10元菸品健康福利捐後,青少年吸菸行為的變化,本研究使用全國性抽樣調查進行次級資料分析,資料來源分別為課徵前2001年國民健康訪問調查與課徵後2004、2005、2007與2008年青少年吸菸行為調查資料,進行分析。
結果:在吸菸率部分,課徵菸品健康捐對國中生未產生影響;但是,高中職的吸菸率在課徵10元的健康捐後,有開始下降的跡象。若以吸菸量來看,課徵菸品健康捐後,國中生重菸量者的比率是急遽且持續下降;但高中職重菸量者於課徵5元健康捐時沒受到的影響,直到每包10元後開始持平。在自行購買香菸的比率部分,無論是在國中或高中職皆持續下降,特別是國中生下降幅度達50%。
討論:課徵菸品健康福利捐對國、高中職生效果不同,在高中職生方面由於吸菸者大部分為中度吸菸者,當菸捐持續調漲後,對高中職生產生較顯著影響。而在國中生方面,則未看到吸菸率呈下降的趨勢,但這可能是因為國中生的吸菸行為是基於好奇引起的嘗試行為,菸量較輕,以及國內菸價偏低導致。因此,除了預防青少年開始吸菸,未來政策更應協助這群嘗試吸菸者避免變成規律吸菸者,且需定期調整稅額,以預防國人對菸價產生適應性,進而減少其影響力。
Background: Tobacco prices can have a great impact on smoking rates. Researches indicated that younger people were more vulnerable to the price than adults, and higher tobacco taxes can help reduce the smoking rates of youth. Although recent national data in Taiwan showed that the adult smoking rates has been decreasing in a steady trend, the youth smoking rate does not has this phenomenon.
Objectives: This study aims to evaluate the effects of the tobacco health and welfare surcharge on youth smoking behaviors, including smoking rates, smoking amounts and source of cigarettes.
Method: We used secondary data analysis. Data were obtained from” Taiwan national health interview survey, 2001 “and “Taiwan Youth Tobacco Survey, 2004、2005、2007 and 2008 “. All samples in the survey were nation-wided representative of Taiwan.
Results: In junior high school students, tobacco health and welfare surcharge did not affect the smoking rates. However, in senior high school students smoking rates began to decline, when the tobacco health and welfare surcharge increased to NT$10 per pack. Regarding to the amount of cigarettes, the percentage of heavy smokers were decreasing in a rapid way in junior high school students after the tobacco health and welfare surcharge was firstly imposed. However, such impact did not happen in senior high school students. The percentage of heavy smokers did not change when the surcharge was imposed by NT$5 per pack, but when the surcharge was imposed to NT$ 10 per pack, the percentage of heavy smokers in high school students started to become flat. In addition, we found that raising tobacco price would cause a reduction of buying cigarettes themself in adolescents, especially for the junior high school students which decreased to 50%.
Discussion: The effect of tobacco health and welfare surcharge on smoking behaviors differed between senior high and junior high school students. Since senior high school smokers were mostly moderate smokers, the effect of increasing tobacco price had significant impact on their smoking behaviors. However, no such effect was found in junior high school students. Probably because they were more experimental, which smoking behaviors were based on curiosity and lower cigarette price does not lead smoking rate decrease. In sum, we suggested that in addition to prevent youth started smoking, the tobacco tax should increase regularly. Also, future policy should focus on assisting experimental smokers to quit in order to avoid them to become regular smokers.
第一章 前言 1
第二章 文獻回顧 4
第一節 青少年吸菸情形 4
第二節 菸酒稅負 10
第三章 研究方法 12
第一節 研究樣本 12
第二節 資料來源 13
第三節 研究步驟 16
第四節 統計分析 19
第四章 研究結果 21
第一節 樣本特性描述 21
第二節 菸捐課徵/調漲前後,青少年吸菸行為之差異比較 27
第五章 討論 40
第一節 主要發現與貢獻 40
第二節 討論 41
第三節 研究限制與建議 45
參考文獻 48

英文部分:
Ariza-Cardenal, C., & Nebot-Adell, M.(2002) , “Factors associated with smoking progression among Spanish adolescents , Health education research, 17(6), pp.750~760.
