本研究以近來愈發受重視的學童肥胖問題為對象,探討不同區域的肥胖學童特性,其間分為都市、鄉村、客家、山地及東部五個地區,進行居住環境、人口特徵及文化行為間交互作用的研究。透過分析學童肥胖因素的區域差異,試圖了解區域環境對學童肥胖的影響。 本研究認為台灣地區的學童肥胖問題是台灣社會變遷下的產物。現代化增加了學童熱量攝取、減少熱量消耗,使得學童肥胖率驟然上升,直到現代化後期抑制肥胖的因素出現,學童肥胖率驟升的情況才可望緩和。 學童肥胖除大環境的整體變遷外,還有小區域的差異。本研究認為學童肥胖是熱量攝取、熱量消耗及肥胖知識三個控制因素拉鋸的結果,但由於台灣各地區現代化程度不同,使得呈階層狀擴散的三大控因在各地區的進入程度及內涵差生差異,故出現各地區位在不同肥胖變遷階段的情況。
In the thesis, we tried to discuss the problem of childhood obesity. We compared the characteristics of obesity children lived in five different regions, which are urban, rural, Hakka, mountainous, and the eastern regions of Taiwan. Considering the mutual effects between living environment, demography, and culture behavior. We can analysis the regional differences of the factors related to obesity, and try to understand the correlation between childhood obesity problem and the local environment. We assume the childhood obesity is coming from the social change. The modernization increases the energy intake of the school children, and reduces the energy consumption. It results in the increasing of obesity prevalence. Until the later period of modernization, the factors restrain obesity appears. Then, the prevalence of obesity is slowed down. The childhood obesity is not only related to the social change, but also the difference of region conditions. We assumed three control factors, which affect the prevalence of childhood obesity. The three factors are energy intake, energy consumption, and obesity knowledge. However, due to the difference of modernization in each region, the levels of three control factors spread hierarchically are different, and each region locates in different obesity transition stages.