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題名：臺灣愛滋感染者權能增強影響因素之研究
書刊名：臺大社會工作學刊
作者：莊登閔／宋麗玉 引用關係
作者(外文)：Chuang, Deng-min／Song, Li-yu
出版日期：2013
卷期：28
頁次：頁47-91
主題關鍵詞：愛滋病；愛滋感染者；權能；HIV；People living with HIV/AIDS；Empowerment
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(1) 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:1
  • 共同引用共同引用:62
  • 點閱點閱:80
愛滋感染者深受社會烙印且處於社會邊緣，在面對自身權益遭受侵犯時，往往難以看到該人口群為自己或社群發聲與行動；因此，本研究希冀瞭解愛滋感染者的權能及可能的影響因素，藉此激發感染者的權能。 本研究採問卷調查法，以臺灣目前的愛滋感染者為主要對象，抽樣方法為立意抽樣，共回收 379份有效問卷。研究中檢驗的預測因子為生活滿意度、愛滋內在烙印、參與類型、愛滋知識與服藥狀況，並經由雙變項分析和多元迴歸分析檢驗整體模式對權能的解釋力。 愛滋感染者整體權能分布在常模中下區間，社會政治權能最高，但實踐權能的參與行動卻偏低；分析感染者次團體的差異檢定時，性別與環境變項在藥癮愛滋感染者中達顯著。另一方面，迴歸分析顯示整體模式解釋 36%的變異量，生活滿意度、社區代表參與、愛滋知識與服藥順從度為顯著的影響因素。次團體的分析中發現，愛滋內在烙印在同性間性行為愛滋感染者中為顯著的解釋變項，但在藥癮感染者中並沒有達到統計上的顯著。 依據研究結果，建議未來實務與政策投入相關資源探討並促進愛滋感染者生活滿意度和社區代表參與以激發其權能。
People living with HIV/AIDS (PLWHA) are marginalized because of the social stigma for HIV. However, these people seldom speak for themselves or fight for their rights. Thus, this study aims to explore the factors correlated with empowerment in PLWHA. Participants recruited through purposive sampling in all areas in Taiwan, filled out the standard questionnaire to reveal their empowerment scores. The variables associated with empowerment included life satisfaction, HIV internal stigma, types of participation, HIV/AIDS knowledge, medication and demographic data. To test the explanatory power of our model, bivariable and multiple regression analyses were performed. Participants were further classified as intravenous drug users (IDU) or homosexuals. A total of 379 non-repetitive questionnaires were completed. According to statistical analyses, the mean score of empowerment was low. Among all participants, the score was higher on the social-political dimension than on personal and interpersonal ones. Empowerment scores differed by gender and environment variables only for IDU but not for homosexuals. Regression analyses revealed life satisfaction, participation as community representative for residents, HIV/AIDS knowledge and medication compliance were independent factors affecting higher empowerment scores. Our model accounted for 36% of the variance for these variables. For homosexuals but not IDUs, internal HIV stigma was significant in regression analyses. In conclusion, addressing the independent factors in PLWHA and reducing the internal HIV stigma for homosexuals may help to empower PLWHA.
