跳到主要內容

臺灣博碩士論文加值系統

(216.73.216.106) 您好!臺灣時間:2026/04/04 22:06
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果 :::

詳目顯示

我願授權國圖
: 
twitterline
研究生:鄭家誼
研究生(外文):Jai-Yi Cheng
論文名稱:高雄市女性性工作者口腔內病變知識及預防行為之探討
論文名稱(外文):The knowledge and prevention behaviors toward oral diseases among female sexual workers in Kaohsiung city
指導教授:陳弘森陳弘森引用關係
指導教授(外文):Hong-Sen Chen
學位類別:碩士
校院名稱:高雄醫學大學
系所名稱:口腔衛生科學研究所碩士在職專班
學門:醫藥衛生學門
學類:牙醫學類
論文種類:學術論文
論文出版年:2009
畢業學年度:97
語文別:中文
論文頁數:86
中文關鍵詞:性工作者口腔內病變人類乳突病毒健康信念
外文關鍵詞:sexual workersoral diseaseshuman papilloma viruseshealth belief
相關次數:
  • 被引用被引用:0
  • 點閱點閱:212
  • 評分評分:
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:0
本研究以健康信念模式探究女性性工作者對口腔內病變知識、健康信念與自我效能。針對高雄市520位女性性工作者及131位女性非性工作者進行架構式問卷調查,包括基本資料、口腔內病變知識量表、健康信念量表、行動線索量表、及預防口腔內病變自我效能量表。經統計分析結果顯示︰(1)女性性工作者第一次性行為年齡在20歲以前占72.8%。(2)在口腔內病變知識量表得分,性工作者較非性工作者低。(3)全部研究對象之外在行動線索中以「電視」最多。(4)口腔內病變知識與人口學、社會心理學變項間有統計上之顯著意義。(5)「口腔內病變知識」、「行動線索」與「預防口腔內病變的自我效能」呈現顯著正相關,以複回歸分析後,全部變項之間皆具有顯著性意義。
本研究結果可提供衛政單位於公共衛生推展女性性工作者預防口腔內病變政策及衛教設計之參考。
This research focused on knowledge of oral disease, health belief, and self-efficacy of female sexual workers on the basis of the health belief model.
The study population of this research comprising 520 female sexual workers and 131 female non-sexual workers were performed structured questionnaire including basic information, oral disease knowledge scale, health belief scale, cues to action scale and self-efficiency scale of oral disease prevention.
According to the analysis, we might draw the following conclusions.
1. 72.8% of female sexual workers had the first sexual behavior before age 20. 2. In oral disease knowledge scale, the total scores of sexual workers were lower than non-sexual workers. 3. In external cues to action, TV were the most significant factor. 4.The knowledge of oral disease was significantly correlated to demographic and social psychological factors. 5. In multiple regression analysis, “Knowledge of oral disease”, “cues to action ” and “self-efficiency of oral disease prevention”, were positively correlated and have significance.
This research could help health department to implement oral disease prophylaxis and health education in public sanitation for female sexual workers.