Bureau of Health Promotion (2010) , “Taiwan Tobacco Control Annual Report 2010, Bureau of Health Promotion, Department of health, Taiwan, R.O.C.
Biener, L., & Albers, A. B(2004) , “Young adults: vulnerable new targets of tobacco marketing, American journal of public health, 94(2), pp. 326~330.
Carpenter, C., & Cook, P. J.(2008) , “Cigarette taxes and youth smoking: New evidence from national, state, and local Youth Risk Behavior Surveys, Journal of Health Economics, 27(2), pp.287~299.
Chaloupka, F. J., & Grossman, M.(1996) , “Price, tobacco control policies and youth smoking, National Bureau of Economic Research Cambridge.
Chaloupka, F. J., & Pacula, R. L.(1997) , “Limiting youth access to tobacco: the early impact of the Synar Amendment on youth smoking.
Chaloupka, F. J., & Wechsler, H.(1995) , “Price, tobacco control policies and smoking among young adults, National Bureau of Economic Research Cambridge.
Chen, S. H., Lee, J. M., Liu, H. H., Wang, H. C., & Ye, C. Y.(2011) , “The cross-effects of cigarette and betel nut consumption in Taiwan: have tax increases made a difference? , Health Policy and Planning, 26(3), pp.266~273.
Do, Y. K., & Farooqui, M. A.(2012) , “Differential Subjective Responsiveness to a Future Cigarette Price Increase Among South Korean Youth Smokers, Nicotine & tobacco research, 14(2), pp.209~216.
Evans, W. N., & Farrelly, M. C.(1998) , “The compensating behavior of smokers: taxes, tar, and nicotine, The Rand Journal of Economics, 29(3), pp.578~595.
Farrelly, M. C., Bray, J. W., Pechacek, T., & Woollery, T.(2001) , “ Response by adults to increases in cigarette prices by sociodemographic characteristics, Southern Economic Journal, 68(1), pp.156~165.
Gallet, C. A., & List, J. A.(2003) , “Cigarette demand: a meta-analysis of elasticities, Health economics, 12(10), pp.821~835.
Gruber, J.(2000) , “Youth smoking in the US: prices and policies, National Bureau of Economic Research Cambridge.
Guindon, G. E., Tobin, S., & Yach, D.(2002) , “Trends and affordability of cigarette prices: ample room for tax increases and related health gains, Tobacco control, 11(1), pp.35~43.
Harris, J. E., & Chan, S. W.(1999) , “The continuum of addiction: cigarette smoking in relation to price among Americans aged 15~29, Health economics, 8(1), pp.81~86.
Hsieh, C. R., Hu, T. W., & Lin, C. F. J. (1999) , “The demand for cigarettes in Taiwan: domestic versus imported cigarettes, Contemporary Economic Policy, 17(2), pp.223~234.
Jha, P., & Chaloupka, F. J.(1999) , “ Curbing the epidemic: governments and the economics of tobacco control, World Bank Publications.
Kostova, D., Ross, H., Blecher, E., & Markowitz, S.(2011) , “ Is youth smoking responsive to cigarette prices? Evidence from low-and middle-income countries, Tobacco control, 20(6), pp.419~424.
Laugesen, M., Robinson, E., & Scragg, R.(2002) , “ Cigarette smoking, pocket money and socioeconomic status: Results from a national survey of 4th form students in 2000, Journal of the New Zealand Medical Association, 115(1158).
Lee, J. M.(2007) , “ The synergistic effect of cigarette taxes on the consumption of cigarettes, alcohol and betel nuts, BMC public health, 7(121).
Lee, J. M.(2008) , “Effect of a large increase in cigarette tax on cigarette consumption: an empirical analysis of cross-sectional survey data, Public health, 122(10), pp.1061~1067.
Lee, J. M., Chen, M. G., Hwang, T. C., & Yeh, C. Y.(2010) , “Effect of cigarette taxes on the consumption of cigarettes, alcohol, tea and coffee in Taiwan, Public health, 124(8), pp.429~436.
