(3.237.97.64) 您好!臺灣時間:2021/03/04 12:12
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果

詳目顯示:::

我願授權國圖
: 
twitterline
研究生:向芷妤
研究生(外文):Hsiang, Chih-Yu
論文名稱:探討臺灣高齡者認知環境因素與休閒娛樂、交通步行行為之關聯性研究
論文名稱(外文):Perceived environmental factors associated with leisure and transport-related walking behavior among Taiwanese elders
指導教授:廖邕廖邕引用關係
指導教授(外文):Liao, Yung
學位類別:碩士
校院名稱:國立臺灣師範大學
系所名稱:健康促進與衛生教育學系
學門:教育學門
學類:專業科目教育學類
論文種類:學術論文
論文出版年:2017
畢業學年度:105
語文別:中文
論文頁數:107
中文關鍵詞:高齡者認知環境因素休閒娛樂步行交通步行
外文關鍵詞:eldersperceived environmentwalking for transportationwalking for leisure
相關次數:
  • 被引用被引用:0
  • 點閱點閱:143
  • 評分評分:系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔
  • 下載下載:8
  • 收藏至我的研究室書目清單書目收藏:1
目的:身體活動量不足是高齡者健康的危險因子,但步行行為被認為是最適合高齡者身體活動的方式,而環境是影響一個個人是否從事步行行為的重要因素,因此本研究旨在瞭解臺灣65歲以上高齡者之認知環境因素與休閒娛樂步行及交通步行之關聯性。方法:本研究以電話訪談方式調查臺灣高齡人口之認知環境因素及從事休閒娛樂步行、交通步行的時間,共取得1,028份有效樣本,並以邏輯斯迴歸進行分析。結果:一、高齡者每週休閒娛樂步行未達150分鐘比例為45.8%;高齡者每週交通步行未達150分鐘比例為78.6%。二、教育程度越低、擁有全職工作的高齡者較難達成每週150分鐘的休閒娛樂步行;居住在南、東部及外島地區、擁有私人運輸工具者較難達成每週150分鐘的交通步行。三、高齡者認知到住家附近商店及休閒設施的易達性越高,有充足的人行道設置、社會環境、周遭景觀及充足的目的地時越會從事休閒娛樂步行 (商店易達性:OR= 1.48;95% CI=1.06-2.05、休閒設施的易達性:OR= 1.56;95% CI=1.15-2.11、人行道設置:OR= 1.47;95% CI=1.13-1.90、社會環境:OR=1.34;95%CI=1.01-1.79、周遭景觀者:OR= 1.31;95% CI=1.01-1.69、目的地的多寡:OR=1.46;95%CI=1.06-2.02)。四、高齡者認知具有足夠的人行道及充足目的地的較容易從事交通步行 (人行道的設置:OR=1.83;95%CI=1.28-2.63、目的地的多寡:OR=2.10;95%CI=1.33-3.30)。結論:未來針對臺灣高齡者提出有關提升休閒娛樂步行或交通步行時間的方案時,可先針對居住於南、東部及外島地區、教育程度較低、擁有全職工作的高齡者進行相關介入,以便進一步改善其步行時間不足之問題;另外建議各縣市政府及相關單位設計行為改變策略及方案時,可使用觀察學習及認識住家附近景點等方式提升高齡者的認知,並將改善人行道設置的完備性及提升大眾交通工具易達性作為重點改善項目。
Aims: Physical inactivity is a risk factor for the health of the elderly. Walking behavior has been considered as a recommended type for elderly to engage in physical activity. According to ecological model, the perceptions of environment are important factors affecting whether an individual is engaged in walking behavior. Therefore, the purpose of this study is to understand the relationship of the perceived environmental factors with leisure and transport-related walking behavior among Taiwanese elderly. Methods: A telephone-based cross-sectional survey of Taiwanese elderly was conducted in November 2016. Data related to personal factors, perceived environmental factors, and time spent in transportation-related and leisure walking were obtained from 1,028 elders. The data were analyzed by performing adjusted binary logistic regression. Results: After adjusting for potential confounders, the access to shops (AS), presence of sidewalks (PS), access to recreational facilities (AR), seeing people being active (SA), aesthetics (AE) and the presence of a destination (PD) were positively associated with 150 minutes of walking for leisure (AS: odds ratio [OR] = 1.48; 95% confidence interval [CI]: 1.06-2.05; PS: OR = 1.47; 95%CI: 1.13-1.90; AR: OR = 1.56; 95%CI: 1.15-2.11; SA: OR = 1.34; 95%CI: 1.01-1.79; AE: OR = 1.31; 95%CI: 1.01-1.69; PD: OR = 1.46; 95%CI: 1.06-2.02). Two perceived environmental factors, namely the presence of sidewalks (PS) and the PD were found to be positively associated with 150 minutes of walking for transportation (PS: OR = 1.83; 95% CI: 1.28-2.63; PD: OR = 2.10; 95%CI: 1.33-3.30). Different personal and perceived environmental factors were also associated with walking for leisure and transportation, respectively. Conclusions: These findings suggest that policy makers and physical activity intervention designers should develop both common and different environmental strategies in order to improve and increase awareness of the neighborhood environment to promote leisure and transportation walking behaviors among older adults.