期刊論文
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2.行紅芳(2007)。熟人社會的污名與污名控制策略：以愛滋病為例。青年研究，2，37-45。  延伸查詢new window
3.Beeker, C.、Guenther-Grey, C.、Raj, A.(1998)。Community empowerment paradigm drift and the primary prevention of HIV/AIDS。Social Science and Medicine，46(7)，831-842。  new window
4.Clarke, N.(2001)。Training as a vehicle to empower careers in the community: More than a question of information sharing。Health and Social Care in the Community，9，79-88。  new window
5.Emlet, C. A.(2006)。A comparison of HIV stigma and disclosure patterns between older and younger adults living with HIV/AIDS。AIDS Patient Care STDS，20(5)，350-358。  new window
6.Esposito, C. A.、Steel, Z.、Gioi, T. M.、Huyen, T. T.、Tarantola, D.(2009)。The prevalence of depression among men living with HIV infection in Vietnam。American Journal of Public Health，99，439-444。  new window
7.Evans, E. N.(1992)。Liberation theology, empowerment theory and social work practice with the oppressed。International Social Work，35，135-147。  new window
8.Fife, B. L.、Wright, E. R.(2000)。The dimensionality of stigma: A comparison of its impact on the self of persons with HIV/AIDS and cancer。Journal of Health and Social Behavior，41(1)，50-67。  new window
9.Gutiérrez, L.、Oh, H. J.、Gillmore, M. R.(2000)。Toward an understanding of empowerment for HIV/AIDS prevention with adolescent women。Sex Roles，42，581-611。  new window
10.Honold, L.(1997)。A review of the literature on employee empowerment。Empowerment in Organizations，5(4)，202-210。  new window
11.Itzhaky, H.、York, A.(2000)。Empowerment and community participation: Does gender make a difference?。Social Work Research，24(4)，225-234。  new window
12.Kalichman, S. C.,、Simbayi, L. C.、Cloete, A.、Mthembu, P. P.、Mkhonta, R. N.、Ginindza, T.(2009)。Measuring AIDS stigmas in people living with HIV/AIDS: The internalized AIDS-related stigma scale。AIDS Care，21(1)，87-93。  new window
13.Kinsler, J. J.、Wong, M. D.、Sayles, J. N.、Davis, C.、Cunningham, W. E.(2007)。The effect of perceived stigma from a health care provider on access to care among a low-income HIV-positive population。AIDS Patient Care and STDS，21，584-592。  new window
14.Lee, R. S.、Kochman, A.、Sikkema, K.(2002)。Internalized stigma among people living with HIV/AIDS。AIDS and Behavior，6(4)，309-319。  new window
15.Maluwa, M.、Aggleton, P.、Parker, R.(2002)。HIV/AIDS stigma, discrimination and human rights – A critical overview。Health and Human Rights，6(1)，1-15。  new window
16.Marelich, W. D.、Murphy, D. A.(2003)。Effects of empowerment among HIV-positive women on the patient-provider relationship。AIDS Care，15，475-481。  new window
17.Mitchell, C. G.、Linsk, N. L.(2004)。A multidimensional conceptual framework for understanding HIV/AIDS as a chronic long-term illness。Social Work，49(3)，469-477。  new window
18.Rappaport, J.(1987)。Term of empowerment/examples of prevention: Toward a theory for community psychology。American Journal of Community Psychology，15(2)，121-148。  new window
19.Riley, E. D.、Wu, A.-W.、Perry, S.、Clark, R. A.,、Moss, A. R.、Crane, J.、Bangsberg, D. R.(2003)。Depression and drug use impact health status among marginally housed HIV-infected individuals。AIDS Patient Care STDS，17(8)，401-406。  new window
20.Rintamaki, L. S.、Davis, T. C.、Skripkauskas, S.、Bennett, C. L.、Wolf, M. S.(2006)。Social stigma concerns and HIV medication adherence。AIDS Patient Care and STDS，20，359-368。  new window
21.Romero, L.、Wallerstein, N.、Lucero, J.、Fredine, H.、Keefe, J.、O’Connell, J.(2006)。Woman to woman: Coming together for positive change-using empowerment and popular education to prevent HIV in women。AIDS Education and Prevention，18(5)，390-405。  new window
22.Sayles, J. N.、Hays, R. D.、Sarkisian, C. A.、Mahajan, A. P.、Spritzer, K. L.、Cunningham, W. E.(2008)。Development and psychometric assessment of a multidimensional measure of internalized HIV stigma in a sample of HIV-positive adults。AIDS and Behavior，12(5)，748-758。  new window
23.Shehan, C. L.、Uphold, C. R.、Bradshaw, P.、Bender, J.、Arce N.、Bender, B.(2005)。To tell or not to tell: Men’s disclosure of their HIV-positive status to their mothers。Family Relation，54，184-196。  new window