Lee, J. M., Hwang, T. C., Ye, C. Y., & Chen, S. H.(2004) , “The effect of cigarette price increase on the cigarette consumption in Taiwan: evidence from the National Health Interview Surveys on cigarette consumption, BMC Public Health, 4(61).
Lee, J. M., Liao, D. S., Ye, C. Y., & Liao, W. Z.(2005) , “Effect of cigarette tax increase on cigarette consumption in Taiwan, Tobacco control, 14(Suppl 1), pp.i71~75.
Lewit, E., Coate, D., & Grossman, M.(1982) , “The Effects of Government Regulation on Teenage Smoking, National Bureau of Economic Research Cambridge.
McGee, R., Williams, S., & Reeder, A.(2002) , “ Purchasing of cigarettes by New Zealand secondary students in 2000, Australian and New Zealand journal of public health, 26(5), pp.485~488.
Mohan, S., Sankara Sarma, P., & Thankappan, K.(2005) , “ Access to pocket money and low educational performance predict tobacco use among adolescent boys in Kerala, India, Preventive medicine, 41(2), pp.685~692.
Pierce, J. P., Distefan, J. M., Kaplan, R. M., & Gilpin, E. A.(2005) , “The role of curiosity in smoking initiation, Addictive behaviors, 30(4), pp.685~696.
Ross, H., Blecher, E., Yan, L., & Hyland, A.(2011) , “Do cigarette prices motivate smokers to quit? New evidence from the ITC survey, Addiction, 106(3), pp.609~619.
Scragg, R., Laugesen, M., & Robinson, E. (2003) , “Parental smoking and related behaviours influence adolescent tobacco smoking: results from the 2001 New Zealand national survey of 4th form students, New Zealand Medical Journal,116(1187).
Warner, K. E.(2006), Tobacco control policy, Jossey-Bass Inc.
Warren, C. W., Jones, N. R., Peruga, A., Chauvin, J., Baptiste, J. P., Costa de Silva, V., Asma, S.(2008) , “Global youth tobacco surveillance, 2000-2007, Surveillance summaries : Morbidity and mortality weekly report,CDC, 57(1), pp.1~28.
Wen, C. P., Cheng, T. Y., Eriksen, M. P., Tsai, S. P., & Hsu, C. C.(2005) , “The impact of the cigarette market opening in Taiwan, Tobacco control, 14(Suppl 1), pp.i4~9.
WHO.(2008), “ 2008 WHO Report On The Global Tobacco Epidemic, World Health Organization.
WHO.(2011), “ 2011 WHO Report On The Global Tobacco Epidemic, World Health Organization.

中文部分:
石曜堂、洪永泰、張新儀、劉仁沛、林惠生、張明正、吳聖良(2003),「國民健康訪問調查之調查設計, 內容, 執行方式與樣本人口特性」,臺灣公共衛生雜誌,第二十二卷第六期,頁419-430。
李妙靜(2006),「全球化對我國菸酒稅制變遷之影響」,國立成功大學政治經濟學研究所碩士論文。
李家銘、葉春淵、洪榮耀(2007),「香菸及檳榔課稅效果之研究」,臺灣公共衛生雜誌,第二十六卷第一期,頁 17-25。
李家銘、葉春淵、黃琮琪(2006),「菸價要調漲多少: 菸品健康福利捐課徵對香菸消費的影響效果」,人文及社會科學集刊,第十八卷第一期,頁 1-35。
李蘭、陳秀熙(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」,台北:行政院衛生署。
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之初評」,台北:行政院衛生署。
林姵妤(2010),「台灣紙菸市場需求與管理政策之探討」,國立臺灣大學農業經濟學研究所碩士論文。
徐茂炫、謝啟瑞(1999),「菸需、菸稅與反菸:實證文獻回顧與臺灣個案」,人文及社會科學集刊,第十一卷第三期,頁301-334。
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」,臺灣師範大學衛生教育學系。
國民健康局(2011a),「高中、高職、五專學生吸菸行為調查-調查簡介」, 源自於http://olap.bhp.doh.gov.tw/Search/02_ListSummary.aspx?menu=100000000008&mode=13&mid=4, 2011.09.
