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研究生: 余若寧
Yu, Ruo-Ning
論文名稱: 社區資源及日常活動與高齡者活躍老化之相關性:以花蓮市為例
Community resources and daily activities correlated with active aging among elderly: Hualien City case study
指導教授: 曾治乾
Tseng, Chie-Chien
口試委員: 曾治乾
Tseng, Chie-Chien
吳文琪
Wu, Wen-Chi
郭憲文
Kuo, Hsien-Wen
口試日期: 2024/07/26
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: 2024
畢業學年度: 112
語文別: 中文
論文頁數: 98
中文關鍵詞: 活躍老化在地老化健康促進高齡友善社區資源
英文關鍵詞: Active Aging, Aging In Place, Health Promotion, Age-Friendly, Community Resources
研究方法: 調查研究
DOI URL: http://doi.org/10.6345/NTNU202401539
論文種類: 學術論文
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  • 本研究目的在探討高齡者日常活動、社區資源使用與活躍老化之關聯性。研究對象為花蓮市60歲以上高齡者,共取得有效樣本472人,採半結構式問卷進行施測。本研究之重要結果如下:
    高齡者日常活動主要為「家庭生活」及「健康休閒」。社區資源使用主要為「里活動中心」、其次「公園」,組織資源則是「里辦公室」。
    不同高齡者人口背景對日常活動、社會資源使用、心理憂鬱情形、日常活動能力、整體生活狀況均呈顯著。女性社會參與活動頻率較男性高。女性主要參加學習類型及志工服務等社會參與活動,男性則偏向休閒活動。與配偶同住及教育程度較高的高齡者在整體生活狀況得分都較高。
    高齡者日常活動及社區資源使用對活躍老化之相關影響,高齡者日常活動與社區資源使用,對日常生活活動能力(ADL)及整體生活狀況之關係均呈現正相關,高齡者日常活動與日常生活活動能力呈現正相關,顯示高齡者日常生活活動能力愈佳從事日常活動頻率也較高;高齡者日常活動與社區資源使用對憂鬱症狀呈現負相關,顯示高齡者從事日常活動及社區資源使用,頻率愈高其心理憂鬱的情形較低。
    從高齡者人口背景、日常活動、社區資源使用對活躍老化的迴歸分析中調整後的R平方值為0.28,顯示自變項可解釋活躍老化28%的變異量。所有自變數對活躍老化有正向的影響,解釋力大小排序為:日常活動頻率、教育程度、婚姻狀況、社區資源使用、居住狀況、性別、年齡,高齡者日常活動與社區資源使用的頻率愈高,其活躍老化程度愈高。顯示從事日常活動及使用社區資源對活躍老化有其正向的影響,符合本研究假設。

    The purpose of this study is to explore the correlation between daily activity, use of community resources and active aging among seniors over 60 years old. Reasearch subject of the study were people over 60 years old in Hualien City. A total of 472 valid samples was obtained. A semi-structured questionnaire was used to conduct questionnaire interviews. The important results of this study are as follows:
    1. The major daily activities of the elderly were "family life" category and the "healthy leisure" category. In terms of community resources, the most commonly used material resources were "living activity center", followed by "park". In terms of organizational resources, "living office" was the most used; and "religious building" was the least used, showing that the elderly are less engaged in religious-related activities.
    2. The demographic background of different elderly people showed significant differences in their daily activity behaviors, use of social resources, psychological depression, daily activity abilities, and overall living conditions. In terms of gender, women engaged more in social participation activities than men. Women’s daily activities tended to be more social participation such as learning activities and volunteer services, while men were more inclined to leisure activities. In terms of living status and marriage, older people who lived with their spouse and held a higher education level had higher scores in overall living conditions.
    3. The relationship between daily activities of the elderly and the use of community resources on functional daily living abilities and overall living conditions showed a positive correlation, indicating the elderly with higher frequency of daily activities had higher frequency of using community resources. The elderly's daily activity behavior and functional daily living ability were positively correlated, showing that the elderly with better functional daily living ability had higher frequency of their daily activity behavior. The elderly's daily activities and community resource use are negatively correlated with depressive symptoms, which showed that the more frequently the elderly engage in daily activities and use community resources, the lower their psychological depression.
