臺灣大學生臉書使用型態與健康相關生活品質之關聯性探討

An Exploration of the Relationships between Facebook Use and Health-Related Quality of Life (HRQOL) among College Students in Taiwan

陳慧真(Huei-Jen Chen)

指導教授 ： 黃俊豪

國立臺灣大學/公共衛生學院/健康政策與管理研究所/碩士(2015年)

https://doi.org/10.6342/NTU.2015.01856

摘要

研究背景與目的：Facebook已成為人們日常生活密不可分的一部分，尤以大學生為主流之使用族群。過去研究指出，Facebook使用與人們之健康有所關聯，然而較少研究關注Facebook使用型態對整體健康相關生活品質之影響。本研究針對臺灣大學生族群，探討其Facebook使用型態與不同範疇健康相關生活品質之關聯。
研究方法：本調查研究使用等比例分層集束抽樣，共收得1,598位臺灣北部大學生之資料(回應率= 97.4%)。Facebook相關測量變項包含基本使用型態與特定使用行為，健康相關生活品質則以世界衛生組織生活品質問卷(WHOQOL-BREF)之臺灣簡明版測量，並以多元線性迴歸進行資料分析。
研究結果：大學生於生理健康、心理、社會關係及環境範疇之健康相關生活品質平均分數分別為：14.15、13.24、13.76及14.20。檢視更新頻率相對較低(β = .108)與上傳照片中等頻率(β = .080)者，其生理健康顯著較佳；最常使用時間為早上(β = .058)及傍晚(β = .063)、擁有較多好友(β = .084)、上傳照片中等頻率(β = .067)、花費較多時間透過電腦上臉書(β = -.097)、隱私設定只限本人(β = -.073)，以及頻繁打卡(β = -.069)，均與心理健康具顯著關聯；此外，最常使用時間為傍晚(β = .071)、擁有較多好友(β = .118)、頻繁與人聊天(β = .086)、選擇限定性之隱私設定(β = -.066)，以及頻繁打卡(β = -.065)，均顯著影響其社會關係健康；最後，頻繁瀏覽首頁(β = .075)及隱私設定只限本人(β = -.081)則與環境範疇健康顯著相關。
研究結論：本研究結果發現大學生之Facebook使用型態與不同範疇健康相關生活品質有顯著相關。值得注意的是，適度從事與自我揭露相關之特定使用行為可提升健康相關生活品質，然過度使用恐有負面影響，其因果關係及可能機轉有賴未來研究加以釐清，並探討如何透過Facebook有效提升健康相關生活品質。

關鍵字

臉書 (Facebook) ； 健康相關生活品質 ； WHOQOL-BREF ； 大學生 ； 臺灣

並列摘要

Background and Objectives: Facebook has become inextricably intertwined with our daily lives, especially among college students. Facebook use has also been found to be associated with our well-being. However, little is known about the effects of Facebook use on our overall health-related quality of life (HRQOL). This study aimed to examine the associations between Facebook use and HRQOL among college students in Taiwan.
Methods: Survey data were collected from 1,598 college students in northern Taiwan (response rate=97.4%), using the proportional stratified cluster sampling method. The survey inquired about Facebook usage patterns and specific activities. HRQOL was assessed by World Health Organization Quality of Life (WHOQOL-BREF) Taiwan version. Multivariate linear regression was used to examine the associations between Facebook use and the 4 HRQOL domain scores.
Results: The mean score of WHOQOL-BREF was 14.15, 13.24, 13.76, and 14.20 in the physical health, psychological, social relationships, and environment domain, respectively. College students who checked their Facebook updates less frequently than every 2 hours (β = .108) and uploaded photos less than 4 days per week (β = .080) reported significantly better physical health. Those accessing Facebook mostly in the morning (β = .058) and evening (β = .063), having more Facebook friends (β = .084), and uploading photos less than 4 days per week (β = .067) also reported better psychological health. However, spending 2 hours or more per day on Facebook via computers (β = -.097), setting their privacy level to “only me” (β = -.073), and “checking in” 4 days or more per week (β = -.069) were significantly associated with lower psychological HRQOL. Further, those accessing Facebook mostly during the evening (β = .071), having more Facebook friends (β = .118), and chatting with others 4 days or more per week (β = .086) reported higher HRQOL in social relationships, whereas those selecting “restricted” privacy settings (β = -.066) and “checking in” 4 days or more (β = -.065) reported lower HRQOL in this domain. Lastly, those browsing their Facebook “home” page 4 days or more per week (β = .075) and setting their privacy level to “only me” (β = -.081) reported significantly higher and lower environment HRQOL, respectively.
Conclusions: This study found several basic Facebook usage patterns and specific activities that were significantly associated with HRQOL in different domains among college students. Notably, engaging in specific Facebook activities related to self-disclosure in moderation appeared to improve HRQOL, but excessive use might harm one’s health. More research is needed to illuminate their causal mechanisms and to help find ways to harness Facebook as an effective channel to enhance HRQOL.

並列關鍵字

Facebook ； Health-related quality of life (HRQOL) ； WHOQOL-BREF ； College students ； Taiwan

參考文獻

1. danah m. boyd and N.B. Ellison, Social network sites: Definition, history, and scholarship. Journal of Computer‐Mediated Communication, 2007. 13(1): p. 210-230.

7. Hew, K.F., Students’ and teachers’ use of Facebook. Computers in Human Behavior, 2011. 27(2): p. 662-676.

8. Sheldon, P., The relationship between unwillingness-to-communicate and students’ Facebook use. Journal of Media Psychology, 2008. 20(2): p. 67-75.

9. Ross, C., et al., Personality and motivations associated with Facebook use. Computers in human behavior, 2009. 25(2): p. 578-586.

10. Pempek, T., et al., College students' social networking experiences on Facebook. Journal of applied developmental psychology, 2009. 30(3): p. 227-238.