臺灣博碩士論文加值系統

本研究主要探討台北市不同社經背景一般家庭與低收入戶家庭飲食健康與消費型態。研究採立意取樣，於90年3月至91年3月，在台北市石牌國中招募一般家庭(n=136)，並與中正區社會福利服務中心合作，招募低收入戶家庭(n=33)，以自行發展的結構式問卷訪談家庭飲食消費，最後有75戶一般家庭與32戶低收入家庭完成問卷，並以質性方法深度訪談5位低收入戶之母親。質性訪談發現，受訪的低收入戶個別差異性大，對健康議題較不重視，且會因為價錢因素考量而減少購買水果、海鮮，雖然在健康方面一般家庭與低收入戶家庭在統計上並沒有顯著差異，但是許多低收入戶家庭的父母或是長輩普遍都具有慢性疾病，並且影響其出去就業的能力。一般而言，低收入戶家庭都曾有家中收入不夠支付家人飲食開銷的憂慮，平均為91次/年。此外，參與本研究之低收入家庭以單親家庭（母親和小孩）佔大多數，共有23戶（72%），這些單親家庭若母親有兼職工作者，則小孩外食的比率明顯增加，針對這部份族群，其飲食營養健康值得關注。除了比較一般及低收入戶家庭之外，研究並以家中父親（或母親）教育程度及職業不同將家庭分成低、中、高社經三類型家庭，在比較社經背景不同家庭飲食消費情況發現，在影響家庭食物消費中，雖然價格因素在二者之間並無不同，但一般家庭比低收入戶家庭較重視食物品質、家人喜好、飲食禁忌、健康因素和節日慶典等原因。食物消費情況則顯示低收入戶和低社經家庭花費在水果和牛奶製品的金額較低，魚類的消費頻率也較低（P＜0.05）。研究家庭外食情況時，顯示一般和中、高社經家庭去餐廳、大飯店用餐比率較高（P＜0.05），低收入戶和低社經家庭花費金額則明顯低於一般家庭和中高社經家庭。在家庭休閒運動方面看來，一般和中、高社經家庭中親子一起運動的比率較高，運動時間較長。量性研究發現家人BMI會受到家庭飲食消費的影響，利用多變項分析發現，開伙次數與母親BMI呈現顯著正相關（r=0.225），而外食金額和父親BMI呈現顯著正相關（r=0.316），家中購買家畜花費金額則與父親和青少年BMI呈現顯著正相關（r=0.325,0.399），青少女BMI則與家庭使用半成品的次數和花費有顯著正相關（r=0.385,0.261）。目前我國對於低收入戶的福利政策多採金錢補助，應針對低收入戶家庭營養相關問題提供必要的協助，才能有效改善低收入戶的健康狀況。

The main focus of this study is to investigate food consumption patterns and family nutrition status between middle-class and low-income families in Taipei Metropolitan areas. The distribution of sample families participated in the study from March 2001 to March 2002 is listed as the following: middle-class families from Shihpai Junior High School of Taipei (n=136); with cooperation of ChungChein social welfare center office of social workers, registered low-income families in ChungChein area are examined by questionnaire to investigate their food consumption patters (n=33); lastly 75 middle class families and 32 low-income families were included to collect household and individual questionnaires , and with more detailed in-depth qualitative interview with five mothers from low-income families. The results show big differences between each individual low-income family, which seem not to pay much attention to health issue on food consumption. Considering price factor, they tend to purchase fewer amounts of fruit and seafood. Although the statistical analysis does not show difference in health aspects between middle class and low-income families, but it does show that parents or elders of low-income families have higher prevalence on chronic diseases, which may affect their ability to obtain employment. Generally speaking, low-income families usually have concerns about not having enough incomes to support food expenses, averaging 91 times per year. Moreover, most low-come families, 23 out of 32 (72%), participated in the study are single-parent families consisting of only mother and children. For those single-parent families, the percentage of children eating out increase when the mothers have jobs, and the food consumption patterns of these families are worth to pay close attention. Our data indicates family members’ BMI may be affected by family’s food consumption patterns. The results of multivariate correlation analysis show that amounts of eating at home and mother’s BMI present significant positive correlation (r=0.225); amount of money on eating-out and father’s BMI present significant correlation(r=0.316); amount