本研究的目的在探討國中學生預防齲齒行為現況及其相關因素。研究母群體為九十八學年度第二學期就讀於台北市某國中之全體學生，以分層集束抽樣法，於三個年級各抽出四個班為樣本，進行自填式問卷施測，共得有效樣本420人。研究之重要結果如下：
一、研究對象的口腔保健知識頗佳。其齲齒罹患性認知、齲齒嚴重性認知、預防齲齒行為利益性認知為中上程度；預防齲齒行為障礙性認知則偏中下程度。而其預防齲齒行為行動線索整體接觸上頗佳。
二、研究對象之預防齲齒行為自我效能屬於中上程度，自我效能的程度：「家裡」高於「學校」又高於「學校以外之其他公共場所」；「時間充足」高於「時間緊迫」；「洗手台及水源充足」高於「洗手台及水源不足」；「有人提醒」高於「無人提醒」；「潔牙用具齊全」高於「缺少潔牙用具」。
三、研究對象之預防齲齒行為屬中等傾向積極，其中「我每天晚上睡前都會刷牙」、「我每天早上起床都會刷牙」較正向，「我每週都會使用含氟漱口水」較不足。
四、男生的「預防齲齒行為利益性認知」和「預防齲齒行為之行動線索」高於女生。七年級生之「預防齲齒行為」優於九年級生。
五、研究對象之「罹患性認知」、「利益性認知」、「行動線索」及「自我效能」越高者，而「障礙性認知」越低者，則越傾向採取「預防齲齒行為」。
六、性別、罹患性認知、障礙性認知、行動線索與自我效能對預防齲齒行為變異的解釋力為43.1%，其中以自我效能影響力最大；其次為障礙性認知。

This research investigated preventive behavior of dental caries and related factors among junior high school students.

　　Samples were selected from 7th to 9th grade students and data were collected with a self-administered questionnaire by using stratified cluster sampling method. Total valid samples were 420.

　　The results of this research are as follows:
1.The score of oral healthy knowledge is higher than standard. The score of participants “perceived susceptibility of dental caries”, “perceived barriers of action to prevent dental caries" and “perceived benefits of action to prevent dental caries" is above the standard. The score in “perceived severity of dental caries" is below the medium. The contact degree of participants of “cues to action to prevent dental caries” is high.
2.The score of participants in “self-efficacy to prevent dental caries" is above the medium. Self-efficacy in different situations is as listed below. “At home” is higher than “at school”, and “at school” is higher than “at a public place except the school”. “There's plenty time” is higher than “there’s instant time”. “Sufficient wash basin and water source” is higher than “absent wash basin and water source”. “Reminded by someone” is higher than “no one reminded”.”Complete tooth apparatus” is higher than “absent tooth apparatus”.
3.The preventive behavior of dental caries of participants is higher than standard. Most popular preventive behaviors of dental caries are “I brushed my teeth every night before sleeping” and “I brushed my teeth every morning when I woke up”. The worst one is “I used mouthwash with fluoride every week”.
4.“Perceived benefits of action to prevent dental caries" of male is higher than female. The contact degree of participants of “cues to action to prevent dental caries” of male is higher than female. The 7th grade students show better “preventive behavior of dental caries” than 9th grade students.
5.The participants get high score in “Perceived susceptibility”, “Perceived benefits of action”, “cues to action to prevent dental caries”, “self-efficacy”, and low score in “Perceived barriers of action”, have a higher tendency to adopt “preventive behavior of dental caries”.
6.Sex, perceived susceptibility, perceived barriers of action, cue in action, and self-efficacy, explain 43.1% of participants’ decision to preventive behavior of dental caries measures. The most effective one is self-efficacy, and the next one is perceived barriers of action.

