臺灣博碩士論文加值系統

研究背景：過去三十年來，全世界的過重與肥胖率不斷攀升，臺灣青少年的過重與肥胖率更是不斷上升，早有許多研究證明過重或肥胖的青少年面臨許多醫療上的不利因素，但對其社會經濟不良後果的影響仍舊不足。各國目前都已開始探討過重或肥胖對於青少年學業成績的影響，不過臺灣仍然在起步當中，國外也只有少數研究將霸凌視為過重或肥胖對學習狀況或學業成績的影響的重要調控因子，且尚未以多階層分析探討學校特性對上述影響的調節能力。
研究目的：探討臺灣高中/高職/五專生其過重霸凌經驗對其學科分析能力的影響。
研究方法：本研究利用臺灣教育長期追蹤資料庫之2005年與2007年高二及高三資料進行分析，以國健署公布的兒童與青少年生長身體質量指數(BMI)建議值，將男女分別以不同標準區分為無過重無霸凌經驗、無過重有霸凌經驗、有過重無霸凌經驗及有過重有霸凌經驗四組，並控制性別、學程類別、人際關係與心理狀態後，探討臺灣高中生過重霸凌經驗是否會影響學科分析能力，另外，本研究將利用多階層分析方法探討上述關係是否因學校特性不同而有差異。
研究結果：本研究共計納入17266人，男生8650人、女生8616人。雙變項分析顯示綜合分析能力和自變項與控制變項皆有顯著相關。多階層迴歸分析指出男生無過重有霸凌經驗者綜合分析能力顯著小於無過重無霸凌經驗者；而女生方面，則是有過重有霸凌經驗者的表現較差。本研究亦發現臺灣高中/高職/五專的校規嚴格程度、公私立別、所在地城鄉別不同會導致分析能力有顯著差異。
結論：高中/高職/五專女生之學業成就受到過重霸凌經驗的影響，而男生則受到霸凌的影響，且學業成就存在公私立別、城鄉別的差異，衛生主管機關應更加關注臺灣青少年的過重與肥胖狀況，教育單位也應重視教育的不平等問題。

Background: The prevalence of worldwide overweight and obesity has exploded from past 30 years. It’s also getting worse in Taiwan. Many research has proved that overweight or obese adolescents face lots of medical problems rather than it’s socio-economic barrier. More and more studies has found that overweight or obesity would affect the academic achievement of adolescents but only some of them consider the important role of overweight bully and none of them adopt hierarchical linear modeling.
Objectives: Find the effect of overweight bully to the academic achievement of high school students in Taiwan.
Methods: This study’s database is from Taiwan Education Panel Survey. We use the children and adolescents BMI classification standard from Health Promotion Administration Ministry of Health and Welfare. We define both boys and girls as non-overweight and bully experience, non-overweight but bully experience, non-bully experience but overweight, and overweight and bully experience, controlling gender, program, interpersonal relation and mental status. Trying to find whether overweight-bully would affect the academic achievement of high school students in Taiwan.
Result: There are 17266 high school students in our study with 8650 boys and 8616 girls. In univariate analysis, overweight-bully and all control variables are significant with academic achievement. One the other hand, Multilevel Analysis shows that boys with non-overweight but bully experience has poor academic achievement compare to those with non-overweight and bully experience. Girls with overweight and bully experience has poor academic achievement compare to those with non-overweight and bully experience. Students’ academic achievement is also diverse among different schools.
Conclusion: The academic achievement of high school girls are affected by overweight-bully while boys are affected by bully. Academic achievement is really different between public and private schools and between urban and suburban schools. From this point of view, health and welfare organizations must pay more attention in overweight adolescents. Education organizations have to find the way to solve the problem of educational inequality.

