臺灣博碩士論文加值系統

摘要
本研究目的在探討已婚婦女安全性行為執行情形及其相關因素。研究樣本為高雄市20-49歲已婚婦女，採隨機抽樣方式由民政局所提供資料，抽出600位已婚婦女，經郵寄方式，以不計名自填式結構問卷進行資料收集，共回收有效問卷為205份。研究工具內容包括：社會人口學變項、安全性行為、愛滋病知識、自我效能又分二個次量表，即保險套使用自我效能及性自我效能、性關係權力亦分二個次量表，即關係控制因素及決策支配因素。
本研究所得資料以SPSS.10.0套裝軟體，統計方法包括百分比、平均值、標準差、t檢定、單因子變異數分析、卡方檢定及爾森積差相關及逐步複迴歸分析。本研究結果發現:(1)已婚婦女安全性行為得分指標為58，得分情形與國內外文獻比較，顯得偏低。(2)年齡愈大執行安全性行為愈差。教育程度愈高執行安全性行為愈好。(3) 愛滋病知識題得分越高，其安全性行為得分亦高。(4) 保險套使用自我效能與安全性行為無顯著相關，而性自我效能得分越佳，執行安全性行為越好。(5) 關係控制因素與安全性行為無顯著相關，但愈有決策權者則執行安全性行為越好。(6) 愛滋病知識及性自我效能為安全性行為的顯著預測因子，可解釋安全性行為之總變異量為44.9%。
根據本研究的結果，可作為將來針對已婚婦女之族群愛滋病衛生教育之參考，及提供未來研究方向之建議。
關鍵字：安全性行為、愛滋病知識、自我效能、性關係

Abstract
The purpose of this study is to understand the safe sex behavior and related factor(s) of married women. The sample is randomly selected from a database center at the Department of Civil Services, city of Kaohsiung. Originally, there were 600 married women aged 20 to 49 years old were selected. Finally, there were 205 married women mailed back the questionnaire. The tools used in this study included: Social -demographic data, a Safe Sex Behaviors Scale, a AIDS knowledge Scale, a Self-Efficacy Scale which consists of Condom Self-Efficacy Subscale and Sexual Self-Efficacy Subscale, and a Sexual Relationship Power Scale which consisted of Relationship Control factor and Decision-
Making Dominance factor.
The computer software SPSS for windows 10.0 was used to analyze data. Percentile, standard deviation, t-test, One-way ANOVA, Chi-square test, Person’s Correlation, and stepwise multiple regression analyses were used to analyze data.
The findings of this study were as following: (1) the index score for the safe sex practice among married women is 58, which is lower than those of most foreign countries; (2) the older the women, the lower safe sex practice score they had. The higher the educational level, the better safe sex practice among married women; (3) the married women with higher score of AIDS knowledge presented higher score on safe sex practice; (4) there is no significant relationship between condom self-efficacy and safe sex practice. However, the better safe sex practice is seen among the married women who had higher sore on Sexual self-efficacy; (5) there is no significant relationship between relationship control factor and safe sex practice. The married women who had higher decision making score had better safe sex practice; (6) the important predictors of safe sex practice were AIDS knowledge and Sexual Self-Efficacy which accounted for 44.9% of total variance of safe sex practice.
The findings of this study can be used as a reference for further research in the field of health education in AIDS prevention for married women.
Key words: Safe sex behavior, AIDS knowledge, Self-efficacy, Sexual relationship power

