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題名：婦女接受子宮頸抹片檢查行為意向模式之研究
書刊名：中華心理衛生學刊
作者：陳協勝／吳濟華 引用關係／朱斌妤 引用關係
出版日期：2002
卷期：15:3
頁次：頁31-66
主題關鍵詞：子宮頸抹片檢查；計畫行為理論；結構方程式模型；Pap smear；Theory of planned behavior；Structural equation modeling
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(6) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:6
  • 共同引用共同引用:57
  • 點閱點閱:62
我國婦女子宮頸抹片到檢率雖逐年成長，目前約為30%左右，但遠低於先進國家的70-80%到檢率，顯示我國衛生醫療機關在鼓勵婦女接受抹片檢查的預防行為，仍有極大的努力空間。本研究由人類心理決策觀點出發，應用Ajzen(1985)計畫行為理論(The Theory of Planned Behavior)為架構，整合婦女接受子宮頸抹片檢查行為動機與相關研究，建構具有態度、主觀規範、行為控制知覺等構念之「婦女接受子宮頸抹片檢查行為意向整合模式」，探討影響婦女接受子宮頸抹片檢查行為之因素。本研究採用結構方程式模型(Structural Equation Modeling)分析方法驗證此意向模式。研究結果顯示，「態度信念」、「主觀規範」及「行為控制知覺」對婦女接受子宮頸抹片檢查行為有顯著影響，其中又以婦女對行使該行為的「控制信念」因素影響最為顯著。其政策涵意為政府今後規劃各項到檢率提昇策略時應致力於建立便利且普及的協助，使婦女擁有更多受檢的機會與能力，以降低其受檢之各種阻礙，牌提高其產生實際的受檢行為。
The rate of women’s taking Pap smear in Taiwan, compared with that in the developed countries, is much lower. This study intends to investigate the women behaviors of cervical cancer screening. To do this, a model building of the Pap smear behavior intention for women is also attempted. We examine the antecedents of women behavior in the context of an integrated behavioral model that incorporates a wide variety of important factor form previous research on Pap smear behavior into a single theoretical framework provided by Ajen’s theory of planned behavior. By using this model it allows us to describe the relationship among attitudes, subjective norms, perceive controls and their intentions. This study also tries to use Structural Equation Modeling to testify the underlying factors that affect Pap smear behavior. The major findings of this study indicate that the Pap smear behavior intention for women is prominently influenced by their attitudes, subjective norms and perceive controls. We discuss public healthcare policy implications and strategies of encouraging women to take Pap smear. The governmental promotion campaigns should emphasize establishing convenient and universal assist for women to obtain more capabilities and opportunities for taking Pap smear.
期刊論文
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2.Evans, M. G.(1991)。The Problem of Analyzing Multiplicative Composites: Interactions Revisited。American Psychologist，46(1)，6-15。  new window
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4.周碧瑟(20000600)。影響臺灣婦女接受子宮頸抹片檢查之因素。生命科學簡訊，14(6)，10-15。  延伸查詢new window
5.Berger, I.、Corbin, R. M.(1992)。Perceived Consumer Effectiveness and Faith in Others as Moderators of Environmentally Responsible Behaviors。Journal of Public Policy and Marketing，11(2)，79-89。  new window
6.李翠鳳、郭旭崧、陳錫中、陳天順、周碧瑟(199706)。金門縣婦女子宮頸防癌抹片檢查的影響因素。中華公共衛生雜誌，16(3)，198-209。new window  延伸查詢new window
7.黃月桂、葉明義、林勤豐(19980200)。全民健康保險子宮頸抹片檢查之利用度研究。中華公共衛生雜誌，17(1)，28-35。new window  延伸查詢new window
8.陳尚民、傅振宗、蕭永薰、閻中傑(19940600)。龍潭社區婦女對子宮頸癌認知、態度與預防行為之探討。中華民國家庭醫學雜誌，4(2)，83-89。  延伸查詢new window
9.陳錫中、周碧瑟(19951200)。臺灣鄉村婦女對「子宮頸防癌抹片檢查」的認知及參與之調查研究。中華公共衛生雜誌，14(6)，494-501。new window  延伸查詢new window
10.簡大任、季瑋珠(19950400)。臺北市有偶婦女接受子宮頸抹片檢查影響因素之探討。中華公共衛生雜誌，14(2)，111-128。new window  延伸查詢new window