目錄

摘要 i
ABSTRACT iii
誌謝 v
目錄 vii
表目錄 ix
圖目錄 x

第壹章 緒論 1
第一節 研究動機與背景 1
第二節 研究目的 5
第三節 研究問題 5
第四節 研究假設 6
第五節 操作型定義 6
第六節 研究限制 7
第貳章 文獻探討 9
第一節 高齡者的身體活動與步行行為 9
第二節 影響步行行為相關因素研究 15
第三節 生態模式 36
第參章 研究方法 41
第一節 研究架構 41
第二節 研究對象 43
第三節 研究工具與步驟 45
第四節 資料處理與分析 49
第肆章 結果與討論 55
第一節 臺灣高齡者個人背景因素現況 55
第二節 臺灣高齡者認知環境因素現況 63
第三節 臺灣高齡者休閒娛樂步行及交通步行現況 69
第四節 臺灣高齡者個人背景因素與休閒娛樂步行、交通步行之關係 71
第五節 臺灣高齡者認知環境因素與休閒娛樂步行、交通步行之關係 79
第伍章 結論與建議 91
第一節 結論 91
第二節 建議 93
參考文獻 95
附錄 103
附錄一 電訪問卷 103
一、中文部分:
中華民國內政部戶政司 (2016)。民國105年12月臺灣地區面積及海岸長度。臺北市:作者。
中華民國內政部戶政司 (2016)。民國105年15歲以上人口教育程度。臺北市:作者。
中華民國內政部戶政司 (2016)。民國105年15歲以上婚姻狀況。臺北市:作者。
中華民國內政部戶政司 (2016)。民國105年7月戶口統計資料分析。臺北市:作者。
中華民國內政部戶政司 (2016)。民國105年現住人口按五歲年齡組分。臺北市:作者。
中華民國內政部統計處 (2016)。104年簡易生命表。臺北市:作者。
中華民國國家發展委員會 (2016)。中華民國人口推估 (105至150年) 報告。臺北市:作者。
王怡婷 (2015)。探討臺灣成年人認知環境與動態交通行為之研究。(未出版碩士論文)。國立臺灣師範大學,臺北市。
行政院主計處 (2016)。民國105年勞動參與率時間數列統計。取自主計處中國華民國統計資訊網:http://www.stat.gov.tw/ct.asp?xItem=37135&ctNode=517&mp=4
行政院主計處 (2016)。國民幸福指數統計。臺北市:作者。
行政院衛生署國民健康局 (2001)。國民健康訪問調查。臺北市:作者。
行政院衛生署國民健康局 (2008)。臺灣健康體能指引。臺北市:作者。
行政院衛生署國民健康局 (2009)。老人健康促進計畫(2009-2012)。臺北市:作者。
行政院衛生福利部 (2011)。中華民國99年衛生統計動向。臺北市:作者。
行政院衛生福利部 (2013)。102年度全民健康保險醫療統計年報。臺北市:作者。
行政院衛生福利部 (2016)。列冊需關懷獨居老人人數及服務概況。臺北市:作者。
行政院衛生福利部國民健康署 (2013)。身體活動小手冊。臺北市:作者
李蘭、晏涵文、陳富莉、陸玓玲、吳文琪、江宜珍(2010)。健康行為與健康教育。臺灣:巨流圖書公司。
沈致承 (2013)。民眾步行行為意願之研究—以臺中市西屯區民眾為例。(未出版碩士論文)。逢甲大學,臺中市。
教育部體育署 (2015)。中華民國104年運動城市調查。台北市:作者。
黃弘欽 (2015)。城鄉高齡者認知環境、身體活動與久坐行為之研究。(未出版碩士論文)。國立臺灣師範大學,臺北市。
劉明道 (2015)。澎湖地區居民知覺環境因素和自我效能與身體活動之相關研究。(未出版碩士論文)。國立臺灣師範大學,臺北市。
劉影梅 (2004)。國際身體活動量表臺灣中文版之發展與信效度驗證。臺灣大學護理學研究所學位論文,1-463。
劉影梅 (2006)。臺灣國際身體活動量表-自填長版使用手冊。臺北:行政院衛生署國民健康局。
賴南廷 (2007)。以社會生態學模式探討成人從事健走行為的影響因子-以嘉義縣市為例。(未出版碩士論文)。國立中正大學,嘉義縣。
魏正、林惠玉、呂明秀 (2010)。身體活動對促進銀髮族健康之效益。高應科大體育(9),179-188。 

二、英文部分:
Booth, M. L., Ainsworth, B. E., Pratt, M. I. C. H. A. E. L., Ekelund, U., Yngve, A. G. N. E. T. A., Sallis, J. F., & Oja, P. E. K. K. A. (2003). International physical activity questionnaire: 12-country reliability and validity. Med sci sports Exerc, 195(9131/03), 3508-1381.
Bopp, M., Kaczynski, A. T., & Campbell, M. E. (2013). Health-related factors associated with mode of travel to work. Journal of environmental and public health, 2013.