of money on purchasing livestock between father’s BMI and teenage boys’ BMI present high correlation (r=0.325, 0.399); teenage girls’ BMI have high correlation (r=0.385, 0.261) with frequency and money on processed food. By comparing the various social economic backgrounds for family food consumption patterns, we found that among the factors to affect the patterns, price factor does not play major role for the two types of families in the decision of what to purchase. However, middle class families tend to have more emphases on the categories of food quality, personal favors, dietary habits, health concerns, and festival ceremony. Regarding food consumption budget, low-income families spend less amounts of money on fruit and dairy products, and lower frequency on fish products consumption (p<0.05) than middle class families. For the family eating-out, low-income families obviously have fewer budgets on this category. Examining family’s exercise habit, middle class families have high tendency on spending more time with their children exercising together. To summarize in whole, family member’s BMI is highly related to family dietary consumption patterns, price will affect low-income families’ decisions when purchasing food and eating out, but usually they neglect the importance of food quality and health issues. Currently, most of our government’s social benefit policies emphasize on financial support. To better resolve the problem, more assistance should be provided to low-income families on the topic of family nutrition consulting. It may be more effective on health status improvement of low-income families.

目錄
第一章 緒論
第一節 研究動機
第二節 研究目的
第三節 名詞界定
第二章 文獻探討
第一節 家庭飲食消費與製備
第二節 家庭飲食習俗
第三節 低收入戶家庭社會救助體系
第三章 研究方法
第一節 研究設計
第二節 研究對象
第三節 訪視流程
第四節 研究工具
第五節 低收入戶家庭飲食消費習慣質性研究
第六節 研究假設
第七節 統計分析
第四章 研究結果
第一節 一般與低收入戶家庭資料分析
第二節 社經地位不同家庭資料分析
第三節 家庭飲食消費相關性
第四節 社經地位家庭飲食消費對於家中成員BMI的影響
第五節 台北市中正區低收入戶家庭飲食質性研究
第五章 研究討論
第六章 結論
第七章 研究限制與建議
參考文獻
附錄

一、 中文部份
王文科（1990）。質的教育研究法。台北：師大書苑。
台北市政府社會局（2001）。台北市社會救助服務手冊。
行政院衛生署（1998）。國民營養現況。
行政院衛生署（1993）。每日營養素攝取建議攝取量及其說明。
行政院主計處（1999）。中華民國台灣地區八十八年家庭收支調查報告。
行政院主計處（1999）。社會發展趨勢調查報告。
行政院主計處（1995）。國民生活型態與倫理調查報告。
李正綱，萬衛華，陳怡靜（2000）。台灣消費者外食用餐消費行為之研究。景文技術學院學報，89，11-22。
李皇照（1998）。在家和在外食品消費支出分析與預測。台灣土地經融季刊，35，225-239。
沈秀卿（1994）。低收入戶家庭經濟概況調查分析。社會福利，83，53-58。
邱龐同（1999）。道教的飲食文化及節慶食俗。歷史月刊，133，52-59。
呂玉瑕（2000）。台灣社會變遷中女性的工作與家庭地位。生態趨勢研討會。
余玉眉，田聖芳，蔣欣欣（1991）。質性研究 : 田野研究法於護理學之應用。台北：巨流圖書公司。
熊瑞梅，周顏玲（2000）。兩性在工作與家庭上的不平等。生態趨勢研討會。
崔洲英（1999）。特殊家庭消費者物價指數編制作業。主計月報，88，34-43。
陳琪婷，陳政雄，謝邦昌（2001）。影響國人年節餐飲消費行為之因素探討。第六屆餐飲管理學術研討會。
黃思華（2000）。大台北地區夫妻飲食及相關因子之探討。國立台灣師範大學家政教育研究所碩士論文。
黃瑞琴（1997）。質的教育研究方法。台北市：心理出版社。
黃政傑（1996）。質的教育研究 : 方法與實例。 台北：漢文。
鄧景衡（1997）。飲食加速度--社會的時空張力與飲食文化意義的產製。聯合文學，12，60-65。
曹添旺（1996）。台灣家庭所得不均度的分解與變化試析，1980-1993。人文及社會科學集刊，8(2)，181-129。
曹添旺、張植榕（2000）。台灣家庭高低所得階層屬性分佈與所得分配。國家科學委員會研究彙刊，10，344-361。
甯愛玲（1984）。台北市家庭消費結構之預測。國立台北商專學報，23，194-222。
連鎖店情報（2000）。消費者外食機率上揚餐飲業者利多。連鎖店情報，43，27-30。
歐用生（1989）。質的研究。 台北：師大書苑。
鄭金寶（2001）。外食人口的營養問題。台灣地區飲食文化與國民健康研討會論文集。
二、 英文部份
Adler N.E and Ostrove J.M (1999). Socioeconomic Status and Health: What We Know and What We Don’t. Annals of the New York Academy of Sciences, 896(1), 3-16.