24.Webb, D. G.、Horne, R.、Pinching, A. J.(2001)。Treatment-related empowerment: Preliminary evaluation of a new measure in patients with advanced HIV disease。International Journal of STD and AIDS，12，103-107。  new window
25.Zimmerman, M. A.(1995)。Psychological empowerment: Issue and illustrations。American Journal of Community Psychology，23(5)，581-599。  new window
26.Boehm, A.、Staples, L. H.(2004)。Empowerment: The point of view of consumers。Families in Society: The Journal of Contemporary Social Services，85(2)，270-280。  new window
27.Guitérrez, Lorraine M.、GlenMaye, Linnea、DeLois, Kate(1995)。The organizational context of empowerment practice: Implications for social work administration。Social Work，40(2)，249-258。  new window
28.Cowger, C. D.(1994)。Assessing Client Strengths: Clinical Assessment for Client Empowerment。Social Work，39(3)，262-268。  new window
29.Speer, Paul W.、Hughey, Joseph(1995)。Community organizing: An ecological route to empowerment and power。American Journal of Community Psychology，23(5)，729-748。  new window
30.Gutiérrez, Lorraine M.(1990)。Working with women of color: An empowerment perspective。Social Work，35(2)，149-153。  new window
31.Rappaport, J.(1984)。Studies in empowerment: Introduction to the issue。Prevention in Human Services，3(2/3)，1-7。  new window
32.Conger, J. A.、Kanungo, R. N.(1988)。The empowerment process: Integrating theory & practice。Academy of Management Review，13(3)，471-482。  new window
33.Zimmerman, M. A.(1990)。Taking aim on empowerment research: On the distinction between individual and psychological conceptions。American Journal of Community Psychology，18(1)，169-177。  new window
34.宋麗玉(20061200)。增強權能量表之發展與驗證。社會政策與社會工作學刊，10(2)，49-86。new window  延伸查詢new window
35.Zimmerman, Marc A.、Rappaport, J.(1988)。Citizen Participation, Perceived Control, and Psychological Empowerment。American Journal of Community Psychology，16(5)，725-750。  new window
36.Diener, Edward D.、Emmons, Robert A.、Larsen, Randy J.、Griffin, Sharon(1985)。The satisfaction with life scale。Journal of Personality Assessment，49(1)，71-75。  new window
37.Rogers, E. S.、Chamberlin, J.、Ellison, M. L.、Crean, T.(1997)。A consumer-constructed scale to measure empowerment among users of mental health services。Psychiatric Services，48(8)，1042-1047。  new window
38.趙善如(19990500)。「增強力量」觀點之社會工作實務要素與處遇策略。臺大社會工作學刊，1，231+233-262。new window  延伸查詢new window
研究報告
1.行政院衛生署疾病管制局(20060503)。愛滋病統計資料。  延伸查詢new window
學位論文
1.古力巴(2006)。臺灣地區愛滋病患之需求評估(碩士論文)。國立陽明大學，Taiwan。  延伸查詢new window
2.鍾佳伶(2010)。精神障礙者家屬社會支持、權能感與烙印感之相關性探討(碩士論文)。臺灣大學。  延伸查詢new window
圖書
1.陳琦(2009)。邊緣與迴歸－愛滋病患者的社會排斥研究。北京：社會科學文獻出版社。  延伸查詢new window
2.Adams, R.(2008)。Empowerment, participation and social work。Palgrave Macmillan。  new window
3.Thomas, M.、Pierson, J.(2006)。Dictionary of social work。London, England：Collins Educational。  new window
4.Simon, B. L.(1994)。The empowerment tradition in American social work: A history。New York, NY：Columbia University Press。  new window
5.Goffman, Erving(1963)。Stigma: Notes on the Management of Spoiled Identity。Englewood Cliffs, New Jersey：Prentice-Hall。  new window
6.Gutierrez, L. M. E.、Parsons, R. J. E.、Cox, E. O. E.(1998)。Empowerment in social work practice: A sourcebook。Brooks/Cole Publishing Company。  new window
7.Solomon, Barbara Bryant(1976)。Black empowerment: Social work in oppressed communities。New York：Columbia University Press。  new window
8.Lukes, Steven(2005)。Power: A Radical View。Palgrave Macmillan。  new window
其他
1.Joint United Nations Program on HIV(2005)。HIV-related stigma, discrimination and human rights violations: Case studies of successful programs，http://hrbaportal.org/archives/resources/hiv-related-stigma-discriminationand- human-rights-violations-case-studies-of-successful-programmes-2。  new window
2.Joint United Nations Program on HIV(2012)。Report on the global AIDS epidemic 2012，http://www.unaids.org/en/dataanalysis/。  new window
3.(1989)。Oxford dictionaries online，http:// oxforddictionaries.com/。  new window
4.United Nations Development Program(2004)。From involvement to empowerment: People living with HIV/AIDS in Asia Pacific，http://www.undp.org/content/undp/en/home/librarypage/hiv-aids/from-involvement-to-empowe rment--people-living-with-hiv-aids-in-asia-pacific.html。  new window
 
 
 
 
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