Carlson, J. A., Sallis, J. F., Conway, T. L., Saelens, B. E., Frank, L. D., Kerr, J., ... & King, A. C. (2012). Interactions between psychosocial and built environment factors in explaining older adults' physical activity. Preventive medicine, 54(1), 68-73.
Caspersen, C. J., Powell, K. E., & Christenson, G. M. (1985). Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public health Rep, 100(2), 126-131
Cerin, E., & Leslie, E. (2008). How socio-economic status contributes to participation in leisure-time physical activity. Social science & medicine, 66(12), 2596-2609.
Cerin, E., Lee, K. Y., Barnett, A., Sit, C. H., Cheung, M. C., & Chan, W. M. (2013). Objectively-measured neighborhood environments and leisure-time physical activity in Chinese urban elders. Preventive medicine, 56(1), 86-89.
Cerin, E., Lee, K. Y., Barnett, A., Sit, C. H., Cheung, M. C., Chan, W. M., & Johnston, J. M. (2013). Walking for transportation in Hong Kong Chinese urban elders: a cross-sectional study on what destinations matter and when. International journal of behavioral nutrition and physical activity, 10(1), 1.
Cerin, E., Macfarlane, D., Sit, C. H. P., Ho, S. Y., Johnston, J. M., Chou, K. L., ... & Ho, K. S. (2013). Effects of built environment on walking among Hong Kong older adults. Hong Kong medical journal, 19(3), S39-S41.
Cerin, E., Mellecker, R., Macfarlane, D. J., Barnett, A., Cheung, M. C., Sit, C. H., & Chan, W. M. (2013). Socioeconomic status, neighborhood characteristics, and walking within the neighborhood among older Hong Kong Chinese. Journal of aging and health, 25(8), 1425-1444.
Cerin, E., Nathan, A., Van Cauwenberg, J., Barnett, D. W., & Barnett, A. (2017). The neighbourhood physical environment and active travel in older adults: a systematic review and meta-analysis. International journal of behavioral nutrition and physical activity, 14(1), 15.
Cerin, E., Sit, C. H., Barnett, A., Cheung, M. C., & Chan, W. M. (2013). Walking for recreation and perceptions of the neighborhood environment in older Chinese urban dwellers. Journal of urban health, 90(1), 56-66.