11.呂昌明(19950500)。大學生捐血行為的研究--計劃行為理論的應用。衛生教育論文集刊，8，1-14。  延伸查詢new window
12.朱斌妤、葉旭榮、黃俊英(20020600)。「志工參與行為意向模式」的建構及其在老人福利機構志工招募的應用。管理學報，19(3)，475-505。new window  延伸查詢new window
13.Ajzen, Icek(1991)。The Theory of Planned Behavior。Organizational Behavior and Human Decision Processes，50(2)，179-211。  new window
14.Shimp, Terence A.、Kavas, Alican(1984)。The theory of reasoned action applied to coupon usage。Journal of Consumer Research，11(3)，795-809。  new window
15.葉季森、周碧瑟(19871200)。以健康信念模式分析桃園縣婦女的抹片檢查行為。衛生教育雜誌，8，58-77。  延伸查詢new window
16.Ellen, P. S.、Wiener, J. L.、Cobb-Wolgren, C.(1991)。The Role of Perceived Consumer Effectiveness in Motivating Environmentally Conscious Behaviors。Journal of Public Policy and Marketing，10(2)，102-117。  new window
17.Taylor, Shirley、Todd, Peter A.(1995)。Understanding information technology usage: A test of competing models。Information Systems Research，6(2)，144-176。  new window
18.Taylor, Shirley、Todd, Peter A.(1995)。An integrated model of waste management behavior: A test of household recycling and composting intentions。Environment and Behavior，27(5)，603-630。  new window
19.Ajzen, Icek、Madden, Thomas J.(1986)。Prediction of Goal-directed Behavior: Attitudes, Intentions, and Perceived Behavioral Control。Journal of Experimental Social Psychology，22(5)，453-474。  new window
20.Seow, A.、Wong, L.、Smith, W. C. S.、Lee, H. P.(1995)。Beliefs and attitude as determinants of cervical cancer screening: A community-based study in Singapore。Preventive Medicine，24，134-141。  new window
21.Steiger, J. H.(1990)。Structural models evaluation and modification: an interval estimation approach。Multivariate Behavioral Research，25，173-180。  new window
22.Harokopos, V.、McDermoft, R. J.(1996)。Cervical cancer screening: Benefits and barriers。Journal of Health Education，27(6)，351-356。  new window
23.朱湄惠、陳靜敏、張碧真(2000)。婦女接受子宮頸抹片檢查護理介入之成效。新臺北護理期刊，2(1)，37-48。  延伸查詢new window
24.呂昌明、陳錫琦(1995)。應用最適化尺度法探討信念與態度間的關係。衛生教育學報，8，15-20。  延伸查詢new window
25.陳雲絹、張遠萍、許玲女(1998)。某醫學中心婦女做子宮頸抹片檢查與其影響因素之探討。長庚護理，9(1)，22-32。new window  延伸查詢new window
26.張媚、黃秀梨(2000)。兩種教育方案介入對工作場所婦女接受子宮頸抹片檢查之知識、健康信念及行為的影響。護理研究，8(1)，111-123。new window  延伸查詢new window
27.黃璉華(1983)。婦女接受子宮頸細胞抹片檢查動機之探討。公共衛生，10(1)，96-106。  延伸查詢new window
28.顏明賢(1997)。婦女的首號殺手：子宮頸癌的篩檢和預防。媽媽寶寶，128，154-157。  延伸查詢new window
29.Boyes, D. A.(1981)。The value of a smear program and suggestions for its implementation。Cancer，48，613-621。  new window
30.Buller, D.、Modiano, M. R.、De-Zapien, J. G.、Meister, J.、Saltzman, S.、Hunsaker, F.(1998)。Predictors of cervical cancer screening in Mexican American women of reproductives age。Journal of Health Cares for the Poor and Underserved，9(1)，76-95。  new window
31.Byles, J. E.、Sanson-Fisher, R. W.、Redman, S.(1996)。Promoting screening for cervical cancer: Releasing the potential for recruitment by general Practitioners。Health Promotion International，11(4)，299-308。  new window
32.Goel, V.(1994)。Factors associated with cervical cancer screening: Results from the ontario health survey。Canadian Journal Public Health，85，125-127。  new window