致謝 i
中文摘要 ii
Abstract iii
目錄 v
表目錄 vii
圖目錄 viii
第一章　緒論 1
第一節　研究背景與研究動機 1
第二節　研究目的 2
第三節　研究重要性 3
第二章　文獻回顧與探討 4
第一節　青少年過重與肥胖 4
第二節　青少年的霸凌與體重歧視 9
第三節　影響學業成績的因素 13
第四節　過重、肥胖與學業成績之相關性 15
第五節　臺灣的城鄉差距與教育成就 18
第六節　文獻小結 19
第三章　研究方法 20
第一節　研究架構 20
第二節　研究假說 22
第三節　研究對象 23
第四節　研究變項 26
第五節　統計分析 30
第四章　研究結果 31
第一節　樣本特徵與各變項分布情形 31
第二節　過重狀態與各變項之雙變項分析 35
第三節　分析能力與各變項之雙變項分析 42
第四節　過重霸凌經驗與分析能力之多階層分析 45
第五章　討論 52
第一節 過重與霸凌對學業成績影響之假說驗證 52
第二節 研究限制 54
第六章　結論與建議 55
第一節 結論 55
第二節 建議 56
第七章　參考文獻 57

Andreyeva, T., Puhl, R. M., & Brownell, K. D. (2008). Changes in perceived weight discrimination among Americans, 1995–1996 through 2004–2006. Obesity, 16(5), 1129-1134.
Bell, S. K., & Morgan, S. B. (2000). Children''s attitudes and behavioral intentions toward a peer presented as obese: Does a medical explanation for the obesity make a difference? Journal of Pediatric Psychology, 25(3), 137-145.
Bradley, B. J., & Greene, A. C. (2013). Do health and education agencies in the United States share responsibility for academic achievement and health? A review of 25 years of evidence about the relationship of adolescents'' academic achievement and health behaviors. Journal of Adolescent Health, 52(5), 523-532.
Burk, W., & Laursen, B. (2005). Adolescent perceptions of friendship and their associations with individual adjustment. International Journal of Behavioral Development, 29(2), 156-164.
Canning, H., & Mayer, J. (1966). Obesity—its possible effect on college acceptance. New England Journal of Medicine, 275(21), 1172-1174.
Canning, H., & Mayer, J. (1967). Obesity: an influence on high school performance? The American journal of clinical nutrition, 20(4), 352-354.
CDC. (2014a). Childhood Obesity Facts.
CDC. (2014c). Health and Academics.
Chaddock, L., Pontifex, M. B., Hillman, C. H., & Kramer, A. F. (2011). A review of the relation of aerobic fitness and physical activity to brain structure and function in children. Journal of the International Neuropsychological Society, 17(06), 975-985.
Chen, L. J., Fox, K. R., Ku, P. W., & Wang, C. H. (2012). A longitudinal study of childhood obesity, weight status change, and subsequent academic performance in Taiwanese children. Journal of school health, 82(9), 424-431.
Chen, W., & Chang, M.-H. (2010). New growth charts for Taiwanese children and adolescents based on World Health Organization standards and health-related physical fitness. Pediatrics & Neonatology, 51(2), 69-79.
Control, C. f. D., Prevention, Control, C. f. D., & Prevention. (2011). National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, 201.
Counts, C. R., Jones, C., Frame, C. L., Jarvie, G. J., & Strauss, C. C. (1986). The perception of obesity by normal-weight versus obese school-age children. Child Psychiatry and Human Development, 17(2), 113-120.
Cramer, P., & Steinwert, T. (1998). Thin is good, fat is bad: How early does it begin? Journal of applied developmental psychology, 19(3), 429-451.
Díaz, R., Gual, A., García, M., Arnau, J., Pascual, F., Cañuelo, B., . . . Valdés, R. (2008). Children of alcoholics in Spain: from risk to pathology. Social psychiatry and psychiatric epidemiology, 43(1), 1-10.
Daniels, S. R., Arnett, D. K., Eckel, R. H., Gidding, S. S., Hayman, L. L., Kumanyika, S., . . . Williams, C. L. (2005). Overweight in children and adolescents pathophysiology, consequences, prevention, and treatment. Circulation, 111(15), 1999-2012.
Datar, A., & Sturm, R. (2006). Childhood overweight and elementary school outcomes. International journal of obesity, 30(9), 1449-1460.