Colcombe, S., Kramer, A. F., Erickson, K. I., Scalf, P., McAuley, E., Cohen, N.J., Webb, A., Jerome, G. j., Marquez, D. X., & Elavsky, S. (2004).Cardiovascular fitness, cortical plasticity, and aging. Proceedings of the National Academy of Sciences of the United States of America, 101(9), 3316-3321.
Cotta, R. M. M., Reis, R. S., Campos, A. D. O., Gomes, A. P., Antonio, V. E., & Siqueira-Batista, R. (2013). Debates atuais em humanização e saúde: quem somos nós. Ciênc saúde coletiva, 18(1), 171-9.
Crespo, N. C., Sallis, J. F., Conway, T. L., Saelens, B. E., & Frank, L. D. (2011). Worksite physical activity policies and environments in relation to employee physical activity. American Journal of Health Promotion, 25(4), 264-271.
Dishman, R. K. (1991). Increasing and maintaining exercise and physical activity. BehaviorTherapy, 22, 345-378.
Duncan, M. J., Spence, J. C., & Mummery, W. K. (2005). Perceived environment and physical activity: a meta-analysis of selected environmental characteristics. International Journal of Behavioral Nutrition and Physical Activity, 2(1), 1.
Dunstan, D. W., Kingwell, B. A., Larsen, R., Healy, G. N., Cerin, E., Hamilton, M. T., & Owen, N. (2012). Breaking up prolonged sitting reduces postprandial glucose and insulin responses. Diabetes care, 35(5), 976-983.
Elsawy, B., & Higgins, K. E. (2010). Physical activity guidelines for older adults. American family physician, 81(1), 55-9.
Giehl, M. W. C., Hallal, P. C., Brownson, R. C., & d’Orsi, E. (2016). Exploring associations between perceived measures of the environment and walking among Brazilian older adults. Journal of aging and health, 0898264315624904.
Glanz, K., Rimer, B. K., & Viswanath, K. (Eds.). (2008). Health behavior and health education: theory, research, and practice. John Wiley & Sons.
Gómez, L. F., Parra, D. C., Buchner, D., Brownson, R. C., Sarmiento, O. L., Pinzón, J. D., ... & Lobelo, F. (2010). Built environment attributes and walking patterns among the elderly population in Bogotá. American journal of preventive medicine, 38(6), 592-599.
Healy, G. N., Dunstan, D. W., Salmon, J., Cerin, E., Shaw, J. E., Zimmet, P. Z., & Owen, N. (2007). Objectively measured light-intensity physical activity is independently associated with 2-h plasma glucose. Diabetes care, 30(6), 1384-1389.
Hsueh, M. C., Liao, Y., & Chang, S. H. (2015). Are Total and Domain-Specific Sedentary Time Associated with Overweight in Older Taiwanese Adults?. International journal of environmental research and public health, 12(10), 12697-12705.
Hu, G., Lindström, J., Valle, T. T., Eriksson, J. G., Jousilahti, P., Silventoinen, K., ... & Tuomilehto, J. (2004). Physical activity, body mass index, and risk of type 2 diabetes in patients with normal or impaired glucose regulation. Archives of internal medicine, 164(8), 892-896.
Humpel, N., Owen, N., Iverson, D., Leslie, E., & Bauman, A. (2004). Perceived environment attributes, residential location, and walking for particular purposes. American journal of preventive medicine, 26(2), 119-125.
Inoue, S., Murase, N., Shimomitsu, T., Ohya, Y., Odagiri, Y., Takamiya, T., ... & Sallis, J. F. (2009). Association of physical activity and neighborhood environment among Japanese adults. Preventive medicine, 48(4), 321-325.
Inoue, S., Ohya, Y., Odagiri, Y., Takamiya, T., Kamada, M., Okada, S., & Shimomitsu, T. (2011). Perceived neighborhood environment and walking for specific purposes among elderly Japanese. Journal of epidemiology, 21(6), 481-490.
