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研究生:劉思宏
研究生(外文):Sze-Hung Liu
論文名稱:台灣旅客之旅遊健康知識、態度及行為研究
論文名稱(外文):Travel Health Knowledge, Attitudes and Practices among Taiwanese Travellers
指導教授:莊人祥莊人祥引用關係林逸芬
指導教授(外文):Jen-Hsiang ChuangI-Feng Lin
學位類別:碩士
校院名稱:國立陽明大學
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
畢業學年度:97
語文別:中文
論文頁數:164
中文關鍵詞:旅遊傳染病旅遊醫學旅遊健康旅遊健康資訊管道
外文關鍵詞:Travel-related infectious diseaseTravel medicineTravel healthSource of travel health information
相關次數:
  • 被引用被引用:9
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  • 評分評分:
  • 下載下載:188
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計畫背景:
隨著全球化的過程,國際交流及各式商務、觀光旅遊活動日益頻繁,傳染病的全球傳播已成為重要的公共衛生議題。近年來,台灣旅客出國旅行的情形益發普遍,每年都有大量的旅客前往傳染病盛行的東南亞國家進行旅遊及商務活動。旅遊引起的境外移入傳染病日益常見,使得越來越多的民眾限於感染旅遊相關疾病的風險。因此,相關單位需要積極的教育民眾,使其在出國前即能針對不同程度的疾病風險做出因應準備。

研究方法:
本研究於2009 年5‐6 月間,以橫斷研究法,在台灣桃園國際機場及小港國際機場執行對台灣籍、年滿18 歲、前往東南亞之旅客進行問卷調查。

研究結果:
(1)旅客獲得旅遊相關健康資訊的管道以「網路」(60.9%)為主,多數旅客(63.3%)會在出國前搜尋目的地旅遊相關健康資訊;(2)旅客對於旅遊傳染病的正確認知情形,普遍為中低程度認知(1.8~2.3 題),對於登革熱的認知情形表現較佳。旅客前往具瘧疾風險的各國,攜帶有瘧疾用藥者僅2 人(0.4%),與旅客正確認知目的地風險的高比例(79.1%)相較,顯示預防準備的情形仍相當缺乏;(3)性別、年齡、教育程度和預計出遊日數為旅遊健康資訊搜尋行為的顯著預測變項;(4)年齡與各傳染病的主要傳染途徑認知有關,年紀越長者正確選擇各疾病主要傳染途徑的比例愈高,旅遊傳染病的正確知識題數與旅客是否選擇正確預防措施有相關。
根據本研究結果,政府相關單位應加強宣導旅遊傳染病的相關知識,以及旅遊門診或旅遊醫學中心的服務。
Background
Globalization facilitates the spread of disease and increases the number of travelers who will be exposed to a different health environment. Recently, traveling to South‐East Asia countries where malaria, dengue fever, hepatitis A and typhoid fever are prevalent has become very common among Taiwanese travelers. This increase in international travel is putting more and more people at risk of travel‐related illnesses.
Method
An airport survey conducted in 2 international airports in Taiwan during May to June, 2009. A questionnaire with 44 items was administered to 460 Taiwanese travelers who’re older than 18 years old and the destination belong to South‐East Asia countries.
Results
Results from the analysis revealed: (1)Most travelers sought travel health information before their trip and ‘Internet’ is the most common source for travelers seeking travel health information. (2)Travelers have mid to low level of knowledge on travel‐related infectious disease, but having higher knowledge level on Dengue Fever.
There are only 2 travelers had carry anti‐malaria chemoprophylaxis in this study. (3)Gender, age, educational level and the length of trip are significant predict factors
on travel health information seeking behavior. (4)Older travelers have higher percentage to choose the correct transmission route on each disease.
Conclusion
According to the results from this survey, government should make more effort on
promoting travel health knowledge, travel clinics or travel health center.
