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研究生:林俊佑
研究生(外文):Chun-Yu Lin
論文名稱:影響人類乳突病毒疫苗接種行為因素之探討-以台灣南部地區為例
論文名稱(外文):Human Papilloma Virus Vaccine Vaccination Rate Discussion-A Case Study in Southern Taiwan
指導教授:楊智育楊智育引用關係
指導教授(外文):Chih-Yu Yang
學位類別:碩士
校院名稱:義守大學
系所名稱:管理碩博士班
學門:商業及管理學門
學類:企業管理學類
論文種類:學術論文
論文出版年:2016
畢業學年度:104
語文別:中文
論文頁數:55
中文關鍵詞:子宮頸癌人類乳突病毒疫苗疫苗接種行為
外文關鍵詞:Cervical cancerHPV vaccinesvaccination behavior
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依據世界衛生組織的數據顯示,子宮頸癌是造成全球女性癌症死亡的第二大死因,每年全球子宮頸癌的病例超過五十萬,其中約有二十八萬名病患死亡。在台灣,根據2015年最新癌症發生資料顯示,子宮頸癌在女性癌症發生率及死亡率皆排名為第七。癌症的處理透過公共衛生之三段五級預防,一直以來早期發現、早期治療是最根本的原則,透過目前普及30歲以上定期抹片檢查,已經大幅度降低子宮頸癌發生率及死亡率。子宮頸癌目前是唯一可透過疫苗進行預防的癌症,除了透過抹片檢查早期發現並治療,若是能夠加上提倡人類乳突病毒疫苗施打預防子宮頸癌,更能降低子宮頸癌的發生以造福全球的婦女同胞。因此,本研究目的探討子宮頸癌疾病認知與疫苗接種及人口變項與子宮頸癌疾病認知、疫苗接種之相關性,來提高疫苗接種率,研究以問卷調查的方式進行,針對雲林、台南、高雄地區六間婦產科診所219位就診女性調查,結果顯示:(1)知識量表中子宮頸癌危險知識得分、人類乳突病毒知識得分越高,接種疫苗比例也越高;(2) 年齡、年薪與疫苗接種有相關性;(3)人類乳突病毒疫苗訊息來源以醫療院所最多,其次是電視新聞/廣告、報紙/雜誌/書籍;(4)已接種女性表示會接種疫苗之原因以害怕得到子宮頸癌最多,其次是疫苗可以預防子宮頸癌、醫護人員建議;(5)未接種女性表示未接種疫苗之原因以害怕疫苗副作用最多,其次太忙沒有時間。

Cervical cancer is the second main cause of women cancer death worldwide according to World Health Organization data. Cervical cancer cases each year in the world are over half a million, of which about two hundred and eighty thousand patients died. Cervical cancer was also the seventh female cancer incidence, and the seventh mortality cause in Taiwan in 2015 according to the latest data. Treatment of cancer through three sections of five prevention of public health, has been early detection. And early treatment is the most fundamental principles through the current popularity over the age of 30 regularly smear which has significantly reduced cervical cancer incidence and mortality. Cervical cancer is currently the only cancer which could be prevented through vaccination, and it would be early detected and treated through a Pap smear. Moreover HPV vasscines can reduce the incidence of cervical cancer and offer benefit of the world''s women compatriots if advocates HPV vaccines administered to fight to prevent cervical cancer. Therefore the purpose of this study is to investigate the connection between cervical cancer disease awareness and vaccination and population variables and disease awareness of cervical cancer,so that the vaccination of relevance will improve vaccination coverage. In this study the questionnaire for 219 women visits from six maternity units in Yunlin, Taina,and Kaohsiung showed that: (1) knowledge scale score neutron risk of cervical cancer knowledge, knowledge of human papillomavirus higher score, the higher the proportion of vaccinated; (2 ) age, salary and vaccination correlated; (3) HPV vaccines message source mainly from medical institutions, followed by TV news, advertisement, newspapers, magazines and books; (4) women who have been vaccinated indicated that they would be vaccinated the reason to be afraid to get cervical cancer, followed by a vaccine to prevent cervical cancer, medical recommendations; (5) women who haven’t been vaccinated indicated that the main reason not to be vaccinated is that theu are afraid of the side effects of the vaccine, and then becaused they are too busy.