    4. The regression analysis of demographic background variables, daily activity, and community resource use showed that the adjusted R-squared value is 0.28, indicating that the independent variables can explain 28% of the variation in active aging. All independent variables have a positive impact on active aging. The order of explanatory power is: frequency of daily activity behavior, education level, marital status, community resource use, residential status, gender, age, showing the frequency of daily activity behavior and community resource use. The higher the value, the higher the degree of active aging. It shows that engaging in daily activities and using community resources has a positive impact on active aging, which is consistent with the hypothesis of this study.

    摘要 I ABSTRACT II 第一章 緒論 1 第一節 研究動機與重要性 1 第二節 研究目的 2 第三節 研究問題 2 第四節 研究假設 2 第五節 名詞操作型定義 3 第六節 研究限制 4 第二章 文獻探討 5 第一節 老化問題與活躍老化之建構與發展 5 第二節 活躍老化與高齡者日常活動 12 第三節 高齡友善城市與社區資源 16 第四節 推動在地活躍老化的困難與挑戰 20 第五節 小結 24 第三章 研究設計與方法 25 第一節 研究架構 25 第二節 研究對象 26 第三節 研究工具 29 第四節 研究步驟 37 第五節 資料處理與分析 40 第四章 實證分析 42 第一節 研究參與者的各類變項描述性統計 42 第二節 高齡者人口背景、日常活動及使用社區資源與活躍老化之關係 59 第三節 高齡者日常活動與社區資源對活躍老化之相關影響 65 第四節 高齡者日常活動與社區資源使用對活躍老化整體之預測力 66 第五章 結論與建議 69 第一節 結論 69 第二節 建議 71 參考文獻 72 一、中文部分 72 二、英文部分 76 附錄 82 附錄一、花蓮市行政區域劃分與各里的人口基本資料 82 附錄二、問卷 89 附錄三 研究倫理審查核可證明書 98

    內政部(2000)。社會工作辭典(第四版)。內政部。
    內政部(2017)。《內政統計月報(中華民國 106 年 6 月)》。內政部。內政部戶政司全球資訊網。https://www.ris.gov.tw/app/portal/346
    王筠安(2016)。社區資源與活躍老化關係初探-以溫陵社區為例 [未出版之碩士論文],國立成功大學。
    王熙哲(2013)。臺灣高齡居家照顧服務業之機會與挑戰。產業與管理論壇,15(2),60-79。
    白秀雄(1976)。對當前我國社區發展工作之檢討改進。社區發展月刊,5(8),8-12。
    朱芬郁(2006)。高齡者學習社區策略規劃之研究 [未出版之博士論文]。國立臺灣師範大學。
    行政院國民健康署(2009)。老人健康促進計畫(2009-2012)。行政院國民健康署。
    行政院衛生福利部(2022)。《111年老人狀況調查報告》。行政院衛生福利部。
    何宣蓁(2018)。都市高齡者日常生活中對於公共場所選擇偏好之研究-以台北市天母地區為例 [未出版之碩士論文]。國立臺灣科技大學。
    吳舜堂、陳欽雨(2017)。高齡長者社會支持、社會參與與活躍老化關係之研究,福祉科技與服務管理學刊,5(4),332-352。
    李宗派(2004)。老化理論與老人保健。身心障礙研究,2(2),77-94。
    周海娟(2005)。老人福利政策與社會資本建構。社區發展季刊,110(6),205-215。
    林楨家、孫小于(2012)。高齡者住宅社區之區位規劃模式。建築與規劃學報,13 (1),1-26
    林麗惠(2012)。活躍老化指標建構及其對老人教育政策之啟示。成人及終身教育學刊,19,77-111。
    俞聖姿、曾淑芬(2011)。社區老人社會參與型態及其相關因素探討。台灣高齡服務管理學刊,1 (2),54-76。https://doi.org/10.29745/JSCSM.201110.0004
