大學女性教職員社會網絡與執行乳癌篩檢之關係研究

蔡蕙如(Hui-ju Tsai)

指導教授 ： 黃淑貞

國立臺灣師範大學/教育學院/衛生教育學系/碩士(2002年)

摘要

本研究之目的在了解大學女性教職員社會網絡與乳癌篩檢行為的分佈情形，及兩者之間的相關性，以提供未來提高大學女性教職員乳癌篩檢行為之參考。以立意取樣方式，由台北市選出四所大學，以自編之結構式問卷針對女性教職員進行問卷調查。重要結果如下：
一、 研究對象過去曾接受過臨床乳癌篩檢（乳房X光攝影、乳房超音波檢查、醫師臨床觸診）者比率超過五成，但規律接受者比率只有三成多，兩者之間有差距存在。研究對象未來兩年內願意接受臨床乳癌篩檢者接近七成，但願意規律接受乳癌篩檢的不到五成。
二、 研究對象之社會網絡成員特質為：關係上親屬成員略多；年齡平均為中年；教育程度以高教育水準為多數；婚姻狀況以已婚同住最多；性別以女性為主；多數認為網絡成員社會地位與自己相等；多數網絡成員職業與醫學無相關；女性社會網絡成員接受過乳癌篩檢比率約佔三成。研究樣本與網絡成員關係親密，認識時間平均在20年左右，社會支持互惠性很高。年齡及婚姻狀況以同質者較多，教育程度以異質者較多。社會支持總分高。
三、 研究對象年紀、婚姻狀況、職業、懷孕狀況、罹患乳房疾病、乳癌家族史、醫師建議狀況、網絡成員關係、網絡成員年齡、網絡成員教育程度、網絡成員婚姻狀況、網絡成員接受過乳癌篩檢、親密度、認識時間、情感性支持互惠性、教育程度同質性、所獲得的社會支持等變項不同時，研究對象過去接受臨床乳癌篩檢行為情形有顯著差異。
四、 研究對象之網絡成員接受乳癌篩檢狀況、所獲得之社會支持等變項不同時，研究對象未來接受臨床乳癌篩檢意願有顯著差異。
五、 年齡、職業、教育程度、婚姻狀況、醫師建議狀況、婚姻同質性、資訊性支持互惠、網絡成員社會地位等，是預測研究對象過去接受臨床乳癌篩檢行為的重要變項。
六、 年齡、職業、婚姻狀況、過去接受臨床乳癌篩檢狀況、婚姻同質性、網絡成員年齡、與網絡成員認識時間、網絡成員為親戚之人數等，是預測研究對象未來接受臨床乳癌篩檢意圖的重要變項。
依據研究結果，本研究針對後續研究、實務執行上提出若干建議，以作為未來類似研究與日後乳癌篩檢教育介入之參考。

關鍵字

社會網絡 ； 乳癌篩檢

並列摘要

The purpose of this study was to understand social network characteris-
tics and breast cancer screening behavior in school employees, and the relationship between them. The results of this research could be served as a reference for the promotion of school employee’s health programs. The subjects were sampled from the female employees of four universities in Taipei by using purposive sampling method, to give structured question-
naire formulated by the author. Important findings of this study were concluded as follows:
1. More than 50% of the subjects have received clinical breast cancer screening (mammogram, ultrasound and clinical breast examination), but only 30% have received it regularly. Near 70% of the subjects were willing to have clinical breast cancer screening in the future, but only less than 50% were willing to have it regularly.
2. The characteristics of the subjects’ social network members are have more relatives, middle-aged, higher education, married, female, have equivalent social level, careers have no correlation with medicine, 30% of female social network members have received breast cancer screening. The subjects have strong relationship with social network members, and duration of the relation are more than 20 years. They have high social support reciprocity with their social network members. They have higher homogeneity in age and marriage, and have lower homogeneity in education. They get high score in social support.
3. The subjects’ behavior of received clinical breast cancer screening in the past have significance different under the different variables of subjects’ age, marriage, career, pregnant, breast disease, if family members have breast cancer, if doctor’s suggestion, the relationship with social network members, social network members’ age, social network members’ education level, social network members’ marriage, if social network members have received breast cancer screening, the intimacy, the duration of relationship, reciprocity of emotion social support, homogeneity of education level, score of social support.
4. The subjects’ intention of being willing to receive clinical breast cancer screening in the future have significance different under the different variables of social network members receive breast cancer screening or not, and score of social support.
5. Age, career, education, marriage, doctor’s suggestion, homogeneity of marriage, reciprocity of information support, social position of net-
work members are significance variables to predict the behavior of subjects received clinical breast cancer screening in the past.
6. Age, career, marriage, have received clinical breast cancer screening in the past, homogeneity of marriage, age of network members, dura-
tion of relationship, relatives numbers among network members are significance variables to predict the willing of subjects receive clinical breast cancer screening in the future.
To sum up, this study aims to provide suggestions for the further study and practical execution, and would be a reference to the study and intervention of breast cancer screening education in the future.

並列關鍵字

social network ； breast cancer screening

參考文獻

林麗鳳（1989）：台中市北屯區婦女對乳房自我檢查之知識、態度、行為之調查研究。中台醫專學報，5，35-53。

季瑋珠、黃俊升、張金堅（1997）：台灣的乳癌。中華衛誌，16（1），62-76。

李效梅、郭憲文、劉波兒（1994）：台中地區兩所專科女生對乳房自我檢查知識、態度、行為之研究。弘光醫專學報，24，1-29。

李從業（1997a）：以健康信念模式分析台北市中、小學女性老師乳房自我檢查。護理研究，5（4），366-376。

蘇秀娟、黃璉華（1996）：團體教學課程對工廠女性員工乳房自我檢查知識、健康信念與行為之影響。護理研究，4（4），363-374。