Demie, F., & Lewis, K. (2011). White working class achievement: an ethnographic study of barriers to learning in schools. Educational Studies, 37(3), 245-264.
Dietz, W. H. (2004). Overweight in childhood and adolescence. New England Journal of Medicine, 350(9), 855-856.
Dietz, W. H., & Bellizzi, M. C. (1999). Introduction: the use of body mass index to assess obesity in children. The American journal of clinical nutrition, 70(1), 123s-125s.
Eaton, D. K., Lowry, R., Brener, N. D., Galuska, D. A., & Crosby, A. E. (2005). Associations of body mass index and perceived weight with suicide ideation and suicide attempts among US high school students. Archives of pediatrics & adolescent medicine, 159(6), 513-519.
Eisenberg, M. E., Neumark-Sztainer, D., & Story, M. (2003). Associations of weight-based teasing and emotional well-being among adolescents. Archives of pediatrics & adolescent medicine, 157(8), 733-738.
Faith, M. S., Leone, M. A., Ayers, T. S., Heo, M., & Pietrobelli, A. (2002). Weight criticism during physical activity, coping skills, and reported physical activity in children. Pediatrics, 110(2), e23-e23.
Falkner, N. H., Neumark‐Sztainer, D., Story, M., Jeffery, R. W., Beuhring, T., & Resnick, M. D. (2001). Social, educational, and psychological correlates of weight status in adolescents. Obesity research, 9(1), 32-42.
Fedewa, A. L., & Ahn, S. (2011). The effects of physical activity and physical fitness on children''s achievement and cognitive outcomes: a meta-analysis. Research quarterly for exercise and sport, 82(3), 521-535.
Freedman, D. S., Khan, L. K., Dietz, W. H., Srinivasan, S. R., & Berenson, G. S. (2001). Relationship of childhood obesity to coronary heart disease risk factors in adulthood: the Bogalusa Heart Study. Pediatrics, 108(3), 712-718.
Freedman, D. S., Khan, L. K., Serdula, M. K., Dietz, W. H., Srinivasan, S. R., & Berenson, G. S. (2005). The relation of childhood BMI to adult adiposity: the Bogalusa Heart Study. Pediatrics, 115(1), 22-27.
Freedman, D. S., Mei, Z., Srinivasan, S. R., Berenson, G. S., & Dietz, W. H. (2007). Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study. The Journal of pediatrics, 150(1), 12-17. e12.
Freedman, D. S., Wang, J., Thornton, J. C., Mei, Z., Sopher, A. B., Pierson, R. N., . . . Horlick, M. (2009). Classification of Body Fatness by Body Mass Index–for-Age Categories among children. Archives of pediatrics & adolescent medicine, 163(9), 805-811.
Friedman, K. E., Reichmann, S. K., Costanzo, P. R., Zelli, A., Ashmore, J. A., & Musante, G. J. (2005). Weight stigmatization and ideological beliefs: relation to psychological functioning in obese adults. Obesity research, 13(5), 907-916.
Fu, W., Lee, H., Ng, C., Tay, Y. D., Kau, C., Seow, C., . . . Hong, C. (2003). Screening for childhood obesity: international vs population-specific definitions. Which is more appropriate? International journal of obesity, 27(9), 1121-1126.
Gonzalez-Casanova, I., Sarmiento, O. L., Gazmararian, J. A., Cunningham, S. A., Martorell, R., Pratt, M., & Stein, A. D. (2013). Comparing three body mass index classification systems to assess overweight and obesity in children and adolescents. Revista Panamericana de Salud Pública, 33(5), 349-355.
Griffiths, L. J., Wolke, D., Page, A. S., & Horwood, J. (2006). Obesity and bullying: different effects for boys and girls. Archives of Disease in Childhood, 91(2), 121-125.
Guo, S. S., & Chumlea, W. C. (1999). Tracking of body mass index in children in relation to overweight in adulthood. The American journal of clinical nutrition, 70(1), 145s-148s.