Alaimo K, Briefel RR, Frongillo EA Jr, Olson CM (1998). Food insufficiency exists in the United States: results from the third National Health and Nutrition Examination Survey (NHANES III).Amerianr Journal of Public Health, 88(3), 419-426.
Alaimo K, Olson CM, Frongillo EA Jr, Briefel RR. (1999). Food insufficiency, family income, and health in US preschool and school-aged children.American Journal of Public Health, 91(5), 781-786.
Baum A., Garofalo J.P. and Yali A.M.(1999). Socioeconomics status and chronic stress: does stress account for SES effects on health ? Annals of the New York Academy of Sciences, 896, 131-144.
Birch L.L. and Fisher J.O.(1997). Development of Eating Behaviors Among Children and Adolescents Human Development and Family Studies Journal of The American Dietetic Association, 93, 539-547.
Coughenour M.C. (1972). Functional aspects of food consumption activity and family life cycle stages. Journal of Marriage and the Family,71, 651-664.
Cross.A.T., (1980). USDA’S strategies for the 80s:Nutrition education. Journal of The American Dietetic Association, 76, 333-337.
Cross B.,Herrmann R.O. and Warland R. H.(1975). Effect of family life-cycle stage on concerns about food selection. Perspectives in practice, 67, 131-134.
Degarmo D.S and Capaldi D.M. (1999). Social Class as a Moderator of Income Effects on Stress and Health Outcomes across Nine Years Annals of the New York Academy of Sciences, 896(1), 318-320.
Dryson E., Metcalf P., Baker J. and Scragg R.(1992) The relationaship between body mass index and socioeconomic status in New Zealand: enthinc and occupational factors, New Zealand Medical Journal, 105(936), 233-235.
Drewnowski A. (2000) Nutrition transition and global dietary trends. Nutrition, (60)7, 468-487.
Freeman H.P. (1989) Cancer in the socioeconomically disadvantaged. Cancer ,39, 266-288.
Garn SM, Hopkins PJ, Ran AS.(1981)Differential fatness gain of low income boys and girls. American Journal of Clinical Nutrition, 34(8), 1465-1468.
Hartman T.J. ; Pamela R.M ; Park R.J (1994) Focus group responses of potential participants in a nutrition education program for individuals with limited literacy skills. Journal of the American Dietetic Association, 94(7), 744-748
Horswill LJ, Yap C. (1999). Consumption of foods from the WIC food packages of Chinese prenatal patients on the US west coast. Journal of American Dietetics Association, 99(12), 1549-1553.
Hakeem R(2000). Socio-economic differences in height and body mass index of children and adults living in urban areas of Karachi, Pakistan. European Journal of Clinical Nutrition, 55(5), 400-406.
Jeffery R.W., Freench S.A., Forster J.L. and Spry V.M. (1991). Socioeconomic status differences in health behaviors related to obesity: the health worker project. International Journal of Obesity,15(10), 689-696.