目錄
致謝 ………………………………………………………………………Ⅰ
摘要 ………………………………………………………………………Ⅱ
英文摘要 …………………………………………………………………Ⅲ
目錄 ………………………………………………………………………Ⅴ
圖表目錄 …………………………………………………………………Ⅶ
第一章 緒論
第一節 研究背景與動機…………………………………………………1
第二節 研究目的…………………………………………………………4
第二章 文獻查證
第一節 安全性行為
一、安全性行為及其測量………………………………………………5
二、國內外婦女執行安全性行為相關研究……………………………7
第二節 影響安全性行為的相關因素
一、社會人口學變項 …………………………………………………9
二、愛滋病知識………………………………………………………12
三、自我效能…………………………………………………………13
四、性關係權力………………………………………………………15
第三章 研究架構與假設
第一節 研究架構………………………………………………19
第二節 研究假設………………………………………………19
第三節 名詞界定………………………………………………20
第四章 研究方法
第一節 研究對象……………………………………………………22
第二節 研究工具………………………………………………24
第三節 研究工具效度與信度…………………………………28
第四節 資料收集過程…………………………………………29
第五節 研究對象權益維護……………………………………30
第六節 資料分析………………………………………………31
第五章 研究結果
第一節 研究變項之描述……………………………………………33
第二節 愛滋病知識得分情形………………………………………35
第三節 安全性行為得分情形………………………………………38
第四節 自我效能得分情形…………………………………………41
第五節 性關係權力得分情形………………………………………44
第六節 各研究變項與安全性行為之關係分析………………49
第七節 安全性行為預測因子之分析…………………………51
第六章 討論
第一節 探討已婚婦女安全性行為情形……………………………56
第二節 愛滋病知識、自我效能及性關係權力得分情形……58
第三節 人口學變項與安全性行為的關係…………………………61
第四節 愛滋病知識、自我效能、性關係權力與安全性行為
之相關性………………………………………………………………63
第五節 安全性行為之重要預測因子………………………………………65
第七章 結論與建議
第一節 結論…………………………………………………………68
第二節 建議……………………………………………………69
第三節 研究限制………………………………………………71
參考文獻
一、中文部分…………………………………………………………72
二、英文部份…………………………………………………………73
附 錄
附錄一 研究問卷調查表……………………………………………82
附錄二 研究工具使用同意書………………………………………89
附錄三 專家內容效度名單…………………………………………93
圖表目錄
圖一研究架構…………………………………………………………19
表1 各行政區人口數，抽樣人數及問卷回收情形…………………24
表2 回收及未回收問卷之個案年齡分佈情形………………………24
表3 各量表之信度……………………………………………………29
表4 研究對象之人口學資料分布情形………………………………34
表5 愛滋病知識回答頻率分佈情形…………………………………36
表6 愛滋病知識得分情形……………………………………………37
表7 安全性行為回答分佈情形………………………………………39
表8 安全性行為得分情形……………………………………………40
表9 保險套使用自我效能回答分佈情形……………………………42
表10 保險套使用自我效能得分分佈 ………………………………42
表11 性自我效能回答分佈情形 ……………………………………43
表12 性自我效能得分分佈 …………………………………………44
表13 關係控制因素回答分佈情形 …………………………………46
表14 關係控制因素得分分佈 ………………………………………47
表15 決策支配因素回答分佈情形 …………………………………48
表16 決策支配因素得分分佈 ………………………………………48
表17 年齡與安全性行為間之相關分析 ……………………………50
表18 教育程度、職業、收入、宗教信仰在安全性行為之
比較分析………………………………………………………………50
表19 愛滋病知識、自我效能、性關係權力量表與安全性行為
之相關性………………………………………………………………51
表20 各變項與安全性行為之相關矩陣 ……………………………54
表21 年齡、教育程度、愛滋病知識、性自我效能、決策支配
因素變項之共線性診斷………………………………………………54
表22 年齡、教育程度、愛滋病知識、決策支配因素之
共線性診斷……………………………………………………………55
表23 年齡、教育程度、愛滋病知識、性自我效能之共線性診斷 …………………………………………………………………………55
表24 模式一、預測執行安全性行為之逐步複迴歸分析結果 …………………………………………………………………………55
表25 模式二、預測執行安全性行為之逐步複迴歸分析結果 …………………………………………………………………………55

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