臺灣博碩士論文加值系統

青少年正處於適應青春期所帶來的身體、心理巨大轉變，此時期青少年狀態充滿不確定性與快速的動態變化，而相較有高機率發生風險行為，包含危險性行為。西方研究證實青少年睡眠問題為成人初期危險性行為的重要潛在危險因子之一，然此研究缺乏東方長期樣本，且尚未釐清此關聯對生命長遠性的影響，故本研究目的為應用生命歷程理論，探究臺灣班級結構文化之下，青少年早期睡眠行為與成年初期危險性行為之關聯。本研究以臺灣青少年成長歷程研究（Taiwan Youth Project , TYP）資料庫之國一世代 (J1) 為樣本，提取國二時期睡眠行為資料，與大二時期之過早性行為、不安全性行為資料進行分析（樣本數=1,620人），以及成人2011年之多重性伴侶資料進行分析（樣本數=1,415人）。應用STATA 15.0進行總樣本與班級結構分層之二元邏輯斯迴歸分析方法，以及負二項迴歸分析方法。本研究之年輕成人樣本中有過早性行為者占15.78%，未使用安全措施有24.72%；而在有性行為者中，性伴侶平均個數為1.6人（1-10人）。而處於男女合班脈絡中，青少年有睡眠不一致性大與假日超過十點上床者，相較有更高風險發生過早性行為。而處於男女分班脈絡中，青少年有失眠症狀者，相較有更高風險發生不安全性行為。為維護青少年生命歷程發展，透過社會政策修訂例如延遲上學時間，與家庭層面之父母管控，以及個人層面規律作息等並進的干預措施，降低青少年睡眠行為對成人初期危險性行為風險之影響。

Adolescents are in the stage of adapting to the great physical and mental transformation during adolescence, so they are more likely to engage in risky behaviors, including risky sexual behaviors. Sleep problems during the adolescent stage may be a potential risk factor for subsequent risky sexual behaviors. There are inconsistencies in the results of previous studies, with the Eastern long-term sample that has not studied this association. Therefore, the purpose of this study was to explore the relationship between class structure stratification, early adolescent sleep behavior and early adult sexual risk behavior based on life course theory. This study uses the Taiwan Youth Project's J1 as a sample, the sample size was 1,620 and 1,415. In this study, STATA 15.0 was used for binary logistic regression analysis and negative binomial regression analysis. The results of this study demonstrate an association between early adolescent sleep behaviors and risky sexual behaviors in early adulthood. In order to maintain the development of adolescents' life course, through social policy revisions such as delaying school time, parental control, and regular work and rest, the risk of adolescents' risky sexual behaviors is reduced.

[目錄]
誌謝 ............ i
摘要 ............ ii
Abstract ............ iii
目錄 ............ iv
表目錄 ............ v
圖目錄 ............ vi
第一章 緒論 ............ 1
第一節 研究背景 ............ 1
第二節 研究目的 ............ 4
第三節 研究重要性 ............ 5
第二章 文獻回顧 ............ 6
第一節 理論架構之探討 ............ 6
第二節 青少年睡眠行為與危險性行為之探討 ............ 7
第三節 青少年其他相關因素 ............ 13
第三章 研究方法 ............ 16
第一節 研究設計 ............ 16
第二節 研究架構與假說 ............ 17
第三節 資料來源與研究樣本 ............ 19
第四節 研究變項與測量 ............ 23
第五節 資料分析 ............ 27
第四章 研究結果 ............ 28
第一節 樣本特徵 ............ 28
第二節 主要分析結果 ............ 30
第三節 班級結構分層分析結果 ............ 34
第五章 討論與建議 ............ 43
第一節 研究重要發現 ............ 43
第二節 研究限制 ............ 46
第三節 研究貢獻與政策建議 ............ 47
參考文獻 ............ 48


[表目錄]
表4-1-1、樣本描述性統計 ............ 29
表4-2-1、青少年早期睡眠問題與過早性行為之關聯 ............ 31
表4-2-2、青少年早期睡眠問題與成年初期不安全性行為為關聯 ............ 32
表4-2-3、青少年早期睡眠問題與成年初期多重性伴侶為關聯 ............ 33
表4-3-1、班級結構分層中睡眠不足與危險性行為之關聯 ............ 35
表4-3-2、班級結構分層中睡眠不一致與危險性行為之關聯 ............ 36
表4-3-3、班級結構分層中平日10點上床與危險性行為之關聯 ............ 37
表4-3-4、班級結構分層中假日10點上床與危險性行為之關聯 ............ 38
表4-3-5、班級結構分層中失眠症狀與危險性行為之關聯 ............ 39


[圖目錄]
圖3-1-1、研究設計 ............ 16
圖3-2-1、研究架構 ............ 18
圖3-3-1、樣本流程圖 ............ 22
圖4-3-1、睡眠不足與危險性行為之分析結果 ............ 40
圖4-3-2、睡眠不一致性大與危險性行為之分析結果 ............ 40
圖4-3-3、上學日超過十點上床與危險性行為之分析結果 ............ 41
圖4-3-4、假日超過十點上床與危險性行為之分析結果 ............ 41
圖4-3-5、失眠症狀與危險性行為之分析結果 ............ 42

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