國民健康局(2011b),「國中學生吸菸行為調查-調查簡介」,源自於http://163.29.76.33/Search/02_ListSummary.aspx?menu=100000000008&mode=14&mid=4, 2011.09.
莊小瑤(2004),「臺灣2002年菸稅改革前後吸菸型態之變化」,臺灣大學衛生政策與管理研究所。
陳品玲、邱弘毅、徐建業(2004),「菸害防制次級資料分析暨網頁建置三年計畫」,台北:行政院衛生署國民健康局。
陳品玲、邱弘毅、徐建業(2005),「菸害防制次級資料分析暨網頁建置三年計畫」,台北:行政院衛生署國民健康局。
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」,國立臺灣師範大學衛生教育研究所碩士論文。
黃松元、余玉梅、江永盛、陳政友、賴香如、何瑞琴(1991),「台灣地區青少年吸菸行為調查研究」,衛生教育論文集刊,第五卷,頁45-66。
葉春淵、李家銘、陳昇鴻、黃琮琪(2005),「菸品健康福利捐對香菸消費量及產業之影響」,農業經濟半年刊,第七十八卷,頁105-149。
葉春淵、邱城英、李家銘、黃玟儀、洪榮耀(2009),「香菸課稅效果之研究-門檻迴歸模型之運用」,臺灣公共衛生雜誌,第二十八卷第四期,頁289-299。
臺灣菸酒股份有限公司(2007),「歷史沿革」,源自於http://www.ttl.com.tw/about/history.aspx?sn=20, 2011.09.
趙揚清、黃怡靜(2003),「我國菸品稅制應具備特種銷售稅之功能」,稅務旬刊,第一千八百六十一卷,頁7-16。
劉美媛(1995),「台灣地區在校青少年抽菸與飲酒盛行率及危險因子的探討」,國立陽明大學公共衛生研究所碩士論文.
劉麗容、曹乃怡(1999),狂飆少年 - 引導青少年遠離危險行為,載於第一章青少年的身心發展(pp.25-39),台北:遠流出版公司。
樓美鐘、丁碧蓮(2004),「我國與其他國家菸酒稅制之比較研究」,財政部93年度研究發展專題報告,臺北:財政部賦稅署。
嚴道、黃松元(1994),「青少年對吸菸、飲酒、嚼檳榔之認知、態度、行為與其心理特質調查研究」,台北:行政院衛生署。
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1. 趙揚清、黃怡靜(2003),「我國菸品稅制應具備特種銷售稅之功能」,稅務旬刊,第一千八百六十一卷,頁7-16。
2. 葉春淵、邱城英、李家銘、黃玟儀、洪榮耀(2009),「香菸課稅效果之研究-門檻迴歸模型之運用」,臺灣公共衛生雜誌,第二十八卷第四期,頁289-299。
3. 葉春淵、李家銘、陳昇鴻、黃琮琪(2005),「菸品健康福利捐對香菸消費量及產業之影響」,農業經濟半年刊,第七十八卷,頁105-149。
4. 黃松元、余玉梅、江永盛、陳政友、賴香如、何瑞琴(1991),「台灣地區青少年吸菸行為調查研究」,衛生教育論文集刊,第五卷,頁45-66。
5. 徐茂炫、謝啟瑞(1999),「菸需、菸稅與反菸:實證文獻回顧與臺灣個案」,人文及社會科學集刊,第十一卷第三期,頁301-334。
6. 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之初評」,台北:行政院衛生署。
7. 李家銘、葉春淵、黃琮琪(2006),「菸價要調漲多少: 菸品健康福利捐課徵對香菸消費的影響效果」,人文及社會科學集刊,第十八卷第一期,頁 1-35。
8. 石曜堂、洪永泰、張新儀、劉仁沛、林惠生、張明正、吳聖良(2003),「國民健康訪問調查之調查設計, 內容, 執行方式與樣本人口特性」,臺灣公共衛生雜誌,第二十二卷第六期,頁419-430。
9. 李家銘、葉春淵、洪榮耀(2007),「香菸及檳榔課稅效果之研究」,臺灣公共衛生雜誌,第二十六卷第一期,頁 17-25。