Kaplan G.A.(1999). What is the role of the social environment in understanding inequalities in health? Annals of the New York Academy of Sciences, 896, 116-119.
Lappalainen R.,Koikkalainen M., Julkunen J.,Saarinen T.,and Mykkanen H.(1998). Association of sociodemographic factors with barriers reported by patients receiving nutrition counseling as part of cardiac rehabilitation. Journal of the American Dietetic Association, (98)9, 1026-1029.
Macario E, Emmons K.M., Sorensen G., Hunt M.K., and Rudd R.E.(1998). Factors influencing nutrition education for patients with low literacy skills. Journal of the American Dietetic Association, 98(5), 559-564.
McArthur L, Pena M. and Holbert D.(2001). Effects of socioeconomic status on the obesity knowledge of adolescents form six Latin American cities. International Journal of Obesity Relate Metabolic Disorder, 25(8), 1262-1268.
Moussa M.A., Skaik M.B., Selwanes S.B., Yaghy O.Y. and Bin-Othman S.A.(1994). Factors associated with obesity in school children. Journal of Obesity Relate Metabolic Disorder, 18(7), 513-515.
Murphy M.J.(1980). Impact of EFNEP on some nutrition-related practices. Journal of the American Dietetic Association, 76, 570-574
Nelson M. (1986). The distribution of nutrient intake within families. British Journal of Nutrition, 55, 267-277.
Omar M.A.,Coleman G. and Hoerr S.(2001). Healthy eating for rural low-income toddlers : caregivers’ perceptions. Journal of Community Health Nursing, 18(2), 93-106.
Overholt C, Sellers SG, Mora JO, de Paredes B, Herrera MG(1982). The effects of nutritional supplementation on the diets of low-income families at risk of malnutrition. American Journal Clinical Nutrition, 6(6), 1153-1161.
Parnell K., Sargent R., Thompson S.H., Duhe S.F., Valois R.F. and Kemper R.C.(1996). Black and white adolescent females’ perceptions of ideal body size. Journal of School Health, 66(3), 112-118.
Quan T, Salomon J, Nitzke S, Reicks M.(2000). Behaviors of low-income mothers related to fruit and vegetable consumption. Journal of American Dietetics Association, 100(5), 567-570.
Reicks M, Randall JL, Haynes BJ(1994). Factors affecting consumption of fruits and vegetables by low-income families. Journal of American Dietetics Association, 94(11), 1309-1311.
Riet H, Hartog AP, Mwangi AM, Mwadime RK, Foeken DW, van Staveren WA. (2001). The role of street foods in the dietary pattern of two low-income groups in Nairobi. European Journal of Clinical Nutrition, 55(7), 562-570.
Sanjur D, Garcia A, Aguilar R, Furumoto R, Mort M.（1990）. Dietary patterns and nutrient intakes of toddlers from low-income families in Denver, Colorado. Journal of the American Dietetic Association, 90(6), 823-9.
Schafer R.B. and Keith P.M.(1981). Influences in food decisinons across the family life cycle. Journal of the American Dietetic Association, (78), 144-148.
Stratton P. and Bromley K.(1999). Families’ accounts of the causal processes in food choice. Appetite, 33, 89-108.
Singhal S., Gupta P., Mathur B., Banda S. and Gupta R.(1998). Educational status and dietary fat anti-oxidant intake in urban subjects. Journal Association Physician India, 46(8), 684-688.
Taren DL, Clark W, Chernesky M, Quirk E. (1990). Weekly food servings and participation in social programs among low income families.American Journal of Public Health, 80(11), 1376-1378.
Tredici A.D.(1988). Evaluation study of the California Expanded food and nutrition education program:24-hour food recall data. Journal of the American dietetic Association, 88(2), 185-189
Travers KD(1996).The social organization of nutritional inequities. Social Science Medicine, 43(4), 543-553.
Winkleby M.A., Jatulis D.E., Frank E., Fortmann S.P. (1992). Socioeconomic status and health: how education, income, and occupation contribute to risk factors for cardiovascular disease. American Journal of Public Health, 82, 816-820.