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研究生:洪文馨
研究生(外文):Wen-ShinHung
論文名稱:探討台灣之新移民在返鄉期間採取蟲媒傳染病預防行為的影響因子
論文名稱(外文):Prediction of anti-vectorial preventive measures useamong Taiwan immigrants returning to malaria-endemic regions
指導教授:陳國東陳國東引用關係
指導教授(外文):Kow-Tong Chen
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:82
中文關鍵詞:蟲媒傳染病健康信念模式預測台灣
外文關鍵詞:Insect-borne infectious diseaseshealth belief modelpredictTaiwan
相關次數:
  • 被引用被引用:7
  • 點閱點閱:210
  • 評分評分:
  • 下載下載:22
  • 收藏至我的研究室書目清單書目收藏:2
研究背景: 移民與探訪親友是旅遊感染蟲媒傳染病之高危險族群,而我國之新
移民大多來自蟲媒傳染病流行地區,因此其返鄉是否採取預防行為成為感染疾
病與否的重要因子。
研究目的: 境外移入蟲媒傳染病為我國境外移入病例之主要疾病,本研究目的
為使用健康信念模式探討台灣的新移民在返回母國時採取蟲媒預防行為的影
響因子。
研究方法: 利用結構式問卷訪談在2011 年6 月至10 月期間,曾至台北或台南
移民服務中心且在過去五年曾經返回東南亞及大陸地區之新移民,將被納入本
研究中。
結果: 一共有316 位新移民完成問卷,回應率為87%。平均年齡為37.5 歲(標
準差9.9)。大部分(70%)的新移民皆未接受旅遊前的健康風險諮詢;超過4 成以
上的新移民未採取預防蚊蟲叮咬的措施。利用多變項羅吉斯迴歸分析顯示中文
程度、旅遊前風險諮詢、較低的疾病易感受性和較高的預防行為之自我效能可
有效地預測新移民在返鄉期間的預防蚊蟲叮咬行為(R2, 0.18; χ2,36.91; p 〈
0.05)。
結論: 健康信念模式可以有效地預測預防蚊蟲叮咬的行為。但是,有高比例的
新移民在返回母國時未採取適當的預防行為。瘧疾的風險教育應該針對返回瘧
疾流行地區之新移民。
Background: Immigrants and visiting friends and relatives (VFR) are the high-risk groups of infected with insect-borne infectious diseases, and the immigrants in Taiwan are mostly come from southeast Asia where are the insect-borne disease
endemic areas, so whether they take anti-vectorial preventive measures (AVPMs) become an important factor for infection.
Objective: The aim of this study was to investigate the predictors of anti-vectorial preventive measures (AVPMs) among Taiwan immigrants returning to their country of origin using the Health Belief Model (HBM).
Methods: Between June and October 2011, all permanent immigrants originating from southeast Asia or China, attended by either the Taipei or Tainan Immigrant
Service Center, Taiwan, and who reported a history of returning to their country of origin within the preceding 5 years were enrolled.
Results: Complete information was collected from 316 immigrants, with a response rate of 87% (316/364). The mean age of the subjects was 37.5 years (SD=9.9). The majority (70%) of participants did not receive travel information through a pre-travel consultation; more than 40% reported that they did not use measures to prevent insect bites. Multiple regression analyses revealed that variables including Chinese proficiency, travel consultation before travel, lower perceived susceptibility, and higher self-efficacy could significantly predict the use of AVPMs during the return to their country of origin.
Conclusion: The health belief model can effectively predicted the use of AVPMs. However, a high proportion of immigrants return to their home country fails to take
appropriate preventive behaviors. The education of risk should be targeted on the immigrants, whom returning to insect-borne diseases endemic regions.
目錄
圖目錄 VIII
表目錄 IX
第一章 前言 1
第一節 研究背景 1
第二節 研究問題與動機 3
第三節 研究目的 3
第二章 文獻探討 5
第一節 疾病背景介紹 5
1.1 瘧疾 5
1.2 登革熱 6
第二節 瘧疾與登革熱之流行病學 8
2.1 瘧疾 8
2.2 登革熱 10
第三節 蟲媒傳染病防制措施 14
3.1 防禦法 15
3.2 環境管理 15
3.3 化學防制法 15
第四節 健康信念模式 18
4.1健康信念模式架構 18
4.2健康信念模式應用 20
第三章 研究材料與方法 23
第一節 研究設計與架構 23
第二節 研究對象 24
2.1研究樣本 24
2.2樣本數估計 24
第三節 研究工具及信效度檢定 25
3.1問卷設計 25
3.2問卷預試 27
3.3正式問卷之信效度檢定 27
第四節 研究步驟 28
第五節 資料處理與分析 28
2.1描述性統計 29
2.2推論性統計 29
第四章 研究結果 30
第一節 研究對象之基本人口學特徵 30
第二節 研究對象之旅遊史 31
第三節 研究對象之蟲媒傳染病預防知識、健康信念、自我效能 32
3.1蟲媒傳染病預防知識 32
3.2蟲媒傳染病預防健康信念 32
第四節 研究對象之知識、健康信念、行動線索與自我效能之關係 34
第五節 研究對象之社會人口學變項與健康信念、自我效能與預防叮咬行為之相關 35
5.1國籍與蟲媒傳染病之健康信念的相關 35
5.2教育程度與健康信念的相關性檢定 36
5.3中文程度與健康信念的相關性檢定 36
5.4家庭收入與健康信念的相關性檢定 36
5.5來台時間與健康信念的相關性檢定 36
5.6人口學變項與知識之相關 37
5.7人口學變項與預防叮咬行為的相關 37
5.8健康信念、知識與預防行為的相關 37
5.9自覺罹患性與預防行為的相關 37
5.10自我效能與預防行為之相關 38
第六節 研究對象之社會人口學變項、知識、健康信念、行動線索、自我效能對預防叮咬行為之預測力 38
第五章 討論 40
第一節 研究對象之人口學與健康信念分布 40
第二節 研究對象之社會人口學變項、知識、健康信念、行動線索、自我效能與預防叮咬行為之相關 42
第三節 研究對象之人口學變項、知識、健康信念、行動線索、自我效能對預防叮咬行為之預測力 43
第四節 研究貢獻 44
第五節 研究限制 44
5.1 研究對象 44
5.2 研究變項 45
5.3 研究方法 45
第六章 結論與建議 46
第一節 結論 46
1.1人口學變項與知識 46
1.2人口學變項與健康信念 46
1.3蟲媒傳染病知識與健康信念 46
1.4影響採取預防蚊蟲叮咬行為的相關因子 46
第二節 建議 47
2.1衛生教育面 47
2.2政策面 48
第七章 參考文獻 49
附錄 76
一、蟲媒傳染病健康信念問卷 76
二、專家效度名單 (按姓氏筆畫排序) 82

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