    洪千雅(2008)。高齡者休閒活動參與與生活滿意度關係之研究。亞洲大學健康學院長期照護研究所在職專班碩士論文。
    徐慧娟、張明正(2004)。台灣老人成功老化與活躍老化現況:多層次分析。台灣社會福利學刊,3(2),1-36。
    許忠信(2003)。老年人的生活型態、社會疏離感和幸福感之研究。[碩士論文。國立高雄師範大學]。臺灣博碩士論文知識加值系統。 https://hdl.handle.net/11296/743gz4。
    郭昱均(2004)。高雄市長青學苑高齡者生活型態與學習需求之研究[碩士論文,國立臺灣大學]華藝線上圖書館。https://doi.org/10.6342/NTU.2004.01761
    郭登聰(2014)。建構「高齡友善城市」:從活躍老化到在地老化的重要課題—以社區照顧關懷據點為例。輔仁社會研究,4,1-42。
    曾明性、吳慧卿(2020)臺灣社區照顧關懷據點與需求人口之資源供需差異分析:應用地理可近性方法評估社區照顧資源配置妥適。調查研究-方法與應用,(44),41-95。
    楊中芳、趙志裕(1997,5月29-31日)。中庸實踐思維初探〔海報發表〕。第四屆華人心理與行為科際學術研討會。臺北。
    國家發展委員會(2020)。中華民國人口推估(2020至2070年)。https://www.ndc.gov.tw/Content_List.aspx?n=695E69E28C6AC7F
    張幸愉(1994)。國民小學運用社區資源之研究[未出版之碩士論文]。國立臺灣師範大學。
    張怡(2003)。影響老人社會參與之相關因素探討。社區發展季刊,103,225-233。
    張新松(1983)。國民中學利用社區資源之途徑[未出版之碩士論文]。國立臺灣師範大學。
    監察院(2017)。監察院調查報告案號:106內調0054。https://www.cy.gov.tw/sp.asp?xdURL=./di/RSS/detail.asp&ctNode=871&mp=1&no=5765
    蔡淑瑩、黃耀榮(2011)。舊社區實現「在地老化」之公共設施及住宅改造行動研究。(NSC97-2420-H027-001-KF3)[補助]。國立臺北科技大學。
    衛福部社會與家庭署(2021),社區照顧關懷服務據點入口網。https://ccare.sfaa.gov.tw/home/community-point/map
    蕭文高(2017)。實現在地老化:台灣推行社區整體照顧服務體系之檢視。財團法人中華文化社會福利事業基金會及廈門大學主辦。2017年兩岸「社會福利與社區發展」研討會。
    鍾思嘉、黃國彥(1987)。老人生活型態對其生活滿意之影響。國科會專題研究報告(NSC76-0301-H004-08-A)。
    簡惠娟(2016)。高齡社會白皮書之規劃與行動策略。國土及公共治理季刊,4 (1),79-83。
    Atchley, R. C. (1976). Selected social and psychological differences between men and women in later life. Journal of Gerontology, 31(2), 204–211.https://doi.org/10.1093/geronj/31.2.204
    Bassuk, S. S., Glass, T. A., & Berkman, L. F. (1999). Social disengagement and incident cognitive decline in community-dwelling elderly persons. Annals of internal medicine, 131(3), 165–173. https://doi.org/10.7326/0003-4819-131-3-199908030-00002
    Berkman, L.F. (2000). Which influences cognitive function: living alone or be alone, Lancet,355(9212), 1291-1292. https://doi.org/10.1016/S0140-6736(00)02107-3
    Bertolini M, Braglia M, Carmignani G. (2006). Application of the AHP methodology in making a proposal for a public work contract. International Journal of Project Management,24(5),422-430.https://doi.org/10.1016/j.ijproman.2006.01.005
    Bronfenbrenner, U. (1992). Ecological systems theory: Jessica Kingsley Publishers.