第一章 緒論 1
第一節 研究背景與動機 1
第二節 問題陳述與研究目的 6
第二章 文獻探討 10
第一節 疾病認知與疫苗接種探討 10
第二節 人口變項與疫苗接種意象之探討 11
第三章 研究方法 12
第一節 研究架構與假設 12
第二節 研究對象 13
第三節 研究工具 14
第四節 資料處理 15
第四章 結果與討論 16
第一節 個人背景資料、疫苗訊息來源、接種與未接種疫苗原因描述性分析 16
第二節 個人背景資料與疫苗接種、知識得分關聯性 21
第三節 知識量表描述性分析 29
第四節 知識量表與疫苗接種關聯性 33
第五章 結論與建議 38
第一節 研究結論 38
第二節 研究建議 40
參考文獻 42
附錄 問卷調查內容 44

一、中文部分
李秉穎. (2007). 疫苗接種的錯誤觀念. 台灣醫學, 11(6), 5.
李金治、李思賢、陳天順、盧玉玫、林勳. (2010). 金門縣婦女對接種人類乳突病毒疫苗之意向及相關因素研究. 30, 7.
林敬旺、龔佩珍、曾盈甄、張濤澤、蔡文正. (2008). 父母對於青少女接種人類乳突病毒疫苗接受度與影響因素探討. (碩士), 中國醫藥大學.
國民健康屬衛生福利部. (2014). 中華民國102年子宮頸癌篩檢登記報告. Retrieved from
湯澡薰. (2006). 婦女對人類乳突病毒與子宮頸癌關係的認知,對人類乳突病毒疫苗施打及篩檢的態度. Retrieved from 行政院衛生署95 年度委託研究計畫工作研究報告:
溫麗芬、洪麗珍、張彩秀. (2008). 青少女為自費接種子宮頸癌疫苗意向之相關因素探討. 台灣公共衛生雜誌, 27(2), 8.
葉樹人、陳慧祺、黃立民. (2007). 子宮頸癌疫苗. 臺灣醫學, 11(6), 5.
二、英文部分
Adams M1, J. B., Fiander A. (2007). Human papilloma virus (HPV) prophylactic vaccination: challenges for public health and implications for screening. Vaccine, 25(16), 6.
F. Xavier Bosch, S. d. S. (2003). Human Papillomavirus and Cervical Cancer—Burden and Assessment of Causality. Journal of the National Cancer Institute Monographs, 31, 10.
Gregory D. Zimet, R. M. M., Yvette Winston, Romina Kee, James Dickes, and Ling Su. (2000). Acceptability of Human Papillomavirus Immunization. JOURNAL OF WOMEN’S HEALTH & GENDER-BASED MEDICINE, 9(1), 4.
J. Monsonegoa, J. C., C. Greppec, M. Hampld, E. Jourae, A. Singer. (2010). Benefits of vaccinating young adult women with a prophylactic quadrivalent human papillomavirus (types 6, 11, 16 and 18) vaccine. Vaccine, 28, 7.
J.M. Riedesel, S. L. R., G.D. Zimet, D.I. Bernstein, B. Huang,, D. Lan, and J.A. Kahn. (2005). Attitudes about Human Papillomavirus Vaccine among Family Physicians. J Pediatr Adolesc Gyneco, 18, 9.
John T. Schiller, X. C., Suzanne M. Garland. (2012). A Review of Clinical Trials of Human Papillomavirus Prophylactic Vaccines. Vaccine, 30(5), 5.
Keith S. Reisinger, S. L. B., Eduardo Lazcano-Ponce, Rudiwilai Samakoses, Mark T. Esser, Joanne Erick, Derek Puchalski, Katherine E. D. Giacoletti, Heather L. Sings, Suzanne Lukac, , & Frances B. Alvarez, a. E. B. (2007). Safety and Persistent Immunogenicity of a Quadrivalent Human Papillomavirus Types 6, 11, 16, 18 L1 Virus-Like Particle Vaccine in Preadolescents and Adolescents. The Pediatric Infectious Disease Journal, 26(3), 8.
LAV Marlow, J. W. a. J. W. (2007). Public awareness that HPV is a risk factor for cervical cancer. British Journal of Cancer, 97(5), 4.
Lisa Rambout, L. H., Brian Hutton, Dean Fergusson. (2007). Prophylactic vaccination against human papillomavirus infection and disease in women: a systematic review of randomized controlled trials. Canadian Medical Association or its licensors, 177(5), 10.
Norman A. Constantine, a. P. J. (2007). Acceptance of Human Papillomavirus Vaccination among Californian Parents of Daughters: A Representative Statewide Analysis. Journal of Adolescent Health, 40, 8.

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