簡易檢索 / 詳目顯示

研究生: 蔡佳芯
Tsai, Chia-Hsin
論文名稱: 成年網路使用者網路健康素養與健康促進生活型態的相關性
The Association between eHealth Literacy and Health-Promoting Lifestyles among Adult Internet Users
指導教授: 張晏蓉
Chang, Yen-Jung
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
論文出版年: 2020
畢業學年度: 108
語文別: 中文
論文頁數: 107
中文關鍵詞: 成人成年網路使用者自覺健康狀況健康促進生活型態健康資訊搜尋行為網路健康素養
英文關鍵詞: adults, adult internet users, eHealth literacy, health information seeking behaviors, health-promoting lifestyles, perceived health status
DOI URL: http://doi.org/10.6345/NTNU202001104
論文種類: 學術論文
相關次數: 點閱:306下載:41
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 目的:本研究旨在探討成年網路使用者之網路健康素養與健康促進生活型態之間的關係,並且加入相關個人背景因素如性別、年齡、教育程度,以及自覺健康狀況和健康資訊搜尋行為等作共同探討。
    方法:以20歲以上使用網路之成年人作為研究對象,收集其個人背景資料、健康資訊搜尋行為、自覺健康狀況,另使用網路健康素養量表(eHEALS)、健康促進生活型態簡式量表(HPLP-S)作為測量工具,並採用便利性抽樣,以網路問卷進行調查,總共回收有效問卷493份。
    結果:
    一、研究對象具有中上程度的網路健康素養能力以及中等程度的健康促進生活型態。
    二、不同教育程度、年齡、自覺健康狀況及健康資訊搜尋行為的人在網路健康素養與健康促進生活型態上有顯著差異。以教育程度較高、自覺健康狀況良好、重視健康、健康資訊搜尋行為頻率較高的人其網路健康素養能力較好,健康促進生活型態也較為正向;在年齡上,以20-49歲網路健康素養能力較佳,50歲以上則是擁有較好的健康促進生活型態。三、網路健康素養與健康促進生活型態有顯著正相關。
    四、年齡、教育程度、自覺健康狀況、健康資訊搜尋行為和網路健康素養能顯著預測健康促進生活型態,並以自覺「健康重視程度」的預測力最大,能積極預測所有6種層面的健康促進生活型態。
    建議:提升成人對健康的重視程度,有助於提升其網路健康素養與健康促進生活型態,而針對不同年齡層,可著重在促進青壯年族群的健康生活型態以及加強中老年人的批判性素養,此外,也須強化健康資訊的傳播及把關健康資訊的品質。

    Purpose: This study investigated the association between eHealth literacy and health-promoting lifestyles among adult Internet users. Factors including gender, age, education level, perceived health status, and health information seeking behaviors were also examined.
    Methods: Study sample came from participants over the age of 20 who use the Internet. A total of 493 participants were recruited using a self-administrated online questionnaire. Sociodemographics, perceived health status, health information seeking behaviors were assessed. The eHealth literacy scale (eHEALS) and the short-form Chinese Health Promoting Lifestyle Profile (HPLP-S) were used.
    Results:
    1. The study participants reported moderate to high level of eHealth literacy and moderate level of health-promoting lifestyles.
    2. Study participants who were with higher education level, perceiving good health status, paying more attention to health, and with higher frequency of health information seeking behaviors demonstrated better eHealth literacy and health-promoting lifestyles. Those aged 20-49 years old reported better eHealth literacy, and those over 50 years old showed better health-promoting lifestyles.
    3. The score of eHealth literacy scale was positively associated with the score of Health Promoting Lifestyle Profile.
    4. Age, education level, perceived health status, health information seeking behaviors, and eHealth literacy were predictors of the health-promoting lifestyles. Paying attention to health was positively associated with all six dimensions of health-promoting lifestyles.
    Suggestions: Interventions to attract the attention to health among adult Internet users may improve their eHealth literacy and health-promoting lifestyles. For different age groups, interventions should focus on promoting healthy lifestyles of young and middle-aged groups and strengthening the critical literacy of middle-aged and elderly people. In addition, the dissemination and quality of health information must be addressed.

    第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究目的 4 第三節 研究問題 4 第四節 研究假設 5 第五節 名詞釋義 6 第六節 研究範圍與限制 8 第二章 文獻探討 9 第一節 網路健康素養 9 第二節 健康促進生活型態 16 第三節 個人背景相關因素、網路健康素養與健康促進生活型態 21 第三章 研究方法 26 第一節 研究架構 26 第二節 研究對象 27 第三節 研究工具 29 第四節 研究步驟 32 第五節 資料處理與分析 34 第四章 研究結果 36 第一節 各類變項之描述性統計 36 第二節 個人背景、自覺健康狀況、健康資訊搜尋行為與網路健康素養之關係 46 第三節 個人背景、自覺健康狀況、健康資訊搜尋行為、網路健康素養與健康促進生活型態之關係 55 第四節 以個人背景、自覺健康狀況、健康資訊搜尋行為與網路健康素養預測健康促進生活型態 64 第五章 討論與建議 76 第一節 結果與討論 76 第二節 結論 87 第三節 建議 89 參考文獻 92 附錄一.「網路健康素養量表(eHEALS)」授權使用同意 98 附錄二.「健康促進生活形態簡式量表(HPLP-S)」授權使用同意 99 附錄三. 問卷專家效度名單 100 附錄四. 研究倫理審查核可證明書 101 附錄五. 正式施測問卷 102