一、中文部分
王清雅(2009)。臺北市大安區某國中學生餐後潔牙行為及其相關因素之研究—健康信念模式之應用。國立台灣師範大學衛生教育學系碩士論文，未出版，台北。
王凱助、王瑞筠(1995)。台中縣某國小學童口腔齲齒狀況與保健知識習慣、態度與行為之調查研究。中華牙醫學雜誌，14(4)，247-273。
石玲如(2003)。台北市國中學生SARS信念、行為及其相關因素之研究。國立台灣師範大學衛生教育學系碩士論文，未出版，台北。
台灣省政府教育廳(1994)。學校口腔衛生工作指引。南投：台灣省政府教育廳。
何曜廷(2003)。國小學童口腔治療需求及肥胖對口腔狀況之影響。高雄醫學大學牙醫學研究所碩士論文，未出版，高雄。
邱啟潤(1986)。學童齲齒狀況及其相關因素之探討。公共衛生，13(1)，120-134。
李火傳(2003)。探討桃園縣國中生口腔健康相關生活品質的影響因素。高雄醫學大學口腔衛生科學研究所碩士論文，未出版，高雄。
李素貞(1987)。家長對口腔保健之態度行為與其子女齲齒狀況相互關係之初步探討。公共衛生，14，95-106。
呂宜珍(1994)。國小高年期學童口腔衛生行為及其相關因素。高雄醫學院護理學研究所碩士論文，未出版，高雄。
呂宜珍、金繼春(1999)。國小高年級學童口腔衛生行為及其相關因素。公共衛生，26(2)，115-127。
吳佳珮(2006)。台北市國中生攝取保健食品現況及教育需求調查之研究。國立台灣師範大學衛生教育系碩士論文，未出版，台北。
林生傳(2005)。教育社會學。巨流圖書有限公司，49-50。
林亭枝、謝天渝、吳逸民(2005) 。口腔健康狀況與全身系統疾病相關性之探討。安泰醫護雜誌，11(2)，69-76。
林玉珍(2002)。高雄市居民口腔保健及牙科就醫行為之探討。高雄醫學大學口腔衛生研究所碩士論文，未出版，高雄。
姚振華(1978)。臺北市國民中學齲齒矯治分析報告。牙醫學刊，8，23-31。
姚振華(1981)。臺北市68學年度國中口腔健康調查報告。牙醫學刊，11，61-72。
姚振華(1982)。臺北市69學年度國中口腔健康調查報告。牙醫學刊，12，88-99。
徐奎望(1980)。齲齒原因的理論及晚近研究結果之論介。牙醫學刊，10(2)， 65-73。
郭敏光(1992)。學童之口腔衛生。台灣醫界，35(10) ，54-55。
陳淑敏(2003) 。國中學生吸菸行為與健康信念及自我效能之相關探討。中山醫學大學護理學系研究所碩士論文，未出版，台中。
陳惠華、曾春典、袁國、曾春祺(2005) 。牙周病與心血管疾病的關係探討。中華牙周醫誌，10，77-88。
陳隆彬(2000)。台中縣太平市國中學生拒絕吸菸行為相關因素之研究。國立台灣師範大學衛生教育學系碩士論文，未出版，台北。
陳麗麗、郭憲文、賴俊雄(1998)。中部三個地區學童口腔衛生知識、態度與行為之研究。中國醫藥學院雜誌，7(1)，45-52。
彭志綱(1987)。台北市地區民眾對齲齒與牙周病原因的認識研究。中華牙醫學雜誌，6，50-51。
晏涵文(1994)。健康教育－健康教學與研究。臺北：心理出版社。
晏涵文、劉貴雲(1989)。台灣地區國民小學口腔衛生措施及教育調查研究。衛生教育論文集刊，2，114-135。
黃丰育(2006)。國中學生下背痛預防行為研究－以台北市某國中為例。國立台灣師範大學衛生教育系碩士論文，未出版，台北。
黃純德、陳弘森、蕭思郁、嚴雅音、楊奕馨(2007)。臺灣地區兒童及青少年口腔狀況調查。國民健康局科技研究發展計畫。
黃淑真(2007)。台灣中部地區6-18歲兒童、青少年齲齒狀況及口腔衛生知識、態度和行為相關性研究。高雄醫學大學口腔衛生科學研究所碩士論文，未出版，高雄。
黃蔚綱(1986)。台北市某國民中學一年級學生口腔衛生教學實驗研究。國立台灣師範大學衛生教育學系碩士論文，未出版，台北。