Guo, S. S., Chumlea, W. C., Roche, A. F., & Siervogel, R. M. (1998). Age-and maturity-related changes in body composition during adolescence into adulthood: the Fels Longitudinal Study. Applied radiation and isotopes, 49(5), 581-585.
Hayden‐Wade, H. A., Stein, R. I., Ghaderi, A., Saelens, B. E., Zabinski, M. F., & Wilfley, D. E. (2005). Prevalence, characteristics, and correlates of teasing experiences among overweight children vs. non‐overweight peers. Obesity research, 13(8), 1381-1392.
Janssen, I., Katzmarzyk, P. T., Boyce, W. F., Vereecken, C., Mulvihill, C., Roberts, C., . . . Pickett, W. (2005). Comparison of overweight and obesity prevalence in school‐aged youth from 34 countries and their relationships with physical activity and dietary patterns. Obesity reviews, 6(2), 123-132.
Jarvie, G. J., Lahey, B., Graziano, W., & Framer, E. (1983). Childhood obesity and social stigma: what we know and what we don''t know. Developmental Review, 3(3), 237-273.
Jeynes, W. H. (2007). The relationship between parental involvement and urban secondary school student academic achievement a meta-analysis. Urban education, 42(1), 82-110.
Jones, D. C., Newman, J. B., & Bautista, S. (2005). A Three‐factor Model of Teasing: The Influence of Friendship, Gender, and Topic on Expected Emotional Reactions to Teasing during Early Adolescence. Social Development, 14(3), 421-439.
KHANG, Y. H., & Park, M. J. (2011). Trends in obesity among Korean children using four different criteria. International Journal of Pediatric Obesity, 6(3‐4), 206-214.
Kim, J.-H., & So, W.-Y. (2013). Association between overweight/obesity and academic performance in South Korean adolescents. Central European journal of public health, 21(4), 179-183.
Kovalskys, I., Herscovici, C. R., & De Gregorio, M. (2011). Nutritional status of school-aged children of Buenos Aires, Argentina: data using three references. Journal of Public Health, 33(3), 403-411.
Krukowski, R. A., West, D. S., Perez, A. P., Bursac, Z., Phillips, M. M., & Raczynski, J. M. (2009). Overweight children, weight‐based teasing and academic performance. International Journal of Pediatric Obesity, 4(4), 274-280.
Li, C., Ford, E. S., Zhao, G., & Mokdad, A. H. (2009). Prevalence of pre-diabetes and its association with clustering of cardiometabolic risk factors and hyperinsulinemia among US adolescents National Health and Nutrition Examination Survey 2005–2006. Diabetes care, 32(2), 342-347.
Li, Y., Lerner, J. V., & Lerner, R. M. (2010). Personal and ecological assets and academic competence in early adolescence: The mediating role of school engagement. Journal of youth and adolescence, 39(7), 801-815.
Liou, T.-H., Huang, Y.-C., & Chou, P. (2009). Prevalence and secular trends in overweight and obese Taiwanese children and adolescents in 1991-2003. Annals of human biology, 36(2), 176-185.
Lumeng, J. C., Forrest, P., Appugliese, D. P., Kaciroti, N., Corwyn, R. F., & Bradley, R. H. (2010). Weight status as a predictor of being bullied in third through sixth grades. Pediatrics, 125(6), e1301-e1307.
MacLellan, D., Taylor, J., & Wood, K. (2008). Food intake and academic performance among adolescents. Canadian Journal of Dietetic Practice and Research, 69(3), 141-144.
Magnuson, K., & Berger, L. M. (2009). Family structure states and transitions: associations with children''s well‐being during middle childhood. Journal of Marriage and Family, 71(3), 575-591.
McPartland, J. M., & McDill, E. L. (1977). Alternative Research Perspectives on the Effects of School Organization and Social Contexts. An American Education Research Association Symposium.
Mo-suwan, L., Lebel, L., Puetpaiboon, A., & Junjana, C. (1999). School performance and weight status of children and young adolescents in a transitional society in Thailand. International journal of obesity, 23(3), 272-277.
