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題名:臺灣民眾歸因與因應疾病的身體文化
書刊名:身體文化學報
作者:徐振德 引用關係
作者(外文):Hsu, Chen-te
出版日期:2011
卷期:12
頁次:頁25-39
主題關鍵詞:身體文化疾病歸因求醫行為Body cultureIllness attributionMedical seeking behavior
原始連結:連回原系統網址new window
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  • 共同引用共同引用:154
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身體文化的範疇,包含以身體或身體活動為基礎或媒介所形成的文化,臺灣地區常民(lay person)的一些疾病信念由於受中國傳統醫學文化的影響很深,民俗的疾病信念在求醫的過程中常當作生病時身體化的理論框架,進而發展成臺灣民眾因應疾病的身體文化。本研究透過質量性並用的研究方法,在匯集21位某教學醫院門診病人之訪談資料後,發展量化問卷。採「分層隨機抽樣」的方法,以臺灣地區25縣市為分層基礎,以CATI (Computer Assistant Telephone Interview, CATI)系統針對全國18 歲以上民眾進行電話訪談。最終獲得1057份有效樣本,完訪率93.7%,抽樣誤差為±3.01%。將結果進行分析與討論,本研究提出兩點結論:(一)將「身體」作為一個客觀的考察對象,一般人會將其生活經驗及疾病經驗轉成知識帶到健康相關的行動上;(二)透過對於臺灣民眾因應疾病的身體文化初探,可發現一定比例以上的民眾對於「身體」的體會有專屬「文化」層面的理解,透過這些理解而有不同的求醫取向及身體對待方式。
Body culture consists of the culture which is formed by body or physical activity as a basis or medium. Traditional Chinese medical culture made a great impact on the health beliefs in Taiwan. Folk illness beliefs usually are taken as the theoretical framework when "lay person" seek medical help, and then the framework is gradually developed into the belief of how to coping with illness of body culture in Taiwan. This research adopted qualitative and quantitative approaches. First of all, the author developed a quantitative questionnaire by the data of interviewing 21 outpatients in a medical university hospital. Second, the author used 25 cities and counties in Taiwan as a stratified random sampling object, and then implemented telephone survey of over aged 18 people in Taiwan by CATI (Computer Assistant Telephone Interview). Finally, 1,057 effective samples (93.7%) were carried out, and the sampling error is ±3.01%. The results showed that: 1. taking body as an objective inspection object, most people turn their life and disease experiences into knowledge and their health-related actions. 2. by briefly researching to the body culture of how Taiwanese coping with disease, the author obtains a fact that a certain proportion of Taiwan people has some exclusive culture understanding; furthermore, how people seek medical help and how they treat their bodies are influenced by those understanding.
期刊論文
1.蕭偉傑(19961200)。中醫談感冒。中國中醫臨床醫學雜誌,2(1),9-11。  延伸查詢new window
2.楊文山(19920600)。臺灣地區民眾求醫行為之分析。榮總護理,9(2),121-125。new window  延伸查詢new window
3.許木柱(19920600)。民俗醫療與醫護因應。榮總護理,9(2),117-120。new window  延伸查詢new window
4.姜忠信、宋維村(20010900)。自閉症的精神病理學:回顧與前瞻。臺灣精神醫學,15(3),169-183。new window  延伸查詢new window
5.Tung, M. P. M.(1994)。Symbolic Meaning of the Body in Chinese Culture and 'Somatization'。Culture, Medicine and Psychiatry,18,483-492。  new window
6.梁靜祝(1999)。中西醫療信念量表的發展與建立。護理研究,7(5),445-457。new window  延伸查詢new window
7.鄭萍(2005)。村落視野中的大傳統與小傳統。讀書,7,11-18。  延伸查詢new window
8.Chih-Yin, Lew-Ting、Hurwicz, M. L, Berkanovic, E.(1998)。Personal Constitution and Health Status Among Chinese Elderly。Social Science and Medicine,47(8),21-30。  new window
9.Schoenberg, Nancy E.、Amey, Cheryl H.、Coward, Raymond T.(1998)。Stories of Meaning: Lay Perspective on the Origin and Management of Noninsulin Dependent Diabetes Mellitus Among Older Women in the United States。Social Science and Medicine,47(12),2113-2125。  new window
10.Entwistle, Vikki A.、Renfrew, Mary J.、Yearley, S.、Forrester, J.、Lamont, T.(1998)。Lay Perspectives: Advantages for Health Research。British Medical Journal,316,463-466。  new window
11.Wen, J. K.(1998)。Folk Belief, Illness Behavior and Mental Health in Taiwan。Changgeng Yi Xue Za Zhi,21(1),1-12。  new window
會議論文
1.許義雄(2004)。台灣百年身體運動文化之建構。台北市:師大書苑。1-20。  延伸查詢new window
學位論文
1.楊婷婷(1997)。健康食品專賣店的商業及非商業意涵(碩士論文)。國立台灣大學。  延伸查詢new window
2.郭淑珍(2005)。嚼食檳榔的脈絡分析:一個對臺北地區計程車司機的田野研究。國立臺灣大學,臺北。  延伸查詢new window
3.賴文恩(2004)。社區糖尿病患對「糖尿病」的認知內容、罹病經驗與自我照顧行為:從理論到實際 臺北:國立臺灣大學流行病學研究所預防醫學組博士論文。國立臺灣大學,臺北。  延伸查詢new window
4.戴月英(1997)。甲狀腺機能亢進患者家族病史、疾病歸因、因應行為與相關症狀:以某教學醫院醫院門診病人為例。國立臺灣大學,臺北。  延伸查詢new window
圖書
1.Ulin, P. R.、Robinson, E. T.、Tolley, E. E.(2005)。Qualitative Methods in Public Health: A Field Guide for Applied Research。San Francisco, CA:Jossey-Bass。  new window
2.Jenks, Chris、俞智敏、陳光達、王淑燕(1998)。文化。巨流。  延伸查詢new window
3.張苙雲(1998)。醫療與社會:醫療社會學的探索。台北:巨流。new window  延伸查詢new window
4.Leslie, C.(1976)。Asia Medical System: A Comparative Study。Berkeley & Los Angeles。  new window
 
 
 
 
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