致謝……………………………………………………………………….i
中文摘要…………………………………………………………………… ii
Abstract…………………………………………………………….iii
第一章 緒論……………………………………………………………….1
第一節 研究動機及重要性
第二節 研究目的
第三節 研究問題
第四節 研究假設
第二章 文獻查證………………………………………………………….6
第一節 口腔內病變簡介
第二節 口腔內病變相關危險因子
第三節 健康信念模式之理論架構
第三章 研究設計與研究方法…………………………………………….20
第一節 研究架構
第二節 研究對象及調查方法
第三節 研究工具及信效度檢定
第四節 研究過程
第五節 資料處理與分析
第四章 研究結果………………………………………………………….27
第一節 人口學、社會心理學變項基本資料之描述分析
第二節 口腔內病變知識分析
第三節 口腔內病變健康信念分析
第四節 行動線索之分析
第五節 人口學及社會心理學與口腔內病變知識、健康信念、行動線
索各量表總分之單因子變異性分析
第六節 預防口腔內病變自我效能分析
第七節 複迴歸分析
第八節 研究限制
第五章 討論…………………………………………………………………44
第一節 人口學、社會心理學變項對預防口腔內病變的自我效能影響
第二節 口腔內疾病知識對預防口腔內病變的自我效能影響
第三節 健康信念對預防口腔內病變的自我效能影響
第四節 行動線索對預防口腔內疾病的自我效能影響
第六章 結論與建議…………………………………………………………51
參考文獻………………………………………………………………………53
表格……………………………………………………………………………58
附錄一…………………………………………………………………………74
1. Kahn, J. A., Rosenthal, S. L., Hamann, T.,& Bernstein, D.I..Attitudes about human papillomavirus vaccine in young women.International Journal of STD & AIDS 2003;14,300-306.
2. Riedesel, J. M., Rosenthal, S. L., Zimet, G.D., Bernstein, D. I., Huang, B., Lan, D.,& Kahn, J. A.. Attitudes about Human papillomavirus vaccine among family physicians. Journal Pediatric Adolescent Gynecology 2005;18, 391-398.
3.Zur Hausen H,SchA. The role of papillomaviruses in angenital cancer.
In:Salzman NP,Howley PM.eds. The papillomaviruses. NY:Plenum,1987:245-63.
4.Chang F, Syrj¨anen S, Nuutinen J ,K. Detection of Human papillomaviruses(HPV) DNA in oral squamous cell carcinomas by in
situ hybridization and polymerase chain reaction. Arch Dermatol Res 1990;282:493-7.
5.Maitland NJ, Cox MF, Lynas C, Prime SS, Meanwell CA, Scully C.
Detection of human papillomaviruses DNA in biopsies of human oral
tissue. Br J Cancer 1987;56:245-50.
6.Thomas D B,Ray R M,Kuypers et al. human papillomaviruses and cervical cancer in Bangkok.lll.The role of husbands and commercial sex workers.Am J Epidemiol 2001;153:740-748.
7.Canadas M Paz,F. Bosch Xavier, Junquera M. Luisa, et al.
Concordance of prevalence of human papillomaviruses DNA in
angenital and oral infection in a high-risk population. Journal of
Clinical Microbiology,Mar.2003;42:1330-1332.
8.Gypsyamber D''Souza , Aimee R. Kreimer, Raphael Viscidi, M.D., et. al. Case-Control Study of Human Papillomavirus and Oropharyngeal Cancer N Engl J Med 2007; 356:1944-56.
9.Rosenstock , I. M. Historical origins of the health belief model. Health
Education Monographs.1974;2:328 - 335.
10.孫安迪 牙醫與口腔疾病:檳榔和癌前期與口腔癌。健康世界雜誌社1992:169.
11.Neville , B. W. Oral & maxillofacial pathology. Philadelphia:W. B. Saunders 2002.
12.van der Waal, I., Schepman, K. P., van der Meij, E. H .,and Smeele,
L. E .Oral leukoplakia:a clinicopathological review.Oral Oncol.1997;33:291-301.
13.Murti P., Bhonsle, R., Pindborg, j., and Daftary, D. Malignant transformation rate in oral submucous fibrosis over a 17-year period.Community Dentistry & Oral Epidemiology.1985;13:340-1.
14.Paymaster JC. Cancer of the buccal mucosa:Clinical study of 650 cases in Indian patients.Cancer 1956;9:431-435.
15.Pillai R,Balaram P,Reddiar KS. Pathogenesis of oral submucous fibrosis. Relationship to risk favtors associated with oral cancer.Cancer.1992;69:2011-2020.
16.Silverman,S.Oral cancer/American Cancer Society.Hamilton,ON;Lewiston,NY:B.C.Decker.2003.