目錄
中文摘要----------------------------------------------------------------------------------I
英文摘要---------------------------------------------------------------------------------II
目錄--------------------------------------------------------------------------------------III
圖目錄------------------------------------------------------------------------------------V
表目錄-----------------------------------------------------------------------------------VI
第一章 前言
第一節 研究背景--------------------------------------------------------------------1
第二節研究目的--------------------------------------------------------------------3
第三節研究重要性-----------------------------------------------------------------4
第二章文獻探討
第一節 全球化與旅遊健康議題--------------------------------------------------5
第二節 旅遊傳染病-----------------------------------------------------------------7
第三節 國際旅客之旅遊健康知識、態度及行為----------------------------14
第三章研究方法
第一節 研究架構-------------------------------------------------------------------18
第二節 研究工具-------------------------------------------------------------------21
第三節研究對象與資料蒐集方法----------------------------------------------23
第四節研究倫理-------------------------------------------------------------------27
第五節變項定義-------------------------------------------------------------------29
第六節 資料分析方法-------------------------------------------------------------31
第四章研究結果
第一節 問卷回收情形-------------------------------------------------------------32
第二節描述性統計----------------------------------------------------------------33
第三節旅程目的地與旅遊傳染病染病風險認知之正確性----------------52
第四節影響旅客旅遊醫療相關因素之分析----------------------------------56
第五節影響旅客旅遊傳染性疾病相關因素之分析-------------------------85
第六節旅遊健康資訊搜尋行為之知識、態度及行為之相關------------123
第七節旅遊傳染病之知識、態度及行為之相關---------------------------128
第五章討論與建議
第一節 討論------------------------------------------------------------------------133
第二節建議------------------------------------------------------------------------140
第三節研究限制------------------------------------------------------------------141
參考文獻
引用項目------------------------------------------------------------------------------142
參考項目------------------------------------------------------------------------------145
附錄
一、受試者同意書
二、台灣旅客對旅遊傳染病相關知識、態度及行為調查問卷
三、國立陽明大學人體試驗暨倫理委員會同意臨床試驗證明書
參考文獻
引用項目
Abdullah, A. S. M., & Hamer, D. H. (2006). Travel-related health problems of Hong Kong residents: Assessing the need for travel medicine services. Travel Medicine and Infectious Disease, 4(6), 324-331.
Baker, L., Wagner, T. H., Singer, S., & Bundorf, M. K. (2003). Use of the Internet and E-mail for Health Care Information: Results From a National Survey. JAMA, 289(18), 2400-2406.
Basnyat, B., Maskey, A. P., Zimmerman, M. D., & Murdoch, D. R. (2005). Enteric (Typhoid) Fever in Travelers. Clinical Infectious Diseases, 41(10), 1467-1472.
Colbert, D. (2006). Knowledge, attitudes and practices (KAP) of Irish travellers. The Irish Journal of Clincial Medicine, 36(5), 17-21.
Crump, J. A., Luby, S. P., & Mintz, E. D. (2004). The global burden of typhoid fever. Bulletin of the World Health Organization, 82, 346-353.
David R. Hill (2000). Health Problems in a Large Cohort of Americans Traveling to Developing Countries. Journal of Travel Medicine, 7(5), 259-266.
Freedman, D. O., Weld, L. H., Kozarsky, P. E., Fisk, T., Robins, R., von Sonnenburg, F., et al. (2006). Spectrum of Disease and Relation to Place of Exposure among Ill Returned Travelers. New England Journal of Medicine, 354(2), 119-130.
Genton, B., & Behrens, R. H. (1994). Specialized Travel Consultation Part I: Travelers' Prior Knowledge. Journal of Travel Medicine
1(1), 8-12.
Hamer, D. H., & Connor, B. A. (2004). Travel health knowledge, attitudes and practices among United States travelers. Journal of Travel Medicine, 11(1), 23-26.
Heukelbach, J., Gomide, M., Araujo, F., Jr., Pinto, N. S., Santana, R. D., Brito, J. R., et al. (2007). Cutaneous larva migrans and tungiasis in international travelers exiting Brazil: an airport survey. Journal of Travel Medicine, 14(6), 374-380.
Hill, D. R. (2000). Health problems in a large cohort of Americans traveling to developing countries. Journal of Travel Medicine, 7(5), 259-266.
Jay S. Keystone MD (2001). Preventing Malaria in International Travelers. Journal of Travel Medicine, 8(s3), S41-S41.
Jelinek, T., & Mühlberger, N. (2005). Surveillance of imported diseases as a window to travel health risks. Infectious Disease Clinics of North America, 19(1), 1-13.
Jelinek, T., Mühlberger, N., Harms, G., Corachán, M., Grobusch, M. P., Knobloch, J., et al. (2002). Epidemiology and Clinical Features of Imported Dengue Fever in Europe: Sentinel Surveillance Data from TropNetEurop. Clinical Infectious Diseases, 35(9), 1047-1052.