    中文部分
    王秀紅、邱啟潤、王瑞霞、李建廷(1992)。婦女健康促進行為及其相關因素的探討─以高雄市三民區及屏東縣高樹鄉居民為例。公共衛生,19(3),251-266。
    江佳勳、楊淑晴、許琬甄 (2015)。大學生網路健康素養量表建構及其與健康行為之關係研究。中華心理衛生學刊,28(3),389-420。
    李政忠 (2004)。網路調查所面臨的問題與解決建議。資訊社會研究,6,1-24。
    李蘭(1991)。健康行為的概念與研究。中華衛誌,10(5),99-211。
    林佳臻、杜明燦、陳俊傑、陳宣志、顏啟華、李孟智(2013)。台灣地區老人自覺健康狀況相關因子之探討。台灣老年醫學暨老年學雜誌,8(2),75-89。
    林俊宇(2017)。網路健康素養現況及其關聯變項之研究 (未出版之碩士論文)。私立輔仁大學,新北市。
    國家發展委員會 (2019)。108 年個人家戶數位機會調查報告。台北市:國家發展委員會。
    張瑜真、張鳳琴、李景美、邱瓊慧、龍芝寧、黃佳淳 (2016)。國中學生[網路安全暨電子健康素養] 教育介入先驅性研究。學校衛生,(68),45-69。
    陳怡穎 (2016)。單身中年婦女網路健康資訊行為與健康促進生活型態之研究 (未出版之碩士論文)。國立臺灣師範大學,台北市。
    陳美燕(1994)。預防慢性病從健康促進的生活方式開始。長庚護理,5(2),57-61。
    陳桂嬌 (2019)。中高齡者擷取健康資訊行為與健康促進生活型態之研究(未出版之碩士論文)。國立臺灣師範大學,台北市。
    黃佳淳 (2015)。國中學生電子健康素養教育介入成效評價-以臺北市某國中為例 (未出版之碩士論文)。國立臺灣師範大學,台北市。
    黃毓華、邱啟潤 (1996)。健康促進生活型態量表信度效度之評估。高雄醫學科學雜誌,12,529-537。
    鄢如平 (2011)。探討成人健康檢查族群其健康促進生活型態之相關因素研究-以台北市某醫學中心為例 (未出版之碩士論文)。國立臺灣師範大學,台北市。
    劉美蘭、康雅菁、陳俊瑜、張斯蘭 (2011)。某高科技產業代謝症候群盛行率與員工健康概念、健康促進生活型態之相關性研究。健康管理學刊,9(1),57-73。
    鄭淑芬(2004)。桃園地區高中職學生個人因素及健康促進生活型態之相關性研究(未出版之碩士論文)。國立臺北護理學院護理研究所,臺北市。
    鄭勝元、張鳳琴、李景美 (2014)。國中學生之電子健康素養及其相關因素研究。健康促進與衛生教育學報。
    賴佳儀 (2006)。某國營事業職場員工健康促進生活型態及相關因素之研究 (未出版之碩士論文)。國立臺灣師範大學,台北市。
    魏米秀、呂昌明(2005)。“健康促進生活型態”中文簡式量表之發展研究。衛生教育學報,24,25-45。
    蘇芳玉 (2019)。成人網路健康資訊尋求行為與網路健康識能之關係研究(未出版之碩士論文)。國立高雄師範大學,高雄市。
    英文部分
    Baker, L., Wagner, T. H., Singer, S., & Bundorf, M. K. (2003). Use of the Internet and e-mail for health care information: Results from a national survey. Journal of American Medical Association, 289(18), 2400-2406.
    Bodie, G. D., & Dutta, M. J. (2008). Understanding health literacy for strategic health marketing: eHealth literacy, health disparities, and the digital divide. Health Marketing Quarterly, 25(1-2), 175-203.
    Chiou, A. F., Hsu, S. P., & Hung, H. F. (2016). Predictors of health-promoting behaviors in Taiwanese patients with coronary artery disease. Applied Nursing Research, 30, 1-6.
    Cho, H., Han, K., & Park, B. K. (2018). Associations of eHealth literacy with health‐promoting behaviours among hospital nurses: A descriptive cross‐sectional study. Journal of advanced nursing, 74(7), 1618-1627.
    Eysenbach, G., & Köhler, C. (2002). How do consumers search for and appraise health information on the world wide web? Qualitative study using focus groups, usability tests, and in-depth interviews. British Medical Journal, 324(7337), 573-577.
    Fox, S., & Duggan, M. (2013). Health online 2013. Health, 2013, 1-55.
    Gray, N. J., Klein, J. D., Noyce, P. R., Sesselberg, T. S., & Cantrill, J. A. (2005). The Internet: a window on adolescent health literacy. Journal of adolescent health, 37(3), 243-e1.
    Hsu, W. C. (2019). The Effect of Age on Electronic Health Literacy: Mixed-Method Study. JMIR human factors, 6(2), e11480.
    Hsu, W. C., Chiang, C. H., & Yang, S. C. (2014). The effect of individual factors on health behaviors among college students: the mediating effects of eHealth literacy. Journal of medical Internet research, 16(12), e287.
    Lalonde, M. (1974). A new perspective on the health of Canadians: a working document. Ottawa.
    Longo, D. R. (2005). Understanding health information, communication, and information seeking of patients and consumers: a comprehensive and integrated model. Health Expectations, 8(3), 189-194.
    Luo, Y. F., Yang, S. C., Chen, A. S., & Chiang, C. H. (2018). Associations of eHealth Literacy With Health Services Utilization Among College Students: Cross-Sectional Study. Journal of medical Internet research, 20(10), e283.