Nelson, R. M., & DeBacker, T. K. (2008). Achievement motivation in adolescents: The role of peer climate and best friends. The Journal of Experimental Education, 76(2), 170-189.
Neovius, M. G., Linné, Y. M., Barkeling, B. S., & Rossner, S. O. (2004). Sensitivity and specificity of classification systems for fatness in adolescents. The American journal of clinical nutrition, 80(3), 597-603.
Neumark-Sztainer, D., Falkner, N., Story, M., Perry, C., Hannan, P. J., & Mulert, S. (2002). Weight-teasing among adolescents: correlations with weight status and disordered eating behaviors. International journal of obesity.
OECD, P. (2013). Results: Excellence through Equity: Giving every student the chance to succeed, Volume II: Paris: OECD Publishing.
Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M. (2012). Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. Jama, 307(5), 483-490.
Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M. (2014). Prevalence of childhood and adult obesity in the United States, 2011-2012. Jama, 311(8), 806-814.
Olweus, D. (1994). Bullying at school: Springer.
Puhl, R., & Brownell, K. D. (2001). Bias, discrimination, and obesity. Obesity research, 9(12), 788-805.
Puhl, R. M., Andreyeva, T., & Brownell, K. D. (2008). Perceptions of weight discrimination: prevalence and comparison to race and gender discrimination in America. International journal of obesity, 32(6), 992-1000.
Puhl, R. M., & Heuer, C. A. (2009). The stigma of obesity: a review and update. Obesity, 17(5), 941-964.
Puhl, R. M., & King, K. M. (2013). Weight discrimination and bullying. Best practice & research Clinical endocrinology & metabolism, 27(2), 117-127.
Puhl, R. M., & Latner, J. D. (2007). Stigma, obesity, and the health of the nation''s children. Psychological bulletin, 133(4), 557.
Puhl, R. M., & Luedicke, J. (2012). Weight-based victimization among adolescents in the school setting: Emotional reactions and coping behaviors. Journal of youth and adolescence, 41(1), 27-40.
Rampersaud, G. C., Pereira, M. A., Girard, B. L., Adams, J., & Metzl, J. D. (2005). Breakfast habits, nutritional status, body weight, and academic performance in children and adolescents. Journal of the American Dietetic Association, 105(5), 743-760.
Richardson, S. A., Goodman, N., Hastorf, A. H., & Dornbusch, S. M. (1961). Cultural uniformity in reaction to physical disabilities. American Sociological Review, 241-247.
Sabia, J. J. (2007). The effect of body weight on adolescent academic performance. Southern Economic Journal, 871-900.
Sargent, J. D., & Blanchflower, D. G. (1994). Obesity and stature in adolescence and earnings in young adulthood: analysis of a British birth cohort. Archives of pediatrics & adolescent medicine, 148(7), 681-687.
Schwartz, D., Gorman, A. H., Dodge, K. A., Pettit, G. S., & Bates, J. E. (2008). Friendships with peers who are low or high in aggression as moderators of the link between peer victimization and declines in academic functioning. Journal of abnormal child psychology, 36(5), 719-730.
Staffieri, J. R. (1967). A study of social stereotype of body image in children. Journal of personality and social psychology, 7(1p1), 101.
Statistics, N. C. f. H. (2012). Health, United States, 2011: With special feature on socioeconomic status and health.
Strauss, C. C., Smith, K., Frame, C., & Forehand, R. (1985). Personal and interpersonal characteristics associated with childhood obesity. Journal of Pediatric Psychology, 10(3), 337-343.
Strauss, R. S., & Pollack, H. A. (2003). Social marginalization of overweight children. Archives of pediatrics & adolescent medicine, 157(8), 746-752.
Taras, H. (2005). Nutrition and student performance at school. Journal of school health, 75(6), 199-213.
Thomas, P. A., Krampe, E. M., & Newton, R. R. (2008). Father presence, family structure, and feelings of closeness to the father among adult African American children. Journal of Black Studies, 38(4), 529-546.