Jonathan M. Reed, I. B. M., Kevin Powers, (1994). Travel Illness and the Family Practitioner: A Retrospective Assessment of Travel-Induced Illness in General Practice and the Effect of a Travel Illness Clinic. Journal of Travel Medicine, 1(4), 192-198.
Leder, K., Black, J., O'brien, D., Greenwood, Z., Kain, K. C., Schwartz, E., et al. (2004). Malaria in Travelers: A Review of the GeoSentinel Surveillance Network. Clinical Infectious Diseases, 39(8), 1104-1112.
Lee VJ, W.-S. A. (2006). Travel characteristics and health practices among travellers at the travellers' health and vaccatination clinic in Singapore. Ann Acad Med Singapore, 35(10), 667-673.
Leggat, P. A. (2007). Assessment of febrile illness in the returned traveller. [Theme]. Travel medicine, 36(5), 328-333.
Lopez-Velez, R., & Bayas, J. M. (2007). Spanish travelers to high-risk areas in the tropics: airport survey of travel health knowledge, attitudes, and practices in vaccination and malaria prevention. Journal of Travel Medicine, 14(5), 297-305.
Loutan, L. (2003). Malaria: still a threat to travellers. International Journal of Antimicrobial Agents, 21(2), 158-163.
Mutsch, M., Spicher, V. M., Gut, C., & Steffen, R. (2006). Hepatitis A Virus Infections in Travelers, 1988??004. Clinical Infectious Diseases, 42(4), 490-497.
O'Brien, D., Tobin, S., Brown, G. V., & Torresi, J. (2001). Fever in Returned Travelers: Review of Hospital Admissions for a 3-Year Period. Clinical Infectious Diseases, 33(5), 603-609.
Parry, C. M., Hien, T. T., Dougan, G., White, N. J., & Farrar, J. J. (2002). Typhoid Fever. The New England Journal of Medicine, 347(22), 1770-1782.
Provost, S., & Soto, J. C. (2002). Perception and knowledge about some infectious diseases among travelers from Quebec, Canada. Journal of Travel Medicine, 9(4), 184-189.
Robert Steffen, Chiara deBernardis, & Baños, A. (2003). Travel epidemiology--a global perspective. International Journal of Antimicrobial Agents, 21(2), 89-95.
Robert Steffen, & Herbert L. DuPont (2002). Manual of Travel Medicine and Health 旅遊醫學與健康手冊 (李企桓, Trans. 初版 ed.): 合記圖書出版社.
Ryan, E. T., Wilson, M. E., & Kain, K. C. (2002). Illness after International Travel. New England Journal of Medicine, 347(7), 505-516.
Séverine Ansart, L. P., Olivier Vergely, Martin Danis, François Bricaire, Eric Caumes, (2005). Illnesses in Travelers Returning from the Tropics: A Prospective Study of 622 Patients. Journal of Travel Medicine, 12(6), 312-318.
Shmuel Stienlauf, G. S., Yechezkel Sidi, Eli Schwartz, (2005). Epidemiology of Travel-Related Hospitalization. Journal of Travel Medicine, 12(3), 136-141.
Smith, R. D. (2003). Global public goods and health. Bulletin of the World Health Organization, 81, 475-475.
Toovey, S., Jamieson, A., & Holloway, M. (2004). Travelers' knowledge, attitudes and practices on the prevention of infectious diseases: results from a study at Johannesburg International Airport. Journal of Travel Medicine, 11(1), 16-22.
UNWTO (2006). International Tourist Arrivals. In E. Tourism Market Trends (Ed.): World Tourism Organization (UNWTO).
Van Herck, K., Van Damme, P., Castelli, F., Zuckerman, J., Nothdurft, H., Dahlgren, A. L., et al. (2004). Knowledge, attitudes and practices in travel-related infectious diseases: the European airport survey. Journal of Travel Medicine, 11(1), 3-8.
Van Herck, K., Zuckerman, J., Castelli, F., Van Damme, P., Walker, E., & Steffen, R. (2003). Travelers' knowledge, attitudes, and practices on prevention of infectious diseases: results from a pilot study. Journal of Travel Medicine, 10(2), 75-78.