    Mitsutake, S., Shibata, A., Ishii, K., & Oka, K. (2016). Associations of eHealth literacy with health behavior among adult internet users. Journal of medical Internet research, 18(7), e192.
    Norman, C. D. (2011). eHealth literacy 2.0: problems and opportunities with an evolving concept. Journal of medical Internet research, 13(4), e125.
    Norman, C. D., & Skinner, H. A. (2006). eHEALS: The eHealth Literacy Scale. Journal of Medical Internet Research, 8(4), e27.
    Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health promotion International, 15(3), 259-267.
    Nutbeam, D. (2008). The evolving concept of health literacy. Social Science & Medicine, 67(12), 2072-2078.
    Park, H., Moon, M., & Baeg, J. H. (2014). Association of eHealth literacy with cancer information seeking and prior experience with cancer screening. CIN: Computers, Informatics, Nursing, 32(9), 458-463.
    Pender, N. J. (1987). Health promotion in nursing practice (2nd ed). Norwalk. CT: Appleton & Lange.
    Pender, N. J. (1996). Health promotion in nursing practice (3rd ed). East Norwalk: Appleton & Lange .
    Pullen, C., Walker, S. N., & Fiandt, K. (2001). Determinants of Health‐Promoting Lifestyle Behaviors in Rural Older Women. Family & Community Health, 24(2), 49-72.
    Ratzan, S., & Parker, R. (2000). Health literacy. National library of medicine current bibliographies in medicine. Bethesda: National Institutes of Health, US Department of Health and Human Services.
    Stellefson, M., Hanik, B., Chaney, B., Chaney, D., Tennant, B., & Chavarria, E. A. (2011). eHealth literacy among college students: a systematic review with implications for eHealth education. Journal of medical Internet research, 13(4), e102.
    Stewart, A. L., Hays, R. D., & Ware, J. E. (1988). The MOS short-form general health survey: reliability and validity in a patient population. Medical care, 26(7), 724-735.
    Tardy, R. W., & Hale, C. L. (1998). Getting “plugged in”: A network analysis of health‐information seeking among “stay‐at‐home moms”. Communications Monographs, 65(4), 336-357.
    Van der Vaart, R., van Deursen, A. J., Drossaert, C. H., Taal, E., van Dijk, J. A., & van de Laar, M. A. (2011). Does the eHealth Literacy Scale (eHEALS) measure what it intends to measure? Validation of a Dutch version of the eHEALS in two adult populations. Journal of medical Internet research, 13(4), e86.
    Walker, S. N., & Hill-Polerecky, D. (1997). Evolution and evaluation of the Health Promting Lifestyle ProfileⅡ. Unpublished manuscript.
    Walker, S. N., Sechrist, K. R., & Pender, N. J. (1987). The health-promoting lifestyle profile: Development and psychometric characteristics. Nursing research, 36(2), 76-81.
    Walker, S. N., Volkan, K., Sechrist, K. R., & Pender, N. J. (1988). Health-promoting life styles of older adults: comparisons with young and middle-aged adults, correlates and patterns. Advances in Nursing Science, 11(1), 76–90.
    WHO (1986). The Ottawa Charter for Health Promotion, Retrieved June 11, 2013, from http://www.who.int/healthpromotion/conferences/previous /ottawa/en/
    Wildavsky, A. (1979). Doing better and feeling worse: the political pathology of health policy. In The Art and Craft of Policy Analysis (pp. 284-308) : Springer.
    Wilson, T. D. (1999). Models in information behaviour research, Journal of Documentation, 55(3), 249-270
    Yang, S. C., Luo, Y. F., & Chiang, C. H. (2017). The associations among individual factors, eHealth literacy, and health-promoting lifestyles among college students. Journal of medical Internet research, 19(1), e15.

    下載圖示
    QR CODE