台北市某國中學生之危害健康含糖飲料飲用行為及其影響因素

An application of the PRECEDE model to the influential factors and status of the sugar-sweetened drinks intake of the junior high school students in Taipei

薛凱文(Kai-Wen Xue)

指導教授 ： 郭鐘隆

國立臺灣師範大學/教育學院/衛生教育學系在職進修碩士班/碩士(2007年)

摘要

本研究之主要目的是想了解國中生飲用危害健康含糖飲料行為之現況，並應用PRECEDE Model為研究架構，探討含糖飲料飲用行為相關因素。以台北市某國中學生九十五學年度在學之七、八、九年級全體學生為母群體，經立意取樣，利用自填式問卷方式進行資料收集，總共發出680份問卷，回收之有效問卷共646份，回收率為95%，所得資料以統計方法進行分析，輔以質性訪談。重要結果歸納如下：
一、 研究對象最常飲用的含糖飲料為茶類飲料、碳酸飲料和運動飲料，且最主要是自己購買獲得。研究對象平均一週飲用量約2371㏄。
二、 研究對象之含糖飲料知識偏高，含糖飲料態度亦為正向，拒絕飲用含糖飲料自我效能屬於中等，女生的知識、態度和拒絕飲用自我效能皆優於男生。
三、 含糖飲料知識愈佳的學生，含糖飲料態度愈正向，含糖飲料飲用行為愈少；拒絕飲用含糖飲料自我效能愈高者，含糖飲料飲用行為亦愈少；而含糖飲料訊息影響程度愈高者，含糖飲料飲用行為則愈多。
四、 素質因素之性別、拒絕飲用含糖飲料自我效能、含糖飲料知識；使能因素之飲用家中存放含糖飲料情形、住家附近有無販賣含糖飲料商店；增強因素之每周零用錢、獲得含糖飲料訊息影響程度對含糖飲料飲用行為變異的解釋力為15%，又以增強因素之「每週零用錢」最具影響力。

根據以上結果，政策方面建議政府能推動白開水相關活動，創造無糖飲料的供應環境；教育方面能加強含糖飲料營養教育，導正含糖飲料飲用態度，以營造飲用白開水之校園環境；未來的研究可就不同縣市地區學校，並於不同季節進行深入研究。

關鍵字

含糖飲料 ； 國中生 ； PRECEDE Model

並列摘要

The main purpose of this study is to investigate the sugar-sweetened drinks intake of the junior high school students, and apply PRECEDE model to explore the sugar-sweetened drinks intake behavior and its determinants. The questionnaire method was adopted for this research and the intended subjects are the junior high school students in Taipei. The research tool is a copy of self fill-in questionnaire by purposive sampling of 680 students. So far, there are 646 valid questionnaires with 95% recycling ratio. The statistical inference methods were applied to analyze the data. Several major findings were as follows：
1.The result showed that the most frequently taken beverages were tea drinks, carbonic acid drinks, and sport drinks. It was found that the subjects often got the sugar-sweetened beverages by themselves. The average beverage intake was 2371 ml per week.
2.The subjects had better knowledge of sugar-sweetened beverages, and their attitudes toward the sugar-sweetened beverages were positive, too. The subjects’ self-efficacy of refusing sugar-sweetened beverages was medium. The girls’ knowledge attitudes ,and self-efficacy of refusing sugar-sweetened beverages were better than the boys.
3.The students with better knowledge and more positive attitude of sugar-sweetened beverages had less chances to take sugar-sweetened beverages. The ones with higher self-efficacy of refusing sugar-sweetened beverages had lesser chance to take sugar-sweetened beverages. In contrast, the higher information impact level of sugar-sweetened beverages they were, the more desirable they took sugar-sweetened beverages.
4. The variance of sugar-sweetened beverages intake behavior is effected by sex, self-efficacy, knowledge, having no sugar-sweetened beverages at home, selling sugar-sweetened beverages store in the vicinity of house, spending money, and information impact level was up to 15%. The most important predicator was spending money.
Base on results, this study suggests that school could guide the students to the correct intake behavior. For future deepened study could be conducted in expanded areas like different cities, counties or towns in different seasons.

並列關鍵字

sugar sweetened beverage ； junior high school students ； PRECEDE model

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