張智豪(2002)。高雄市五至十八歲學生口腔流行病學進行調查研究。高雄醫學大學口腔衛生研究所碩士論文，未出版，高雄。
張艷鈴(2001)。桃園市某國中餐後潔牙行為相關因素研究。國立台灣師範大學衛生教育學系碩士論文，未出版，台北。
楊貴郎(2003)。桃園縣高中生口腔健康狀況及相關因素之探討。高雄醫學大學口腔衛生科學研究所碩士論文，未出版，高雄。
曾筑瑄、謝天瑜、楊奕馨(2003)。台灣成人口腔健康行為調查報告。台灣口腔醫學衛生科學雜誌，19，13-25。
葉瀞云(2009)。臺北市某國中學生預防齲齒行為之研究—健康信念模式之應用。國立台灣師範大學健康促進與衛生教育學系碩士論文，未出版，台北。
蔡蔭玲(2001)。88-89年臺灣地區6-18歲人口之口腔衛生調查。行政院衛生署88 與89 年度科技研究發展計畫。
賴香如(1988)。師大一年級學生口腔衛生團體衛生教育效果之研究。學校衛生，14，49-78。
賴翠琪(2001)。台北縣某國中肥胖學生體重控制行為意向及其相關因素之研究。國立台灣師範大學衛生教育學系碩士論文，未出版，台北。
劉仁義(2006)。高雄縣國中、小學童齲齒狀況之城鄉差異探討。高雄醫學大學口腔衛生研究所碩士論文，未出版，高雄。
劉經文(1995)。高雄市國中一年級學生齲齒狀況與特定相關因素探討。高雄醫學大學口腔衛生科學研究所碩士論文，未出版，高雄。
劉瓊宇(1982)。台北市國中二年級學生健康問題、需要、態度、行為與醫療利用之調查研究。公共衛生，9(1)，54-67。
蕭裕源(1991)。台灣地區青少年齲齒及牙周狀況調查。行政院衛生署。
蕭裕源、關學婉、陳韻之(1996)。台灣地區中小學生齲齒情況之調查報告。中華牙誌，15(2)，78-86。
謝天渝(1995)。國人齲齒與牙周病之罹患率。國民口腔保健第一版，7-31。
 
二、英文部分
Alvarez-Arenal, A., Alvarez-Riesfo, J. A., & Pena-Lopez, J. M. (1998). DMFT/dmft and treatment requirements of schoolchildren in asturias,spain. Community Dent Oral Epidemiol, 26(3), 166-169.
Angelillo, I. F., Anfosso, R., Nobile, C. G., & Pavia, M. (1998). Prevalence of dental caries in schoolchildren in italy. Europ J Epidemiol, 14(4), 351-357.
Bandura, A. (1977). Self-efficacy : Toward a unifying theory of behavioral change.Psychological Review,84 (2),191-215.
Brook U., Heim M.＆ Alkalai Y.(1996).Attitude, knowledge and habits of high school pupils in Israel regarding oral health. Patient Education & Counseling, 27(2):171-5.
Casanova-Rosado, A. J., Medina-Solis, C. E., Casanova-Rosado, J. F., Vallejos-Sanchez, A. A., Maupome, G., & Avila-Burgos, L. (2005). Dental caries and associated factors in mexican school children aged 6-13 years. Acta Odontol Scand, 63(4), 245-251.