WHO International Tourist Arrivals, 1950-2020, Tourism 2020 Vision: (WTO), World Tourism Organization.
WHO (2002). International Travel and Health 合記圖書出版社.
WHO (2008). Malaria risk areas, 2008 In Malaria risk areas (Ed.): World Health Organization (WHO).
WHO (2009). Hepatitis A, from http://www.who.int/csr/disease/hepatitis/whocdscsredc2007/en/index1.html
Wilder-Smith, A., Khairullah, N. S., Song, J. H., Chen, C. Y., & Torresi, J. (2004). Travel health knowledge, attitudes and practices among Australasian travelers. Journal of Travel Medicine, 11(1), 9-15.
Wilson, M. E., Weld, L. H., Boggild, A., Keystone, J. S., Kain, K. C., Sonnenburg, F. v., et al. (2007). Fever in Returned Travelers: Results from the GeoSentinel Surveillance Network. Clinical Infectious Diseases, 44(12), 1560-1568.
Yoo, Y. J., Bae, G. O., Choi, J. H., Shin, H. C., Ga, H., Shin, S. R., et al. (2007). Korean travelers' knowledge, attitudes, and practices regarding the prevention of malaria: measures taken by travelers departing for India from Incheon International Airport. Journal of Travel Medicine, 14(6), 381-385.
行政院衛生署疾病管制局 (2008, 2007/10/24). 旅遊傳染病資訊, from http://www.cdc.gov.tw/ct.asp?xItem=5633&CtNode=1544&mp=1

參考項目
Abdullah AS, H.D., Travel-related health problems of Hong Kong residents: Assessing the need for travel medicine services. Travel Med Infect Dis, 2006. 4(6): p. 324-331.
Angell, S. and M. Cetron, Health disparities among travellers visiting friends and relatives abroad. Ann Intern Med, 2005. 142: p. 67 - 72.
Askling, H., et al., Malaria risk in travellers. Emerg Infect Dis, 2005. 11: p. 436 - 441.
Brabin, B.J. and Y. Ganley, Imported malaria in children in the UK. Arch Dis Child, 1997. 77(1): p. 76-81.
Dollar, D., Is globalization good for your health? Bulletin of the World Health Organization, 2001. 79: p. 827-833.
Frank G. J. Cobelens, J.G., Albert D. M. E. Osterhaus, Anne Leentvaar-Kuipers, Pauline M. E. Wertheim-van Dillen, Piet A. Kager,, Incidence and risk factors of probable dengue virus infection among Dutch travellers to Asia. Tropical Medicine & International Health, 2002. 7(4): p. 331-338.
Frank G.J. Cobelens, S.K., Anita Warris-Versteegen, Leo G. Visser,, Typhoid Fever in Group Travelers: Opportunity for Studying Vaccine Efficacy. Journal of Travel Medicine, 2000. 7(1): p. 19-24.
Genton, B. and R.H. Behrens, Specialized Travel Consultation Part II: Acquiring Knowledge. J Travel Med, 1994. 1(1): p. 13-15.
Guerin, P., et al., Using European travellers as an early alert to detect emerging pathogens in countries with limited laboratory resources. BMC Public Health, 2007. 7(1): p. 8.
Hans O. Lobel, M.A.B., Franz A. Gras, Gail M. Stennies, Petra Meerburg, Elizabeth Hiemstra, Monica Parise, Merab Odero, Peter Waiyaki,, Use of Malaria Prevention Measures by North American and European Travelers to East Africa. Journal of Travel Medicine, 2001. 8(4): p. 167-172.
Hay, S.I., et al., The global distribution and population at risk of malaria: past, present, and future. The Lancet Infectious Diseases, 2004. 4(6): p. 327-336.
Huynen, M., P. Martens, and H. Hilderink, The health impacts of globalisation: a conceptual framework. Globalization and Health, 2005. 1(1): p. 14.
Jelinek, T., Dengue Fever in International Travelers. Clinical Infectious Diseases, 2000. 31(1): p. 144-147.
Leder, K., et al., Travel Medicine: Illness in Travelers Visiting Friends and Relatives: A Review of the GeoSentinel Surveillance Network. Clinical Infectious Diseases, 2006. 43(9): p. 1185-1193.
Legros, F. and M. Danis, World Malaria Report 2005
Jelinek, T. and N. Mühlberger, Surveillance of imported diseases as a window to travel health risks. Infectious Disease Clinics of North America, 2005. 19(1): p. 1-13.