    Bronfenbrenner, U. (1999). Environments in developmental perspective: Theoretical and operational models. In S. L. Friedman & T. D. Wachs (Eds.), Measuring environment across the life span: Emerging methods and concepts (pp. 3–28). American PsychologicalAssociation.https://doi.org/10.1037/10317-001.
    Cherry, K. E., Walker, E. J., Brown, J. S., Volaufova, J., LaMotte, L. R., Welsh, D. A., . . . Wood, R. H. (2013). Social engagement and health in younger, older, and oldest-old adults in the Louisiana healthy aging study. Journal of Applied Gerontology, 32(1), 51-75. https://doi.org/10.1177/0733464811409034
    Cook, S. L. (2011). An exploration of learning through volunteering during retirement. International Journal of Volunteer Administration, 28, 9-19.
    Demby, E. (1974) Psychographics and from whence it came. In: Wells, Ed., Life Style and Psychographics, American Marketing Association, Chicago, 9-30.
    Department for Communities and Local Government. (2008). Lifetime Homes, Lifetime Neighbourhoods: A National Strategy for Housing in an Ageing Society (pp. 176). London: Department for Communities and Local Government.
    Nimrod, G. (2011). The impact of leisure activity and innovation on the well-being of the very old Publisher. In L. W. Poon, J. Cohen-Mansfield (Eds.). Understanding the well being in the oldest-old (pp.240-257). Cambridge University PressEditors.
    Gordon, C., & Van der Pas, S. (2009). An age-friendly community: shaping the future for Waihi Beach (pp. 58). Waihi Beach Ward: Bay of Plenty District Health Board, Western Bay of Plenty District Council.
    Hollis L. A. (1998). Sex comparisons in life satisfaction and psychosocial adjustment scores with an older adult sample: examining the effect of sex role differences in older cohorts. Journal of women & aging, 10(3), 59–77. https://doi.org/10.1300/J074v10n03_05
    Hutchison, T., P. Morrison, K. Mikhailovich. (2006). A Review of the Literature on Active Ageing. Health pact Research Centre for Health Promotion and Wellbeing, University of Canberra.
    Kahana, E., Lovegreen, L., Kahana, B., & Kahana, M. (2003). Person, environment, and person-environment fit as influences on residential satisfaction of elders. Environment and Behavior, 35(3), 434-453. https://doi.org/10.1177/0013916503035003007
    Karpinska, K. & Dykstra, P.(2014). The Active Ageing Index and its extension to the regional level Synthesis Report. https://ec.europa.eu/social/BlobServlet?docId=13544&langId=en
    Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. (1963). Studies of Illness in the Aged: The Index of ADL: A Standardized Measure of Biological and Psychosocial Function. JAMA, 185(12), 914-919.http://dx.doi.org/10.1001/jama.1963.03060120024016
    Kihl, M., Brennan, D., Gabhawala, N., List, J. & Mittal, P.(2005). Livable Communities: An Evaluation Guide. Washington DC: AARP Public Policy Institute.
    Kleinbaum, D.G., Kupper, L.L. and Muller, K.E. (1988) Variable Reduction and Factor Analysis. Applied Regression Analysis and Other Multivariable Methods. PWS Kent Publishing Co., 595-640.
    Lee Y, Kozar K A. (2006). Investigating the effect of website quality on e-business success: an analytic hierarchy process (AHP) approach[J]. Decision Support Systems, 42(3),1383-1401. https://doi.org/10.1016/j.dss.2005.11.005
    Lian, W. M., Gan, G. L., Pin, C. H., Wee, S., & Ye, H. C. (1999). Correlates of leisure-time physical activity in an elderly population in Singapore. American Journal of Public Health, 89(10), 1578-1580. https://doi.org/10.2105/ajph.89.10.1578
    Lui, Chi-Wai, Jo-Anne Everingham, Jeni Warburton, Michael Cuthill, and Helen Bartlett. (2009). What makes a community age-friendly: a review of international literature. Australasian Journal on Ageing, 28(3),116-121. https://doi.org/10.1111/j.1741-6612.2009.00355.x
    Mahoney, F. I., & Barthel, D. W. (1965). Functional evaluation: The barthel index. Maryland State Medical Journal, 14, 61–65.