Chatzistavrou, E., Makris, G., & Topitsoglou, V. (2000). Caries prevalence in 6-,11- and 14-year-old children in the cyclades islands, greece. Community Dent Health, 17(4), 257-259.
Chindia ML., Valderhaug J.＆ Ng'ang'a PM.(1992).Oral health habits and periodontal health among a group of university students in Kenya. East African Medical Journal, 69(6):337-40.
Christensen, L. B., Patersen, P. E., & Bhambal, A. (2003). Oral health and oral health behavior among 11-13-year-olds in bhopal, india. Community Dent Health, 20, 153-158.
Cyril O. Enwonwu,Reshma S. Phillips & Christine D. Ibrahim(2004). Nutrition and oral health in Africa. International Dental Journal, 54, 344-351.
Duggal M.S.＆ Loveren C.V.(2001). Dental considerations for dietary counselling. International dental J, 51, 408-412.
Eronat N., Koparal E.(1997).Dental caries prevalence, dietary habits, tooth-brushing, and mother's education in 500 urban Turkish children. Journal of Marmara University Dental Faculty, 2(4):599-604.
Goel, P., Sequeira, P., & Peter, S. (2000). Prevalence of dental disease amongst 5-6 and 12-13 year old school children of puttur municipality, karnataka state. J Indian Society of Pedodontics &Preventive Dent, 18(1), 11-17.
Hamilton ME., Coulby WM.(1991).Oral health knowledge and habits of senior elementary school students. Journal of Public Health Dentistry, 51(4):212-9.
Hong YC, Chang CK, Duh FG and Knutson JW. (1979). Report on the Taiwan Dental Survey. Proc. Natl. Sci. Counc, ROC, 3(3), 250-8.
Jolanta Siudukiene, Vita Machiulskiene, Bente Nyvas, Jorma Tenovuo, Irena Nedzelskiene. (2006). Dental caries and salivary status in children with type 1 diabetes mellitus, related to the metabolic control of the disease. Eur J Oral Sci, 114, 8-14.
Jiang, H., Petersen, P. E., Peng, B., Tai, B., & Bian, Z. (2005). Self-assessed dental health, oral health practcices, and general health behaviors in chinese urban adolescents. Acta Odontol Scand, 63, 343-352.
Jolanta Siudukiene, Vita Machiulskiene, Bente Nyvas, Jorma Tenovuo, & Irena Nedzelskiene. (2006). Dental caries and salivary status in children with type 1 diabetes mellitus, related to the metabolic control of the disease. Eur J Oral Sci, 114, 8-14.
Kassak KM., Dagher R.＆Doughan B.(2001).Oral hygiene and lifestyle correlates among new undergraduate university students in Lebanon. Journal of American College Health, 50(1),15-20.
Kuusela S., Honkala E., Kannas L., Tynjala J.＆ Wold B.(1997).Oral hygiene habits of 11-year-old schoolchildren in 22 European countries and Canada in 1993/1994. Journal of Dental Research, 76(9),1602-1609.
Kovac-Kavcic, M., & Skaleric, U. (2001). The change of DMFT counts in slovenia. Caries Res, 35(4), 247-251.
Kreiger N, Williams DR, Moss NE. (1997). Measuring social class in US public health research: Conceps, methodologies, and guidelines. Annu Rev Public Health, 18, 341-378.
Krejcie & Morgan（1970）Memory-based Product Judgments: Effects of Involvement at Encoding and Retrieval, Journal of consumer Research, 21,534-547.
Kulak-Ozkan, Y., Ozkan, Y., Kazazoglu, E., & Arikan, A. (2001). Dental caries prevalence, tooth brushing and periodontal status in 150 young people in istanbul: A pilot study. Internat Dent J, 51(6), 451-456.
Lo, E. C., Jin, L. J., Zee, K. Y., Leung, W. K., & Corbet, E. F. (2000). Oral health status and treatment need of 11-13-year-old turban children in tibet, china. Community Dent Health, 17(3), 161-164.
