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研究生:詹宜娟
研究生(外文):Yi-Juan Zhan
論文名稱:童年社經地位、成人社經地位與自覺健康的關係
論文名稱(外文):Socioeconomic Status in Childhood and Adulthood, and Self-rated Health
指導教授:江東亮江東亮引用關係
學位類別:碩士
校院名稱:國立臺灣大學
系所名稱:衛生政策與管理研究所
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:2005
畢業學年度:93
語文別:中文
論文頁數:78
中文關鍵詞:童年社經地位成人社經地位自覺健康
外文關鍵詞:Childhood Socioeconomic StatusAdult Socioeconomic StatusSelf-rated Health
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目的:探討童年社經地位與成人社經地位,各別對成人自覺健康的影響。
方法:本研究主要利用「台灣地區社會變遷基本調查計畫第四期第一次」,選取25至64歲者為研究對象,共計1489人。其中童年社經地位的測量以父親教育程度作為指標,成人社經地位以個人教育程度、全家月收入為代表,成人健康則以身體健康與心理健康(CHQ)進行測量。
結果:成人社經地位對成人自覺健康有著較強烈的影響,但童年社經地位與成人自覺健康的關係則較微弱或無關。此外,我們亦發現成人社經地位與童年社經地位具有高度相關,且成人社經地位對健康的影響有部分會被童年社經地位所解釋。
結論:相較於童年社經地位,成人社經地位為成人健康更重要的預測因子。但童年社經地位的重要性亦不容忽視,因為它與成人社經地位的取得息息相關,將進而影響成人健康。
Objective:To examine the associations of childhood and adult socioeconomic status with self-rated health in adulthood.
Methods:Data came from the Taiwan Social Change Survey (Year 1 of Cycle 4), with a national representative sample of 1489 people aged 25-64. Socioeconomic status in childhood was measured by father’s education. Adult socioeconomic status was based on participant’s education and household income. Dependant variable was self-rated health, including physical health and mental health (CHQ).
Results:Self-rated health in adulthood was associated with adult socioeconomic status, but that with childhood socioeconomic status was very weak. In addition, there was a strong relationship between adult and childhood socioeconomic status, so the effects of adult socioeconomic status might be partially explained by socioeconomic status in childhood.
Conclusions:Socioeconomic status in adulthood is a stronger predictor of adult health than that in childhood. However, childhood socioeconomic status is also important in its effects on adult socioeconomic status, which in turn influences adult health.
目錄
第一章 前言 1
第一節 研究背景 1
第二節 研究目的 2
第三節 論文架構 2
第二章 文獻探討 3
第一節 童年與成人社經地位的測量 3
第二節 童年社經地位影響成人健康的分析架構 7
第三節 成人社經地位與成人健康實証研究 9
第四節 童年社經地位、成人社經地位與成人健康實証研究 13
第五節 其他健康影響因素 18
第三章 研究方法與材料 22
第一節 研究架構與研究假說 22
第二節 研究變項定義與測量 24
第三節 研究材料 26
第四節 資料分析方法 27
第四章 研究結果 29
第一節 樣本基本特性 29
第二節 童年社經地位、成人社經地位與自覺健康之雙變項分析 31
第三節 童年社經地位、成人社經地位與自覺健康之對數複迴歸分析 34
第五章 討論 37
第一節 研究限制 37
第二節 結果討論 38
第三節 建議 39

參考文獻 41

圖表目錄
圖2- 1、童年社經地位影響成人健康架構分析 50
圖3- 1、研究架構 23
表2- 1、童年社經地位與成人健康之相關研究整理表 51
表4- 1、基本人口學特質 57
表4- 2、童年與成人社經地位分佈情形 58
表4- 3、自覺健康分佈情形 59
表4- 4、身體健康之基本分佈 60
表4- 5、心理健康之基本分佈 61
表4- 6、童年社經地位、成人社經地位與自覺健康之相關情形 62
表4- 7、父親教育程度與個人教育程度之關係 63
表4- 8、父親教育程度與全家月收入之關係 64
表4- 9、個人教育程度與全家月收入之關係 65
表4- 10、父親教育程度與身體健康之關係 66
表4- 11、父親教育程度與心理健康之關係 67
表4- 12、成人社經地位與身體健康之關係 68
表4- 13、成人社經地位與心理健康之關係 69
表4- 14、童年社經地位、成人社經地位與身體不健康之勝算比,依父親教育程度 70
表4- 15、童年社經地位、成人社經地位與身體不健康之勝算比,依個人教育程度 71
表4- 16、童年社經地位、成人社經地位與身體不健康之勝算比,依全家月收入 72
表4- 17、童年社經地位、成人社經地位與心理不健康之勝算比,依父親教育程度 73
表4- 18、童年社經地位、成人社經地位與心理不健康之勝算比,依個人教育程度 74
表4- 19、童年社經地位、成人社經地位與心理不健康之勝算比,依全家月收入 75
表5- 1、樣本檢定,依性別、年齡 76
附錄一、研究問卷 77
中文部分
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