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題名：酒酣耳熱與酬酢：原住民酒癮相關因子之探討
書刊名：中華輔導與諮商學報
作者：賴力行／龍紀萱 引用關係／李依霙／盧煜煬 引用關係／施勝烽
作者(外文)：Lai, Li-hsing／Lung, Chi-hsuan／Lee, I-ying／Lu, Louis Y. Y.／Shih, Sheng-feng
出版日期：2013
卷期：36
頁次：頁155-182
主題關鍵詞：自覺健康狀況；原住民；酒癮；Aboriginal community；Alcoholism；Self-conscious health condition
原始連結：連回原系統網址new window
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飲酒行為一直是原住民生活中重要的議題，本研究旨在探討影響原住民酒癮行為的相關影響因素。本研究為量化橫斷性研究，採用立意取樣，運用研究者設計之自填式問卷，以原住民部落具有飲酒行為之493位原住民為研究對象。以原住民的基本特質、健康狀況、嗜好習慣此三方面進行分析。「基本特質」，族群別、性別、年齡、教育、婚姻與酒癮呈顯著性差異；「健康狀況」，自覺健康狀況與酒癮呈顯著性差異；「嗜好習慣」，抽煙量、嚼檳榔、喜愛的酒類、開始飲酒年齡、常和誰飲酒、飲酒動機、飲酒時刻、飲酒量、是否瞭解飲酒壞處、飲酒後反應、自覺飲酒害處、節制飲酒意願與酒癮呈顯著性差異。「酒癮者之危險因子」，健康狀況、抽菸量、飲酒量、飲酒時刻為酒癮者之危險預測變項。酒癮者與非酒癮者之基本特質、健康狀況、嗜好習慣等因子呈顯著性差異，建議注意有飲酒行為者之飲酒時間、飲酒量與節制飲酒意願，將有助於控制原住民酒癮之危險因子。
The purpose of this study was to explore the factors that were hypothesized to correlate with the development of alcohol dependence in aboriginal communities. This study used a cross-sectional design and purposive sampling. We modified the questionnaire CAGE for the survey of alcoholism. Data were collected from 493 aborigines who had drinking behavior in aboriginal communities. Data were analyzed based on fundamental characteristics, health status, and habits. The results showed that there were significant difference in occurrence of alcoholism among factors such as ethnic groups, gender, age, education level and marriage. Alcoholism occurred more frequently among individuals who were male, younger, with lower education level and unmarried. Individuals with better health status were less likely to become alcoholics. There are several habitual factors that affected the development of alcoholism. Factors that were associated with alcoholism included smoking, chewing betel nut, starting to drink in younger age, having drinking buddies, day-time drinker, drinking in a great amount of alcohol, having certain kinds of alcohol-containing drink, and realizing the bad effects of drinking. Among the risk factors that affected the person’s alcoholism, self-conscious health condition, smoking, the amount of drinking, and drinking time during the day were critical elements. Because alcoholics showed significant difference to nonalcoholic ones distinguished by fundamental characteristics, habitual factors and health status, this study recommended that attention should be paid to the drinking time during a day, the quantity of drinking and self-control capability to effectively reduce the ratio of alcoholics in an aboriginal community with drinking culture.
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14.Gentilello, L. M.、Rivara, F. P.、Donovan, D. M.、Villaveces, A.、Daranciang, E.、Dunn, C. W.、Ries, R. R.(2000)。Alcohol problem in women admitted to a Lever I trauma center: A gender-based comparison。The Journal of Trauma，48(1)，108-114。  new window
15.Hasin, D. S.、Stinson, F. S.、Ogburn, E.、Grant, B. F.(2007)。Prevalence, correlates, disability, and comorbidity of DSM-IV alcohol abuse and dependence in the united states: Results from the national epidemiologic survey on alcohol and related conditions。Archives of General Psychiatry，64(7)，830-842。  new window
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17.Hwu, H. G.、Yeh, Y. L.、Wang, J. D.(1991)。Risk factors of alcoholism among Taiwan aborigines: Implications for etiological molders and the oncology of alcoholism。Acta Psychiatry Scand，83(4)，267-272。  new window
18.Jarman, D. W.、Naimi, T. S.、Pickard, S. P.、Daley, W. R.、De, A. K.(2007)。Binge drinking and occupation: North Dakota, 2004-2005。Preventing Chronic Disease，4(4)，2004-2005。  new window