Macgregor, I. D., & Balding, J. W. (1987). Toothbrushing frequency in relation to family size and bedtimes in english schoolchildren. Community Dent Oral Epidemiol, 15(4), 181-183.
Martens, L., Vanobbergen, J., Leroy, R., Lesaffre, E., & Declerck, D. (2004). Variables associated with oral hygiene level in 7-year-olds in belgium. Community Dental Health, 21, 4-10.
Moyses,S.T.; Moyses,S.J.; Watt,R.G.& Sheiham,A.(2003). Associations between health promoting schools' policies and indicators of oral health in Brazil. Health Promotion International, 18(3),209-218.
Petersen PE., & Lennon MA. (2004). Effective use of fluorides for prevention of dental caries in the 21st century: The WHO approach. Community Dent Oral Epidemiol, 32(5), 319-321.
Pitts , N. B., Evans, D. J., & Nugent, Z. J. (1998). The dental caries experience of 12-year-old children in the united kingdom. surveys coordinated by the british association for the study of community dentistry in 1996/97. Community Dent Health, 15(1), 49-54.
Pitts , N. B., Evans, D. J., & Nugent, Z. J. (2000). The dental caries experience of 14-year-old children in the united kingdom. surveys coordinated by the british association for the study of community dentistry in 1998/99. Community Dent Health, 17(1), 48-53.
Reich, E. (2001). Trend in caries and periodontal health epidemiology in europe. Internat Dent J, 51(6), 392-398.
Rimondini L., Zolfanelli B., Bernardi F.＆Bez C.(2001)：Self-preventive oral behavior in an Italian university student population. Journal of Clinical Periodontology, 28(3):207-11.
Rodrigues, J. S., & Damle, S. G. (1998). An epidemiological study on the prevalence of dental caries and treatment need in 12-15 year old children in bhiwandi(maharashtra). J Indian Society of Pedodontics & Preventive Dent, 16(3), 84-89.
Rosenstock, I. M. (1974). Historcal origins of the health model.Health Education monogr, 2, 328-335.
Rosenstock, I. M.,Strecher,V.J., & Becker, M.H. (1988). Social learning theory and the health belief model. Health Education & Behavior, 15(2),175-183.
Singh, A. A., Singh, B., Kharvanda, O. P., Shukla, D. K., Goswami, K., & Gupta, S. (1999). A study of dental caries in school children from rural haryana. J Indian Society of Pedodontics & Preventive Dent, 17(1), 24-28.
Sogi, G. M., & Bhaskar, D. J. (2002). Dental caries and oral hygiene status of school children in davangere related to their socio- economic levels: An epidemiological study. J Indian Society of Pedodontics & Preventive Dent, 20(4), 152-157.
Stevens AM., Maes L ＆Peeters R.(1992)：Dental hygiene in 10-to-18-year-old youths in Flanders. Results of a school survey. Revue Belge de Medecine Dentaire, 47(2):51-56.
Vrbic, V. (2000). Reasons for the caries decline in slovenia. Community Dent Oral Epidemiol, 28(2), 126-132.
Whittle, K. W., & Whittle, J. G. (1998). Dental caries in 12-year-old children and the effectiveness of dental services in salford, UK in 1960, 1988 and 1997. Brit Dent J., 184(8), 394-396.
Wong, M. C., Lo, E. C., Schwarz, E., & Zhang, H. G. (2001). Oral health status and oral health behaviors in chinese children. J Dent Res, 80(5), 1459-1465.
World Health Organization (1995). Oral Health Programme. 12 Yr. Book/95.3. WHO, Geneva.
World Health Organization (2003). The world oral health report 2003. Continuous improvement of oral health in the 21st century-the approach of the WHO global oral health programme, Geneva.
World Health Organization (2005). Bulletin of the World Health Organization. Bull World Health Organ, 83(9), Genebra Sept.