33.Hakama, M.、Chamberlain, J.、Day, N. E.、Miller, A. B.、Prorok, C.(1985)。Evaluation of Screening Programmes for Gynaecological Cancer。British Journal Cancer，52(4)，669-673。  new window
34.Hirano, Y.、Ojima, T.(1997)。Analyses of factors influencing participation in the cervical cancer screening programme in the community in Japan。Journal of Epidemiol，7，125-133。  new window
35.Howe, S. L.、Delfino, R. J.、Taylor, T. H.、Anton-Culver, H.(1998)。The risk of invasive cervical cancer among hispanics: Evidence for targeted preventive interventions。Preventive Medicine，27，674-680。  new window
36.Kottke, T. E.、Trapp, M. A.(1998)。Implementing nurse-based systems to provide American Indian women with breast and cervical cancer screening。Mayo Clinic Proc，73，815-823。  new window
37.Mamon, J. A.、Shediac, M. C.、Crosby, C. B.、Celentano, D. D.、Sanders, B.、Matanoski, G. M.(1991)。Development and implementation of an intervention to increase cervical cancer screening in Inner-City Women。Quarterly of Community Health Education，12(1)，21-34。  new window
38.Mamon, J. A.、Shediac, M. C.、Crosby, C. B.、Sanders, B.、Matanoski, G. M.、Celentano, D. D.(1990)。Inner-City women at risk for cervical cancer: Behavioral and utilization factors related to inadequate screening。Preventive Medicine，19，363-376。  new window
39.Orbell, S.、Crombie, I.、Johnston, G.(1996)。Social cognition and social structure in the prediction of cervical screening uptake。British Journal of Health Psychology，1(1)，35-50。  new window
40.Peters, R. K.、Bear, M. B.、Thomas, D.(1989)。Barriers to screening for cancer of the ervix。Preventive Medicine，18，133-146。  new window
41.Ward, J. E.、Boyle, K.(1991)。Increasing women's complicance with opportunistic cervical screening: A randomized trial。American Journal of Preventive Medicine，7(5)，285-291。  new window
42.Yajima, A.、Mort, T.、Sato, S.、Wakisaka, T.、Suzukis, M.(1982)。Effect of cytologic screening on the detection of cervical carcinoma。Obstetrics Gyneccology，59，565-568。  new window
研究報告
1.邱燦宏、葉季森(1993)。城市、鄉村婦女接受子宮頸抹片檢查決定因素之比較研究。沒有紀錄。  延伸查詢new window
學位論文
1.孟玲玲(1999)。衛生教育介入對彰化都市地區國小女教師參與子宮頸抹片檢查意願與行為的影響(碩士論文)。國立臺灣師範大學。  延伸查詢new window
2.任金蘭(2000)。臺灣地區預防保健子宮頸細胞抹片篩檢率之生態相關研究，0。  延伸查詢new window
3.陳宛辰(1998)。探討婦女子宮頸抹片檢查行為－以質性內容分析法論述之，0。  延伸查詢new window
圖書
1.Ajzen, I、Fishbein, M.(1975)。Understanding attitudes and predicting social behaviour。New Jersey：Prentice-Hall。  new window
2.行政院衛生署(1999)。中華民國公共衛生年報。台北：行政院衛生署。  延伸查詢new window
3.張劭勳(2001)。研究方法。台中：滄海書局。  延伸查詢new window
4.陳正昌、程炳林(1994)。SPSS、SAS、BMDP統計軟體在多變量統計上的應用。臺北：五南圖書出版公司。  延伸查詢new window
5.Babbie, Earl、李美華、孔祥明、林嘉娟、王婷玉(1998)。社會科學研究方法。時英出版社。  延伸查詢new window
6.周碧瑟(1997)。公共衛生學：癌症流行病學。公共衛生學：癌症流行病學。臺北。  延伸查詢new window
7.劉偉民(1997)。六分鐘，護一生－婦女保健指南。六分鐘，護一生－婦女保健指南。臺北。  延伸查詢new window
其他
1.行政院衛生署(1999)。中華民國88年衛生統計動向，沒有紀錄。  延伸查詢new window
圖書論文
1.Ajzen, Icek(1985)。From intentions to actions: A theory of planned behavior。Action Control: From Cognition to Behavior。Springer-Verlag。  new window
2.Browne, Michael W.、Cudeck, Robert(1993)。Alternative ways of assessing model fit。Testing Structural Equation Models。Sage。  new window
 
 
 
 
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