19.Jukkala, T.、Mäkinen, I. H.、Kislitsyna, O.、Ferlander, S.、Vågerö, D.(2008)。Economic strain, social relations, gender, and binge drinking in Moscow。Social Science and Medicine，66(3)，663-674。  new window
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29.葉美玉、胡海國、林淑梅、李選(20000400)。酒癮患者憂鬱之研究。護理研究，8(2)，241-248。new window  延伸查詢new window
30.胡海國、黃宗正、陳喬琪、Gorenc, Klaus-dieter、Abreu, Luis Felipe、Peredo, Sandra(20030400)。Brief Alcoholism Screening Questionnaire: Establishment and Validity in Taiwanese。臺灣醫學會雜誌，102(4)，250-256。  延伸查詢new window
31.葛應欽、劉碧華、謝淑芬(19940700)。臺灣地區原住民的健康問題。高雄醫學科學雜誌，10(7)，337-351。  延伸查詢new window
32.Cheng, Andrew T.、Chen, Wei J.(1995)。Alcoholism among Four Aboriginal Groups in Taiwan: High Prevalences and Their Implications。Alcoholism: Clinical and Experimental Research，19(1)，81-91。  new window
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會議論文
1.鄭泰安(1993)。台灣地區原住民飲酒問題的流行病學研究。行政院衛生署與慈濟醫學院舉辦之山胞(原住民)飲酒與健康問題研討會。花蓮。  延伸查詢new window
2.胡海國(1993)。山地社區酗酒之防治--理論與實際。山胞（原住民）飮酒與健康問題研討會，行政院衛生署與慈濟醫學院 。花蓮：慈濟醫學院。38-50。  延伸查詢new window
研究報告
1.許木柱(1996)。台灣原住民飲酒問題的社會文化因素研究 (計畫編號：NSC85-2331-B001-060-M31)。  延伸查詢new window
2.鄭泰安(1996)。台灣地區原住民飲酒問題的十年追蹤研究 (計畫編號：NSC85-2331-B001-059-M31)。  延伸查詢new window
學位論文
1.王燕惠(2002)。台灣地區原住民嚼食檳榔、吸菸、喝酒使用盛行率及其健康危害意識調查(碩士論文)。高雄醫學大學，高雄。  延伸查詢new window
2.林美足(2002)。家庭功能與男性酒精依賴患者之飲酒行為與生活品質之相關性研究(碩士論文)。國立成功大學。  延伸查詢new window
3.林梅香(2003)。衛生教育介入對都市原住民吸菸飲酒行為之影響研究(博士論文)。國立臺灣師範大學。  延伸查詢new window
4.張欣萍(2000)。原住民飲酒行為與家庭相關之研究--以泰雅族、賽夏族為例(碩士論文)。國立臺灣大學。  延伸查詢new window
5.陳妍翰(2001)。原住民飲酒行為與偏差行為之探討--以原住民受刑人為例(碩士論文)。國立中正大學，嘉義。  延伸查詢new window
6.陳順民(2004)。原、漢族群學童其心理、社會、家庭與飲酒關聯性之研究(碩士論文)。國立臺東大學，台東。  延伸查詢new window
7.黃淑珠(2002)。屏東縣居民使用檳榔、菸、酒盛行率及其對健康危害意識之調查(碩士論文)。高雄醫學大學。  延伸查詢new window
8.楊美賞(1996)。臺灣南部地區菸、酒、檳榔使用之流行病學研究--以青少年及原住民婦女為對象之探討(博士論文)。高雄醫學院，高雄。  延伸查詢new window
9.顏婉娟(2000)。烏來泰雅族婦女飲酒經驗之探討(碩士論文)。國立陽明大學。  延伸查詢new window
10.陳怡青(1995)。酒癮患者的婚姻關係及其酗酒行為之研究(碩士論文)。東吳大學。  延伸查詢new window
圖書
1.孔繁鐘(2007)。DSM-IV-TR 精神疾病診繼準則手冊。台北：合記。  延伸查詢new window
2.行政院原住民族委員會(2006)。中華民國九十三年原住民健康狀況統計。台北：行政院原住民族委員會。  延伸查詢new window
3.行政院原住民族委員會(2007)。中華民國九十四年原住民健康狀況統計。台北：行政院原住民族委員會。  延伸查詢new window
4.行政院原住民族委員會(2008)。中華民國九十五年原住民健康狀況統計。台北：行政院原住民族委員會。  延伸查詢new window
5.行政院原住民族委員會(2009)。中華民國九十六年原住民健康狀況統計。台北：行政院原住民族委員會。  延伸查詢new window
6.行政院原住民族委員會(2011)。中華民國九十八年原住民族人口及健康狀況統計年報。台北：行政院原住民族委員會。  延伸查詢new window
7.吳聰能(1995)。國人吸煙、喝酒、嚼檳榔及上下班使用交通工具之盛行率狀況分析。台北：行政院衛生署檢疫總所。  延伸查詢new window
8.Bauman, Z.(2000)。Social uses of law and order。Criminology and social theory。New York, NY：Oxford University Press。  new window
9.Miller, W. R.、Zweben, A.、DiClemente, C.(1992)。Motivational enhancement therapy: A clinical research guide for therapists treating individuals with alcohol abuse and dependence。Washington, DC：Department of Health and Human Services。  new window
10.Rockville, M. D.(2001)。U.S. department of health and human services。Baltimore, MD：Substance Abuse and Mental Health Administration。  new window
11.孔繁鐘、孔繁錦(1997)。DSM-IV精神疾病的診斷與統計。臺北：合記圖書出版社。  延伸查詢new window
12.行政院原住民族委員會(2005)。中華民國九十二年原住民健康狀況統計。臺北：行政院原住民族委員會。  延伸查詢new window
其他
1.(2011)。原住民族基本法，http://law.moj.gov.tw/LawClass/LawContent.aspx?pcode=D0130003， 2011/08/30。  new window
2.Alcohol Anonymous(2001)。Alcoholics anonymous，http:// www.alcoholics-anonymous.org， 2008/05/07。  new window
3.Alcohol Anonymous(2010)。Twelve steps and twelve traditions，http:// www.alcoholics-anonymous.org， 2010/09/21。  new window
 
 
 
 
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