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題名:以健康行為型態分類臺灣地區之成年人口群--群聚分析之應用
書刊名:中華公共衛生雜誌
作者:丁志音江東亮
作者(外文):Lew-ting, Chih-yinChiang, Tung-liang
出版日期:1996
卷期:15:3
頁次:頁175-187
主題關鍵詞:健康行為型態群聚分析社會人口學特質Health behavioral patternsCluster analysisSocio-demographic characteristics
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(16) 博士論文(3) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:16
  • 共同引用共同引用:44
  • 點閱點閱:59
     本研究乃利用 1990 年國民健康調查資料,應用群聚分析法,以十二項健康行為 組合所呈現整體型態的差異,對 2782 名 18 歲以上國人進行分類,結果共得出七組健康行 為群體。根據對香菸、酒、及檳榔三項成癮物質之使用,此七組群體又可區分為三大類型: (1)少癮型:包括循規保健組、多運動及零食組,以及無早餐多咖啡組.(2)雙癮型: 包括多菸多檳榔組及多菸多酒組,以及(3)多癮型:包括正負混合組以及自我摧殘組。進 一步之信度及效度檢驗支持比 -- 分類之適切性。大體而言,相對於少癮型,雙癮型及多癮 型以男性佔絕大多數,平均年齡較低,教育程度以小學國中居多,且職業則以從事半技術之 藍領工人所佔比例最高。而進一步分析則發現不同類型之各組間亦存有相當大的差異。此一 群體間之差異的現象可以 Max Weber 的地位群體( status group )及次文化理論加以詮 釋,即健康行為型態乃個人與社會環境及次文化不斷交互作用下的產物。因此本研究建議: 當前之健康促進研究與實務,不該將行為視為獨立的、個別的危險因子,而應強調全貌性整 合性的行為概念化,如此才更具有理論與政策意義。
     Using data from a 1990 national household health survey, a typology of 2782 adults 18 years of age and above was developed by a cluster analysis of 12 health-related behaviors. The analysis generated seven distinct health behavioral groups, which were further classified into three major types based on the use of three addctive substances: (1) limited-addiction type, including three groups: Health-promotive, Exercise and snack, and Coffee but no breakfast, (2) double-addiction type, including two groups: Smoking and drinking, and Smoking and betal-nuts chewing, and (3) multiple-ad-diction type, including two groups: Mixed and Self-destructive. Reliability and validity of this classification were examined and the results supported this seven-group solution. The health behavioral profile of these seven types was presented. Overall, in comparison with the limited-addiction group, both double-addition group and multiple-addiction group were characterized by younger male populations, with a lower educational attainment, and were employed in blue collar, semi-manual occupations. Futher analyses indicated that considerable variation in sociodemographic characteristics might exist among different types of the same groups. The findings of this study can be well understood within the framework of Max Weber's "status group" and "subculture" theory, i.e., health behavioral pattern was a product of continuous interactions between individuals and their social environment and subculture. It is suggested that rather than treating various behaviors as discrete and independent entities as it is in current health promotion research and practice, a holistic conceptualization of health behavior should be adopted for greater theoretical and policy implications.
期刊論文
1.Ansbacher, H. L.(1967)。Life style: A historical and systematic review。Journal of Individual Psychology,23(2),191-212。  new window
2.Lupton, D.(1993)。Risk as Moral Danger: The Social and Political Functions of Risk Discourse in Public Health。The International Journal of Health Services,23(3),425-435。  new window
3.Abel, T.(1991)。Measuring health lifestyles in a comparative analysis: theoretical issues and empirical findings。Soc Sci Med,32,899-908。  new window
4.Sobal, J.、Revicki, D.、DeForge, B. R.(1992)。Patterns of interrelationships among health-promotion behaviors。Am J Pre Med,8,351-359。  new window
5.Tapp, J. T.、Goldenthal, P.(1982)。A factor analytic study of health habits。Pre Med,11,724-728。  new window
6.Steele, J.、McBroom, W. H.(1972)。Conceptual and empirical dimensions of health behavior。J Health Soc Behav,13,382-392。  new window
7.Langlie, J. K.(1979)。Interrelationships among preventive health behaviors: a test of competing hypotheses。Public Health Rep,94,216-225。  new window
8.Coreil, J.、Levin, J. S.、Jaco, E. G.(1985)。Life style-an emergent concept in the sociomedical sciences。Cul Med Psy,9,423-437。  new window
9.Istvan, J.、Matarazzo, J. D.(1984)。Tobacco, alcohol, and caffeine use: a review of their interrelationships。Psychol Bull,95,301-326。  new window
10.Slater, C. H.、Linder, S. H.(1988)。A reassessment of the additive scoring of health practices。Med Care,26,1216-1227。  new window
11.Donahue, J. M.、McGuire, M. B.(1995)。The political economy of responsibility in health and illness。Soc Sci Med,40,47-53。  new window
12.Glendinning, A.、Hendry, L.、Shucksmith, J.(1995)。Lifestyle, health and social class in adolescence。Soc Sci Med,41(2),235-248。  new window
13.李蘭、陸玓玲、李隆安、黃美維、潘怜燕、鄧肖琳(19950800)。臺灣地區成人的健康行為探討:分佈情形、因素結構和相關因素。中華公共衛生雜誌,14(4),358-368。new window  延伸查詢new window
14.Patterson, R. E.、Haines, P. S.、Popkin, B. M.(1994)。Health Lifestyle Patterns of U.S. Adults。Preventive Medicine,23(4),453-460。  new window
圖書
1.Sobel, E.(1981)。Lifestyle and Social Structure: Concepts, Definitions, Analysis。New York:Academic Press。  new window
2.行政院衛生署(1993)。衛生白皮書。臺北:行政院衛生署。  延伸查詢new window
3.Afifi, A. A.、Clark, V.(1984)。Computer-Aided Multivariate Analysis。Belmont, California:Lifetime Learning Publications。  new window
4.江東亮、林瑞雄、洪永泰、張明正(1991)。國民健康調查之規劃與試驗。行政院衛生署。  延伸查詢new window
5.SAS Institute Inc.(1993)。SAS/STAT User's Guide。Cary, NC:SAS Institute Inc.。  new window
6.WHO, Regional Office for Europe(1993)。Health for All Targets: The Health Policy for Europe。  new window
7.Feldman, S. D.、Thielbar, G. W.(1975)。Lifestyle-Diversity in American Society。Boston:Little, Brown and Company。  new window
8.Bollen, K. A.(1989)。Structural Equations with Latent Variables。New York:John Wiley & Sons。  new window
圖書論文
1.Gochman, D. S.(1988)。Health behavior-plural perspectives。Health Behavior-Emerging Research Perspective。New York:Plenum Press。  new window
2.Anderson, R.(1988)。The development of the concept of health behavior。Health Behavior Research and Health Promotion。New York:Oxford University Press。  new window
3.Ghiselli, E. E.、Campbell, J. P.、Zedeck, S.(1981)。Concepts of correlation。Measurement Theory for the Behavioral Sciences。New York:W. H. Freeman and Company。  new window
4.Dean K.(1988)。Methodological issues in the study of health-related behavior。Health Behavior Research and Health Promotion。New York:Oxford University Press。  new window
 
 
 
 
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