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研究生:陳伯之
研究生(外文):Po-Tze Chen
論文名稱:探討台灣民眾預防新型流感之行為意圖
論文名稱(外文):To Explore the Behavioral Intention of Taiwan People to Prevent Novel Influenza A Virus Infections
指導教授:陳秋瑩陳秋瑩引用關係
指導教授(外文):Chiu-Ying Chen
學位類別:碩士
校院名稱:中國醫藥大學
系所名稱:公共衛生學系碩士班
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:2020
畢業學年度:108
語文別:中文
論文頁數:93
中文關鍵詞:新型流感大流行健康信念模式預防行為
外文關鍵詞:Novel Influenza A Virus InfectionsPandemic influenzaHealth Belief ModelPreventive Behavior
相關次數:
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中文摘要
目的:應用健康信念模式,探討台灣民眾預防新型流感之行為意圖。
方法:本研究採用「台灣社會變遷基本調查計畫2013年第六期第四次:風險社會組」(2013 Taiwan Social Change Survey (Round 6, Year 4): Risk Social)裡面對傳染病擴散的自我風險評估及避險行為意圖調查之數據。為次級資料分析之研究。調查對象為設籍於台灣地區之二十歲以上的成人共1956人,結果變項有施打疫苗、戴口罩、增加洗手次數、避免去公共場所、用漂白水清潔環境、吃補品及配合自我隔離等七項,控制變項包括健康信念變項、社會人口學變項以及其他變項。統計分析以SPSS統計軟體進行卡方檢定。
結果:在自覺罹患新型流感可能性較高及自覺新型流感嚴重性高的民眾,採取個人預防行為的意圖亦較高。
結論:依據本研究之結果,健康信念模式能用以解釋台灣民眾預防新型流感之行為意圖;因此未來若有新型流感或類似之傳染病大流行時,可於衛教及政令宣導中強調該疫情之嚴重程度及可能造成之最大危害,藉以強化民眾之自覺罹患性及自覺嚴重性。而藉由不同社會人口學變項之預防行為意圖的差異,也能讓政府了解應透過何種管道進行政令宣導。
Abstract
Objective: To explore the behavioral intention of Taiwan people to prevent Novel Influenza A Virus Infections by using health belief model.
Methods: The survey data of this study comes from "2013 Taiwan Social Change Survey (Round 6, Year 4): Risk Social". It is a study of secondary data analysis. A total of 1956 adults over the age of 20 who were born in Taiwan were investigated. The results included seven variables: vaccination, wearing a mask, increasing the frequency of hand washing, avoiding going to public places, cleaning the environment with bleach, taking supplements to improve immunity and cooperating with self-isolation. The control variables included health belief variables, social demographic variables and other variables. Statistical analysis uses SPSS statistical software for chi-square test and multivariate logistic regression analysis.
Results: People who are aware of the high possibility of suffering from Novel Influenza A Virus Infections and the high severity of Novel Influenza A Virus Infections have higher intention to take personal preventive actions.
Conclusion: According to the results of this study, the health belief model can be used to explain the behavioral intention of Taiwan people to prevent Novel Influenza A Virus Infections; Therefore, if there is a pandemic of Novel Influenza A Virus Infections or similar infectious diseases in the future, we can emphasize the severity of the epidemic and the greatest possible harm in the advocacy of health education and government decrees, so as to strengthen people''s conscious suffering and seriousness. And through the differences of preventive behavior intentions of demographic variables in different societies, the government can also know through which channels to advocate government decrees.
目錄
誌謝------------------------------------------------------i
中文摘要--------------------------------------------------iii
Abstract--------------------------------------------------iv
目錄------------------------------------------------------vi
表目錄----------------------------------------------------viii
圖目錄----------------------------------------------------ix

第一章 緒論------------------------------------------------1
第一節 研究背景------------------------------------------1
第二節 研究目的------------------------------------------3
第三節 研究問題------------------------------------------4

第二章 文獻探討--------------------------------------------5
第一節 流感病毒的分類及流感大流行------------------------5
第二節 流感常見症狀-------------------------------------10
第三節 新型流感之各項個人預防行為之有效性---------------13
第四節 健康信念模式與新型流感之預防行為相關因素---------21
第五節 環境友善安全與自我責任感知與預防行為之相關-------29
第六節 研究架構-----------------------------------------30

第三章 研究方法-------------------------------------------32
第一節 研究設計-----------------------------------------32
第二節 研究對象-----------------------------------------34
第三節 資料蒐集過程-------------------------------------35
第四節 研究變項測量及操作型定義-------------------------36
第五節 資料統計與分析-----------------------------------43

第四章 研究結果-------------------------------------------44
第一節 樣本之描述性分析---------------------------------44
第二節 社會人口學變項與各項預防行為意圖之關聯-----------52
第三節 健康信念及其他變項與各項預防行為意圖之關聯-------62

第五章 討論-----------------------------------------------72
第一節 主要發現與綜合討論-------------------------------72
第二節 研究限制-----------------------------------------78

第六章 結論與建議-----------------------------------------79

參考文獻--------------------------------------------------81

附錄------------------------------------------------------94
附錄一 研究問卷

表目錄

表一 過去的四次流感大流行……………………………………………07
表二 個人預防行為之社會人口學分布情形(N=1956)…………………46
表三 個人預防行為之健康信念變項分布情形(N=1956)………………49
表四 個人預防行為之其他控制變項分布情形(N=1956)………………51
表五 社會人口學變項與施打疫苗行為意圖之關聯……………………55
表六 社會人口學變項與戴口罩行為意圖之關聯………………………56
表七 社會人口學變項與增加洗手行為意圖之關聯……………………57
表八 社會人口學變項與避免去公共場所行為意圖之關聯……………58
表九 社會人口學變項與用漂白水清潔環境行為意圖之關聯…………59
表十 社會人口學變項與吃補品行為意圖之關聯………………………60
表11 社會人口學變項與自我隔離行為意圖之關聯……………………61
表12 健康信念及其他變項與施打疫苗行為意圖之關聯………………65
表13 健康信念及其他變項與戴口罩行為意圖之關聯…………………66
表14 健康信念及其他變項與增加洗手行為意圖之關聯………………67
表15 健康信念及其他變項與避免去公共場所行為意圖之關聯………68
表16 健康信念及其他變項與用漂白水清潔環境行為意圖之關聯……69
表17 健康信念及其他變項與吃補品行為意圖之關聯…………………70
表18 健康信念及其他變項與自我隔離行為意圖之關聯………………71


圖目錄

圖一 流感大流行的不同階段…………………………………………08
圖二 隔離措施作為流感大流行的非藥物干預措施的預期影響……18
圖三 研究架構圖………………………………………………………31
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