Koohsari, M. J., Sugiyama, T., Lamb, K. E., Villanueva, K., & Owen, N. (2014). Street connectivity and walking for transport: role of neighborhood destinations. Preventive medicine, 66, 118-122.
Larson, E. B., & Ramsey, P. G. (1998). Medical Therapeutics. W B Saunders Co; 3rd
Laurin, D., Verreault, R., Lindsay, J., MacPherson, K., & Rockwood, K. (2001).Physical activity and risk of cognitive impairment and dementia in elderly persons. Archives of Neurology, 58(3), 498-504.
Lee, I. M., & Buchner, D. M. (2008). The importance of walking to public health. Medicine and science in sports and exercise, 40(7 Suppl), S512-8.
Liao, Y. (2016). Association of sociodemographic and perceived environmental factors with public bicycle use among Taiwanese urban adults. International journal of environmental research and public health, 13(3), 340.
health, 12(1), 278.
Liao, Y., Wang, I., Hsu, H. H., & Chang, S. H. (2015). Perceived environmental and personal factors associated with walking and cycling for transportation in Taiwanese adults. International journal of environmental research and public health, 12(2), 2105-2119.
Maisel, J. L. (2016). Impact of Older Adults' Neighborhood Perceptions on Walking Behavior. Journal of aging and physical activity, 28(2), 247-255. Owen, N., Cerin,
Morris, J. N., & Hardman, A. E. (1997). Walking to health. Sports medicine, 23(5), 306-332.
Murtagh, E. M., Murphy, M. H., & Boone-Heinonen, J. (2010). Walking–the first steps in cardiovascular disease prevention. Current opinion in cardiology, 25(5), 490.
O'neil, M. J. (1979). Estimating the nonresponse BiasDue to refusals in telephone surveys. Public Opinion Quarterly, 43(2), 218-232.
Sælensminde, K. (2004). Cost–benefit analyses of walking and cycling track networks taking into account insecurity, health effects and external costs of motorized traffic. Transportation Research Part A: Policy and Practice, 38(8), 593-606.
Sallis, J. F., Bowles, H. R., Bauman, A., Ainsworth, B. E., Bull, F. C., Craig, C. L., ... & Matsudo, S. (2009). Neighborhood environments and physical activity among adults in 11 countries. American journal of preventive medicine, 36(6), 484-490.
Sallis, J. F., Cervero, R. B., Ascher, W., Henderson, K. A., Kraft, M. K., & Kerr, J. (2006). An ecological approach to creating active living communities. Annu. Rev. Public Health, 27, 297-322.
Stokols, D. (1992). Establishing and maintaining health environments. American Psychologist, 47, 6-22.
Stokols, D. (1996). Translating social ecological theory into guidelines for community health promotion. American Journal of Health Promotion, 10, 282-298.
Van Cauwenberg, J., Clarys, P., De Bourdeaudhuij, I., Van Holle, V., Verté, D., De Witte, N., ... & Deforche, B. (2012). Physical environmental factors related to walking and cycling in older adults: the Belgian aging studies. BMC public health, 12(1), 1.
Van Cauwenberg, J., De Bourdeaudhuij, I., Clarys, P., Nasar, J., Salmon, J., Goubert, L., & Deforche, B. (2016). Street characteristics preferred for transportation walking among older adults: a choice-based conjoint analysis with manipulated photographs. International journal of behavioral nutrition and physical activity, 13(1), 1.
Van Holle, V., Van Cauwenberg, J., Gheysen, F., Van Dyck, D., Deforche, B., Van de Weghe, N., & De Bourdeaudhuij, I. (2016). The Association between Belgian Older Adults’ Physical Functioning and Physical Activity: What Is the Moderating Role of the Physical Environment?. PLoS one, 11(2), e0148398.
World Health Organization. (2009). Global health risks: mortality and burden of disease attributable to selected major risks. World Health Organization.
World Health Organization. (2010). Global recommendations on physical activity for health.
連結至畢業學校之論文網頁點我開啟連結
註: 此連結為研究生畢業學校所提供,不一定有電子全文可供下載,若連結有誤,請點選上方之〝勘誤回報〞功能,我們會盡快修正,謝謝!
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
系統版面圖檔 系統版面圖檔