    M. Martinoni, E. Sassi, A. Sartoris (2009). UrbAging: When cities grow older. Gerontechnology, 8(3), 125-128. https://doi.org/10.4017/gt.2009.08.03.006.00
    Marsillas, S., De Donder, L., Kardol, T., van Regenmortel, S., Dury, S., Brosens, D., Smetcoren, A. S., Braña, T., & Varela, J. (2017). Does active ageing contribute to life satisfaction for older people? Testing a new model of active ageing. European journal of ageing, 14(3), 295–310. https://doi.org/10.1007/s10433-017-0413-8
    Marzo, R. R., Khanal, P., Shrestha, S., Mohan, D., Myint, P. K., & Su, T. T. (2023). Determinants of active aging and quality of life among older adults: systematic review. Frontiers in public health, 11, 1193789. https://doi.org/10.3389/fpubh.2023.1193789
    Nam, T., & Pardo, T.A. (2011). Conceptualizing smart city with dimensions of technology,people,and institutions. In Proceedings of the 12th Annual International Digital Government Research Conference: Digital Government Innovation in Challenging Times (pp.282-291).ACM. https://doi.org/10.1145/2037556.2037602
    Newbold, B. (2005). Health status and health care of immigrants in Canada: a longitudinal analysis, Journal of Health Services Research&Policy, 10(2),77-83. https://doi.org/10.1258/1355819053559074
    Ngai E W T, Chan E W C. (2005). Evaluation of knowledge management tools using AHP[J]. Expert Systems with Applications, 29(4),889-899. https://doi.org/10.1016/j.eswa.2005.06.025
    Organization for Economic Cooperation and Development (1998) Maintaining Prosperity in an Ageing Society. OECD.
    Park, S., & Lee, S. (2016). Age-friendly environments and life satisfaction among South Korean elders: person–environment fit perspective. Aging & mental health, 1-10. https://doi.org/10.1080/13607863.2016.1154011
    Parsons, T. (1942). Age and sex in the social structure of the United States. American Sociological Review, 7, 604–616. https://doi.org/10.2307/2085686
    Perren, K., Arber, S., & Davidson, K. (2004). Neighbouring in later life: the influence ofsocio-economic resources, gender and household composition on neighbourly relationships. Sociology, 38(5), 965-984. https://doi.org/10.1177/0038038504047181
    Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385-401. https://doi.org/10.1177/014662167700100306
    Rowe, J.W., Kahn, R.L. (1998). The structure of successful aging. In Rowe, J.W. & Kahn, R.L., (eds.). Successful Aging (pp.36-52). Dell Publishing.
    United Nations Economic Commission for Europe (2018, November 9) Active Ageing Index.[Paperpresentation],EuropeanCommission.https://knowledge4policy.ec.europa.eu/sites/default/files/02coin2018copactiveageingindex- olga kharitonova and Ettore marchetti.pdf
    United Nations, Department of Economic and Social Affairs, Population Division. (2019).World Population Prospects 2019:Press Release. https://population.un.org/wpp/Publications/
    World Health Organization. (‎2002)‎. Active ageing: a policy framework. World Health Organization. https://iris.who.int/handle/10665/67215
    World Health Organization. (2007). Global Age-Friendly Cities: A Guide. https://www.who.int/ageing/publications/Global_age_friendly_cities_Guide_English.pdf
    Zaidi, A., Katri, G., HofmarcherHolzhacker, M.M., Lelkes, O., Marin, B., Rodrigues, R. Zolyomi, E. (2013). Project: Active Ageing Index (AAI) Active Ageing Index 2012 Concept, Methodology and Final Results. https://www.euro.centre.org/publications/detail/370

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