Tiggemann, M., & Wilson‐Barrett, E. (1998). Children''s figure ratings: Relationship to self‐esteem and negative stereotyping. International Journal of Eating Disorders, 23(1), 83-88.
Twells, L. K., & Newhook, L. A. (2011). Obesity prevalence estimates in a Canadian regional population of preschool children using variant growth references. BMC pediatrics, 11(1), 21.
Wardle, J., Volz, C., & Golding, C. (1995). Social variation in attitudes to obesity in children. International journal of obesity and related metabolic disorders: journal of the International Association for the Study of Obesity, 19(8), 562-569.
Way, N., & Greene, M. L. (2006). Trajectories of perceived friendship quality during adolescence: The patterns and contextual predictors. Journal of Research on Adolescence, 16(2), 293-320.
Wentzel, K. R., Barry, C. M., & Caldwell, K. A. (2004). Friendships in Middle School: Influences on Motivation and School Adjustment. Journal of educational psychology, 96(2), 195.
WHO. 10 FACTS ON OBESITY.
WHO. (2013). Childhood overweight and obesity.
WHO. (2015). Obesity and overweight.
Zanoti-Jeronymo, D. V., & Carvalho, A. M. P. (2005). Self-concept, academic performance and behavioral evaluation of the children of alcoholic parents. Revista Brasileira de Psiquiatria, 27(3), 233-236.
Zarzour, K. (1994). Battling the school-yard bully: HarperCollins Publishers.
Zeller, M. H., Reiter‐Purtill, J., & Ramey, C. (2008). Negative peer perceptions of obese children in the classroom environment. Obesity, 16(4), 755-762.
Zimmermann, M. B., Gübeli, C., Püntener, C., & Molinari, L. (2004). Detection of overweight and obesity in a national sample of 6–12-y-old Swiss children: accuracy and validity of reference values for body mass index from the US Centers for Disease Control and Prevention and the International Obesity Task Force. The American journal of clinical nutrition, 79(5), 838-843.
宋曜廷, 邱佳民, 張恬熒, & 曾芬蘭. (2011). 以國中基本學力測驗成績探討學習成就落差.
李淑貞. (2007). 無霸凌校園: 給學校, 教師和家長的指導手冊. 臺北市: 五南.
兒童福利聯盟文教基金會. (2004). 國小兒童校園霸凌(bully) 現象調查報告.
易雅如. (2008). 淺談校園危機管理. 國教之友, 60(1), 3-8.
柯清心. (1995). 校園暴力: 別讓孩子成為沉默的受害者. 臺北市: 遠流.
國民健康署. 肥胖防治網.
國家衛生研究院. (2011). 2011 台灣營養健康狀況變遷調查計畫 高中生調查成果.
張芳全. (2009). 影響台灣城鄉國二學生的數學成就因素探討. 2009.
教育部. (2007). 「校園暴力霸凌問題與策進作為」專案.
陳奕奇, & 劉子銘. (2008). 教育成就與城鄉差距: 空間群聚之分析. 人口學刊, 37, 1-43.
陳雍容. (2002). 國民小學身心障礙資源班行政支援需求之研究: 國立台中師範學院國民教育研究所碩士論文, 未出版, 台中市.
曾慧青. (2009). 校園霸凌之探討. 財團法人國家政策研究基金會-全球資訊網. 檢索日期 2012 年, 12.
楊孟麗, 譚康榮, & 黃敏雄. (2003). 心理計量報告: TEPS 2001 分析能力測驗. 臺北: 中央研究院社會學研究所.
衛生福利部國民健康署. (2014). 2014健康一世：BMI維持1824 揪團減重「馬」上行動！.
鄭崇趁. (2000). 經營一個具有輔導文化的學校-教訓輔三合一方案的時代任務. 學生輔 導通訊(70), 4-11.
駱明慶. (2002). 誰是台大學生?-性別, 省籍與城鄉差異. 經濟論文叢刊, 30(1), 113-147.