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研究生:許翊亭
研究生(外文):Hsu,I-Ting
論文名稱:個人身心狀況的決定因素 - 居住環境、健康識能與醫療滿意度
論文名稱(外文):Determinants of Individual Health Status-Living Environment, Health Literacy and Medical Satisfaction
指導教授:彭祐宜彭祐宜引用關係
指導教授(外文):Peng,Yu-I
口試委員:羅光達詹昀姍
口試委員(外文):Lo,Kuang-TaChan,Yun-Shan
口試日期:2014-06-20
學位類別:碩士
校院名稱:國立臺北大學
系所名稱:財政學系
學門:商業及管理學門
學類:財政學類
論文種類:學術論文
論文出版年:2014
畢業學年度:102
語文別:中文
論文頁數:46
中文關鍵詞:健康居住環境健康識能醫療滿意度
外文關鍵詞:HealthLiving EnvironmentHealth LiteracyMedical Satisfaction
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背景及研究目的
  本研究要探討的是個人身心狀況的決定因素,由於健康之於人類的重要性是不可被否認的,且隨著時代的改變,個人身心健康狀況的決定因素也會有所不同,因此雖然過去已有許多討論個人健康決定因素的文獻,但本文認為此議題是該與時俱進、且持續被探討的。

研究方法
  本文採用中央研究院2011年至2012年間執行的「台灣社會變遷基本調查-健康組」問卷做為資料來源,並在文中使用四個模型分析台灣的居住環境、健康識能與醫療滿意度對身體及心理健康狀況所造成的影響。以下是本文中的四個被解釋變數及模型設定:(1)自評健康之Ordered Probit模型;(2)慢性病之Probit模型;(3)BMI之Multinomial Logit模型;(4)心理健康之OLS模型。

結果
  根據此橫斷面分析結果顯示,醫療滿意度的提升可促進自評健康及心理健康,另外,健康識能較高者心理健康狀況也會較佳,但健康識能在生理健康方面僅對BMI模型呈顯著,對自評健康、慢性病則不具顯著影響。由居住環境變數中則可發現主觀的物理環境因素對身心健康較無顯著影響,但客觀物理環境變數如城鄉差異、工廠及攤販等則會顯著影響身心狀況表現,最後,若由社會環境面因素分析,則可發現社會支持也是影響生理及心理健康的要素之一。

結論
  衛生當局可經由加強醫療品質、提升人民健康識能、縮減城鄉醫療落差、制定攤販規章、及提倡社會資本等措施來提升大眾的身心健康表現,當然,個人擁有良好的健康習慣,如睡眠充足、頻繁運動等也是基本的保健之道。

Background and Objectives: The purpose of this study is to investigate the determinants of individual health status. There have been many literatures discussing personal health determinants in the past, but according to the importance of health to humans and the health determinants keeping changing with times, we continue to study this issue because the individual health determinants might be different in different period and it is still need to be explored.
Methods: The data come from a Taiwan Social Change Survey executed in 2011 to 2012 by Academia Sinica. Four models have been used to estimate the influence of Living Environment, Health Literacy, and Medical Satisfaction on individual physical and mental health in Taiwan. Including (1) an Ordered Probit model for Self-Reported Health, (2) a Probit model for Chronic Disease, (3) a Multinomial Logit model for BMI, and (4) an OLS model for Mental Health.
Results: The cross-sectional analyses showed that the higher medical satisfaction can improve self-reported health and mental health. Besides, we found that the individuals with higher health literacy have better mental conditions, but health literacy does not have significant effect in the physical health models except for the BMI one. By estimating the living environment variables, we can find that the objective physical environment does not have much influence on health status but the perceived physical environment and the social environment does.
Conclusions: Government can try to improve public health by enforcing the quality of medical care, increasing people’s health literacy, reducing the medical gap between urban and rural area, setting vendors regulations, and encouraging social capital. Of course, keeping the right health habits is still the most basic way to stay healthy.

第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究方法 4
第三節 論文架構 4
第二章 文獻回顧 5
第一節 居住環境與健康的關係 6
第二節 健康識能與健康的關係 9
第三節 醫療滿意度與健康的關係 10
第四節 控制變數 11
第三章 資料來源與樣本分析 12
第一節 資料來源與說明 12
第二節 變數說明 13
第三節 樣本分析 20
第四章 實證結果分析 26
第一節 自評健康之估計結果 26
第二節 慢性病之估計結果 29
第三節 BMI之估計結果 31
第四節 心理健康之估計結果 35
第五章 結論與研究限制 38
第一節 結論 38
第二節 研究限制與後續建議 40
參考文獻 42

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