目標：本研究深入探討山地原住民對無菸家庭的看法，以及衛生單位人員推展無菸家庭計畫之經驗，最後提出實施無菸家庭之策略建議。方法：深入訪談仁愛鄉的九位家中吸菸者及兩位衛生單位人員。結果：本研究發現無菸家庭之實施較可行的策略為完全禁止在家中吸菸，但允許在家庭戶外吸菸，其目的為避免他人受二手菸的危害。其他發現包括歸納出家中吸菸者的四種限制情形、對吸菸訪客的限制作法、家庭成員對吸菸者的影響力、家中貼無菸家庭貼紙的效用、由無菸家庭衍生家用車禁菸等主題概念。結論：本研究建議無菸家庭實施策略可考慮：1.家中成員對吸菸者產生的影響力；2.家中放置無菸家庭宣導品(如貼紙/小白板)；3.家中不放置菸灰缸；4.提供衛教單張宣導；5. 無菸家庭家規的訂定。

Objectives: The purpose of this study was to learn about the smoking behavior of aboriginals in mountainous regions and determine their attitudes towards smoking, second-hand smoke, and smoke-free homes. Preliminary experiences of public health professionals involved in the promotion and implementation of smoke-free home programs were collected in order to develop strategies and suggestions for smoke-free home policies. Methods: This study used a qualitative approach that included in-depth interviews. Nine smokers from Ren-Ai County and two local health department employees were interviewed. Results: Participants agreed that forbidding smoking in the home would diminish the threat to their children’s health due to the inhalation of second-hand smoke. Other findings included suggestions to limit smoking in the home, limit smoking by visitors, assess the impact of family members on smokers, determine the effect of smoke-free home stickers in the home, and promote the idea of smoke-free vehicles. Conclusions:Family members within a household can significantly influence smokers and help promote smokefree homes. Smoke-free home promotional materials such as stickers or white boards, should be used appropriately. No ash trays should be allowed at home. Health education about the effects of smoke and smoking is highly recommended. Home-set rules are a more effective approach than legal regulations.