健康行為的家族聚集

Familial Aggregation of Health Behaviors

李瑋珠(Wei-Chu Chie) ； 楊志良(Chih-Liang Yaung)

《中華民國公共衛生學會雜誌》 10卷2期 (1990/06) Pp. 89-97

https://doi.org/10.6288/JNPHARC1990-10-02-02

摘要

本研究為探討屬於「生活型態」類健康行為的家於聚集性，及都市化程度與家庭結構對此一眾集性的影響，據以作為醫療保健政策與計畫的參考，分別以立意取樣後的分層系統抽樣，在台北縣貢寮鄉貢寮、龍門二村（代表鄉村社區）訪問了核心家庭28戶，擴大家庭26戶；台北縣新莊市頭前、化成二里（代表衛星城市）訪問了核心家庭26戶，擴大家庭19戶；台北市松山區敦厚、六藝二里（代表大都市）訪問了核心家庭31戶，擴大家庭25戶，家中18歲以上一同居住的成人均接受多項健康行為問卷訪問。家族聚集之分析以無母數之Kruskal Wallis檢定及一方分類之變異數分析，分不同都市化程度家庭結構為之。結果發現飲食及鹽份攝取出現較高的家族聚集；此外無論何種都市化程度，「擴大家庭」健康行為的家族聚集性均較「核心家庭」顯著，與理論預測相符；而對核心家庭而言，不同都市化程度之間沒有明顯的差異，對擴大家庭而言；「衛星城市」的家族聚集性最低，「大都市」則最高。本研究討論了此結果的可能原因，並就「家庭」在健康行為上的重要，對醫療保健政策與計畫提出建議。

並列摘要

The purpose of this study was to investigate the familial aggregation of life styles, the influences of urbanization and family structure, and to give suggestions on health policies according to the results. Purposeful and systematic sampling were used to draw 28 nuclear and 26 extended families in a rural area, 26 nuclear and 19 extended families in a satellite city, plus 31 nuclear and 25 extended families in a metropolitan area. All members over 18 years of age were interviewed. The familial aggregation was analysed with Kruskal-Wallis test and one-way ANOVA. The results showed that: (1) diet and salt-intake behaviors had higher familial aggregation, (2) the tendency of aggregation was higher in the extended families, (3) for the nuclear families there were no differences among different urbanization levels, (4) for the extended families, the aggregation of the satellite city was the lowest, while that of the metropolitan area was the highest. The possible causes are discussed, and some suggestions for health policies are proposed.

並列關鍵字

Health Behavior ； Family Relationship ； Family Size ； Urbanization