17.行政院衛生署.台灣主要癌症死亡原 因.2005.http//www.doh.gov.tw
18.ACC/AJCC. AJCC cancer staging manual /American Joint
Committee on Cancer. American Joint Committee on Cancer.2002
19.榮民總醫院牙科.口腔癌的自我檢查於「口腔衛生漫談」.時報文化出版社,1983;186-188.
20.陶聲洋防癌基金會2008.http://www.sydao.org.tw/
21.Syrj¨anen K, Syrj¨anen S, Lamberg M, Pyrh¨onen S, Nuutinen J. Morphological and immunohistochemical evidence suggesting human papillomavirus (HPV) involvement in oral squamous cell carcinogenesis.Int J Oral Surg 1983;12:418–24.
22.Richman DD,Whitley RJ,Hayden FG.Clinical Virology:papillomavirus.1997;PP569-611.
23.Chen Z, Storthz K A, Shillitoe E J. Mutations in the long control region of human papillomavirus DNA in oral cancer cells, and their functional consequences. Cancer Res 1997; 57: 1614-1619.
24.Wang C,Liao BS. Cervical intraepithelial of the uterus :A clinical reappraisal. Chang Gung Med J 1980;3:179-185.
25.Morrison EA,Ho GF, Vermund SH ,Goldberg GL,Kadish AS,Kelley KF,Burk RD.Human papillomavirus infection and other risk factors cervical neoplasia:a case-control study. Int J Cancer 1991;49:6-13.
26.Williamson AL,Brink NS Dehaeck CM,Ovens S, Seters R,Rybicki EP. Typing of Human papillomavirus in cervical carcinoma biopsies from Cape Twon.J Med Virol 1994;43:231-237.
27.Isabell Lombard, Anne Vincent-Salomon.Human papillomavirus genotype as a major determinant of the course of cervical cancer.J Clin Oncol 1998;16:2613-2619.
28 Loning TH, Reichart P, Staquet MJ, Becker J, Thivolet J. Occurrence of papillomavirus structural antigens in oral papillomas and leukoplakias.Journal of Oral Pathology1984;13:463-465.
29.Chang F, Syrj¨anen K, Syrj¨anen S,Kellokoski J,Human papillomavirus infection and their associations with oral disease.J Oral Pathol Med 1991;20:305-317.
30. Syrj¨anen S, Puranen M. Human papillomavirus infections in children:
the potential role of maternal transmission. Crit Rev Oral Biol Med
2000;11:259–74.
31. Syrj¨anen S. Human papillomavirus infections and oral tumours. Med
Microbiol Immunol 2003;192:123–8.
32. Kreimer A, Alberg A, Daniel R, Gravitt P, Viscidi R, Garrett E, et al. Oral human papillomavirus infection in adults is associated with sezual behaviour and HIV serostatus. J Infect Dis 2004;189:686–98.
33. Ca˜nadas M, Bosch F, Junquera M, Ejarque M, Font R, Ordo˜nez E, et al.
Concordance of prevalence of human papillomavirus DNA in anogenital
and oral infections in a high-risk population. J Clin Microbiol 2004;42:1330–2.
34.Smith E M, Hoffman H T, Summersgill K S, Kirchner HL, Turek L P, Haugen T H. Human papillomavirus and risk of oral cancer. Laryngoscope 1998;108: 1098-1103.
35.國際癌症研究署(International Agency for Research on Cancer,IARC)(2008);http://monographs.iarc.fr/ENG/Classification/index.php
36.Trell, E,Bjorlin G, Andreasson L,Korsgaard R,Mattiasson I.Carcinoma of the oral cavity in relation to aryl hydrocarbon hydrocarbon hydroxylase inducibility,smoking and dental status.Int J Oral Surg1981;10-93-97.
37.Johnson, N.. Tobacco use and oral cancer: a global perspective.
Journal of Dental Education 2001, 65, 328-39.