Maria Guzmân, G.K., et al., Dengue, one of the great emerging health challenges of the 21st century. Expert Review of Vaccines, 2004. 3(5): p. 511-520.
Massad, E., et al., The risk of chikungunya fever in a dengue-endemic area. J Travel Med, 2008. 15(3): p. 147-55.
Maurilio Bruni, R.S., Impact of Travel-Related Health Impairments. Journal of Travel Medicine, 1997. 4(2): p. 61-64.
Mermin, J.H., et al., Typhoid Fever in the United States, 1985-1994: Changing Risks of International Travel and Increasing Antimicrobial Resistance. Arch Intern Med, 1998. 158(6): p. 633-638.
Millet, J.P., et al., Imported malaria in a cosmopolitan European city: A mirror image of the world epidemiological situation. Malaria Journal, 2008. 7(1): p. 56.
Parellada, N., et al., The Impact of Malaria, a Leading Cause of Death Worldwide
Paludismo. Analisis de 149 casos (1981-1987). Centers for Disease Control and Prevention, 1990. 8: p. 25 - 31.
Priscilla Robinson, A.W.J., Mona Tachado, Allen Yung, Joe Manitta, Kath Taylor, Beverley-Ann Biggs,, Imported Malaria Treated in Melbourne, Australia: Epidemiology and Clinical Features in 246 Patients. Journal of Travel Medicine, 2001. 8(2): p. 76-081.
Robert Steffen, H.L.D., Travel Medicine: What's That? Journal of Travel Medicine, 1994. 1(1): p. 1-3.
Roberto Romi, G.S., Giancarlo Majori,, Malaria Epidemiological Situation in Italy and Evaluation of Malaria Incidence in Italian Travelers. Journal of Travel Medicine, 2001. 8(1): p. 6-011.
Roger Weber, P.S., Lorenz Amsler, Robert Steffen,, Knowledge, Attitudes and Practices of Business Travelers Regarding Malaria Risk and Prevention. Journal of Travel Medicine, 2003. 10(4): p. 219-224.
Ropers, G., et al., Nationwide survey of the role of travel medicine in primary care in Germany. J Travel Med, 2004. 11(5): p. 287-94.
Schunk, M., W. Wachinger, and H.D. Nothdurft, Vaccination status and prophylactic measures of travelers from Germany to subtropical and tropical areas: results of an airport survey. J Travel Med, 2001. 8(5): p. 260-2.
Schwartz, E., E. Mendelson, and Y. Sidi, Dengue fever among travelers. The American Journal of Medicine, 1996. 101(5): p. 516-520.
Steffen, A.-L.D.a.L.D.b.R., Prevention of travel-related infectious diseases: Knowledge, practices and attitudes of Swedish travellers Scandinavian Journal of Infectious Diseases, 2006. 38(11&12): p. 1074-1080.
Steinberg, E.B., et al., Typhoid Fever in Travelers: Who Should Be Targeted for Prevention? Clinical Infectious Diseases, 2004. 39(2): p. 186-191.
Susan L. Ivatts, A.J.P., Robert J. Condon,, Travel Health: Perceptions and Practices of Travel Consultants. Journal of Travel Medicine, 1999. 6(2): p. 76-80.
Susan M. Laver, J.W., Ron H. Behrens,, Knowledge of Malaria, Risk Perception, and Compliance with Prophylaxis and Personal and Environmental Preventive Measures in Travelers Exiting Zimbabwe from Harare and Victoria Falls International Airport. Journal of Travel Medicine, 2001. 8(6): p. 298-303.
Wilder-Smith, A. and E. Schwartz, Dengue in Travelers. N Engl J Med, 2005. 353(9): p. 924-932.
Woodward, D., et al., Globalization and health: a framework for analysis and action. Bulletin of the World Health Organization, 2001. 79: p. 875-881.
Yach, D. and D. Bettcher, The globalization of public health, I: Threats and opportunities. Am J Public Health, 1998. 88(5): p. 735-744.
簡慧儀 and 李雪梅, 桃園國際機場發燒篩檢站成效概況分析, 衛生署疾病管制局第二分局, Editor. 2008, 疾病管制局疫情報導. p. 38-50.
交通部觀光局之觀光政策白皮書.
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