七美鄉為澎湖的二級離島，2003年起獲行政院衛生署補助辦理社區健康營造計畫。本計畫執行之初，曾針對居民有關健康習慣之相關課題實施調查。本項調查主要以問卷為工具，依人口比率抽樣的方式實施實地訪談，共發出300份問卷，回收有效問卷275份。經統計分析發現，七美鄉居民吸菸及嚼檳榔的盛行率與台灣其他鄉鎮比較，顯然並不嚴重；只有喝酒盛行率方面有偏高的趨勢。儘管防制菸、酒與檳榔的危害是社區健康營造的主要議題，但是針對社區特質的需求，規劃推動涵蓋生理、心理及社會等各層面的健康促進工作，更是落實社區健康營造所不可忽視的重要目標。因此，本文也就兩年多來，在七美鄉推動社區健康營造的策略經驗作一說明。

Chi-Mei Township is a secondary off-shore island of Penghu County. In 2003, the Department of Health, Executive Yan provided funds for proceeding healthy community building plan in Chi-Mei. At the beginning, the undertaking of the plan focused on surveying residents’ daily habits with regarding health. The survey instrument was questionnaire. Samples were selected based on demographic ratio and interviewed in Chi-Mei. There were 300 questionnaires distributed and 275 questionnaires were valid. The data analysis revealed that the betel quid chewing and smoking prevalence was not serious as compared with other townships in Taiwan. However, the alcohol drinking prevalence in Chi-Mei was more aggravated than others. Although prevention of betel quid chewing, smoking, and alcohol drinking were the primary issues on building healthy community, the planning of how to implement healthy promotion, based on community attributes, which included psychological, physiological, and social domains were important too. Moreover, the study illustrated how researchers implement their strategies on building healthy community in Chi-Mei these two years.