38. Franco, E., Kowalski, L., and Oliveira, B.. Risk factors for oral
cancer in Brazil: a case-control study. International Journal of Cancer 1989,43,992-1000.
39.Ko, Y., Huang, Y., Lee, C., Chen, M., Lin, L., and Tsai, C.
Betel quid chewing, cigarette smoking and alcohol consumption related
to oral cancer in Taiwan. Journal of Oral Pathology & Medicine 1995; 24,
450-3.
40.Kato, I., and Nomura, A. Alcohol in the aetiology of upper
aerodigestive tract cancer. European Journal of Cancer. Part B: Oral
Oncology 1994; 30B, 75-81.
41.Brugere, J., Guenel, P., Leclerc, A., and J., R.. Differential effects of tobacco and alcohol in cancer of the larynx,pharynx and mouth.
Cancer 1986;57, 391-5.
42.Ko, Y. C., Liu, B. H., Hsieh, S. F., and Wang, T. N. [Cancer mortality analysis among aborigines in Taiwan]. Gaoxiong Yi Xue Ke Xue Za Zhi1994.10, 379-91.
43.Badu, K. G.. Oral cancer in India. Seminars in oncology 2001;28,169-173.
44.Walker DM, B. G., McDonald L.A.. The pathology of oral cancer.
Pathology 2003; 35, 376-383.
45.Valentine, J.A, Scott, J,West,C.R,St Hill CA.A histological analysis of theearly effects of alcohol and tobacoo usage on human lingual epithelium..J Oral Pathol 1985;14: 654-656.
45.
46.Nair, J., Ohshima, H., Croisy, A. F. M., and Bartsch, H. B. S..
Tobacco-specific and betel nut-specific N-nitroso compounds: occurrence
in saliva and urine of betel quid chewers and formation in vitro by
nitrosation of betel quid. Carcinogenesis1985; 6, 295-303.
47.Stich H., and Anderson, F. The involvement of reactive oxygen species in oral cancers of betel quid/tobacco chewers. Mutation Research 1989;214, 47-61.
48.Lo W., Kao, S., LY.Chi, and Chang, R. Outcomes of oral squamous cell carcinoma in Taiwan after surgical therapy: factors affecting survival. Journal of Oral and Maxillofacial Surgery2003;61, 751-8.
49.Rosenstock I. M. Historical origins of the health belief model. Health Education Monographs1974; 2(4), 328-335.
50.Maiman L. A.,& Becker, M. H. The health belief model:origins and
correlates in Psychological theory. Health Education Monographs1974;2(4),336-353.
51.Becker M. H. The Health Belief Model and sick role behavior. Health Education Monographs Winter 1974; 2(4), 409-419.
52.馬鳳岐.量性護理研究方法.2001,台北:護望。
53.李翠鳳、郭旭崧、周碧瑟.金門縣婦女子宮頸抹片檢查的影響因素.中華衛誌,1997,16(3),198-209。
54.周碧瑟.台灣地區農村婦女對子宮頸抹片檢查認知與接受之分析研究.中華醫誌,1983,31(4),302-311。
55.周貴女.婦人子宮頸癌篩檢行為意向與相關因素之探討─護理人員與製造業女性員工之比較.未發表之碩士論文.2005,高雄:高雄醫學大學護理研究所。
56.Philips, Z., Johnson, S., Avis, M., & Whynes, D. K. Human papillomvirus and the value of screening: young women’s knowledge of cervical cancer.Health Education Reseach Theory & Practice 2003.18(3), 318-328.
57. Holcomb, B., Bailey, J. M., Crawford, K., & Ruffin, M.T.Adults knowledge and behaviors related to human papillomavirus infection. Journal American Board Family Practice 2004.17(1), 26-31.
58.Kim, A. H., Khursigara, G., Sun, X., Franke, T. F., and Chao, M. V.
Akt phosphorylates and negatively regulates apoptosis signal-regulating kinase 1. Mol Cell Biol 2001; 21, 893-901.
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top