鳥松鄉成年人健康行為調查及其影響因素探討

An Investigation of Factors Related to Adult Health Behaviors in Niausung Shiang Community

周騰達(Tang-Tat Chau) ； 陳朝棟(Chao-Tung Chen) ； 郭崇志(Chung-Chi Kuo) ； 林珊依(San-I Lin) ； 鄒慧英(Hueying Tzou) ； 劉怡琴(I-Chin Liu) ； 張恒瑞(Heng-Jui Chang) ； 黃志芳(Chih-Fang Huang)

《台灣家庭醫學雜誌》 12卷4期 (2002/12) Pp. 179-189

https://doi.org/10.7023/TJFM.200212.0179

摘要

本研究之目的在瞭解高雄縣鳥松鄉居民的健康行為，同時分析影響健康行為的相關因素，作為規劃社區活動時之參考。對象以鳥松鄉社區全體居民為母體，採分層隨機抽樣20歲以上之居民共3,242人，進行家庭訪視及問卷調查，有效樣本為3,195人。結果發現抽菸率22.0%，喝酒率17.2%，嚼檳榔佔6.7%，缺乏固定運動佔39.0%，有良好的飲習慣只有21.7%，最近一年內有接受基本健康檢查只佔36.7%。在影響健康行為的因素上發現，年齡、性別、教育程度、婚姻狀況、家庭結構分別對運動、飲食及抽菸喝酒嚼檳榔等健康行為習慣有著不同程度的影響差異。有糖尿病史及高血壓病史之受訪者，有較佳的運動比率；健康行為較差者，有較少接受健康檢查的比率；半數以上民眾希望辦理社區活動的時間為假日，而最希望活動類型前三名為健康檢查(61.4%)、營養諮詢(41.4%)及醫療諮詢(37.6%)。健康危害行為包括經常抽菸、嚼檳榔、飲酒過量、缺乏運動，不良飲食習慣。如何習慣。如何結合社區資源，針對特定人口族群或工作目標設計相關社區活動，加強衛生教育，有效改善健康行為，達到健康促進的目的，將是本研究的討論重點。

並列摘要

The purposes of this study were to (1) understand the distribution of health behaviors among adults who live in Niausung Shiang, Kaohsiung County; (2) analyze the factors related to behaviors adverse to health, (3) set the priorities of health education programs which can help the development of healthy communities. The data was collected through a stratified sampling procedure and included variables like adult’s socio-demographic variables, health examination frequency, past diseases history, smoking, alcohol drinking, betel-nut chewing, eating and esxercise habit that were taken into analysis. A total of 3158 (3195) adults completed a health behavior questionnaire. The first three behaviors against health were smoking 19.8%(22%), then alcohol drinking 18.7% (17.2%), and betel nut chewing 6.6%(6.7%). The results also showed that 37.4% of subjects were lack a regular exercise habit, and 78.4% of subjects expressed bad dietary behaviors. Only 37.6% (61.4%) adults received health examination in recent one year. Age, gender, education, marriage, and family structures were found significantly related to different health adverse behaviors. DM and hypertension patients had a higher regular exercise habit. Less health examination was also found significantly related to adults who have health behavior problems. The most favored health education activities in communities included health examination, diet instruction, and health consultation. To develop healthy communities, planning health education program under the priorities of selecting behaviors problems and target groups were discussed.

並列關鍵字

health behavior ； health promotion ； developing healthy communities ； community survey

參考文獻

台灣地區主要死因分析

王英偉、呂碧鴻編(2000)。家庭醫學。台北:中華民國家庭醫學醫學會。

Belloc NB(1973).Relationship of health practices and mortality.Prev Med.2,67-81.

Langile JK(1979).Interrelationships among preventive health behaviors: a test of competing hypotheses.Pub Health Rep.91,216-225.

Istvan J,Matarazzo JD(1948).Tobacco, alcohol, and caffeine use: a review of thejr relationships.Psych Bull.95,301-326.