本研究主要目的在了解國中生個人背景變項、健康信念、行動線索、自我效能與騎腳踏車戴安全帽行為的關係。以台南縣某國中九十八學年度第二學期在學且會騎腳踏車的學生為母群體，採分層集束抽樣選取12班429名學生為調查樣本，並採結構式問卷團體施測進行資料收集，最後得有效樣本371份（有效回收率86.4％）。
本研究主要發現如下：
一、研究對象之腳踏車事故傷害罹患性認知、騎腳踏車戴安全帽自我效能偏中下程度；而腳踏車事故傷害嚴重性認知、騎腳踏車戴安全帽有效性認知和障礙性認知偏中上程度；騎腳踏車戴安全帽之行動線索偏少。
二、女生的腳踏車事故傷害罹患性認知高於男生；七、九年級學生騎腳踏車戴安全帽有效性認知高於八年級學生；八年級學生騎腳踏車戴安全帽障礙性認知高於七年級；社經地位層級五學生腳踏車事故傷害之嚴重性認知高於社經地位層級二之學生；有安全帽學生的腳踏車戴安全帽有效性認知、行動線索和自我效能及騎腳踏車戴安全帽行為高於無安全帽的學生。相反地，無安全帽學生的騎腳踏車戴安全帽障礙性認知高於有安全帽者。
三、有腳踏車專用安全帽、有效性認知越高、行動線索越高、自我效能越高、障礙性認知越低者，越傾向採取騎腳踏車戴安全帽行為。
四、是否有安全帽、有效性認知和自我效能為騎腳踏車戴安全帽行為的重要預測因素。

The main purpose of this study was to examine the bicycle helmet use of junior high school students, and to explore its related variables based on Health Belief Model. The subjects were selected from 7th to 9th grade students in one junior high school in Tainan County by stratified cluster sampling. Data were collected with a self-administered questionnaire. The valid samples were 371 with 86.4% response rate.
The main findings of this study were as follows:
1. The scores of “perceived susceptibility of bicycle accidents” and “self-efficacy of bicycle helmet use” were below the medium. The scores of “perceived severity of bicycle accidents”, “perceived benefits of action of bicycle helmet use” and “perceived barriers of action of bicycle helmet use” were above the average. The “cues to action of bicycle helmet use” was low.
2. Perceived susceptibility of bicycle accidents of females was higher than that of males. Perceived benefit of helmet use of the 7th and 9th grade students was higher than that of the 8th grade students, and perceived barrier of helmet use of the 8th grade students was higher than that of the 7th grade students. Students of socioeconomic status level 5 had higher perceived severity of bicycle accidents than those of socioeconomic status level 2. The “perceived benefits”, “cues”, “self-efficacy”, and “bicycle helmet use” of students owning helmets were higher than those without helmets. But “perceived barriers of bicycle helmet use” of students without helmets was higher than that of owning ones.
3.Those who own helmets, with higher “perceived benefits”, “cues”, and “self-efficacy”, and less “perceived barriers” of bicycle helmet use were more likely to use bicycle helmets.
4. The variables of owing bicycle helmets, perceived benefits of action and self-efficacy are important predictors of bicycle helmet use.

一、中文部分
丁如真（2002）。以健康信念模式分析醫院護理人員下背痛預防行為之研究。國立台灣師範大學衛生教育研究所碩士論文，未出版，台北市。
王文玲(2000)。臺灣安全帽立法後對頭部外傷的成效評估。台北醫學院公共衛生學研究所碩士論文，台北市。
王順弘、蔡武甫(2000)。戴安全帽對視野的影響。中華民國眼科醫學會雜誌，39(3)，270-275。
王國川（1997）。應用健康信念模式預測青少年搭機車戴安全帽之行為意向與行為。衛生教育雜誌，17，37-49。
內政部警政署 (2009)。97年全國道路交通事故概述及交通執法績效分析。線上檢索日期：2010 年7月17日，網址：http://www.
npa.gov.tw/NPAGip/wSite/public/Attachment/f1260845798890.pdf
交通部統計處(2010)。機動車輛登記數。線上檢索日期：2010年7月17日，網址：http://www.motc.gov.tw/mocwebGIP/wSite/lp?ctNode
=162&xq_xCat=15。
行政院衛生署(2010)。中國民國九十八年衛生統計。台北：衛生署。
行政院衛生署國民健康局(2007)。流汗總比流血好－台灣立法強制配戴安全帽推動經驗。線上檢索日期：2009年6月01日，網址：http://health99.doh.gov.tw/PreciousLifeZone/PreciousLife_detail.aspx?Topicno=99&CN=&page=10。
呂昌明（1994）。以健康信念模式分析公共衛生護理人員執行乳房自我檢查之意圖。衛生教育論文集刊，7，142-153。
李守義、周碧瑟、晏涵文（1989）。健康信念模式的回顧與前瞻。中華民國公共衛生雜誌，9(3)，123-136。
李從業（1997）。以健康信念模式分析台北市中、小學女性教師乳房自我檢查行為。護理研究，6（4），366-376。
林豐福、喻世祥 (2004)。腳踏車肇事特性分析及因應措施。台北市：交通部運輸研究所。
官蔚菁(2004)。台灣健康信念模式研究之統合分析。國立成功大學護理學系碩士班碩士論文，未出版，台南市。
周玫珍（2004）。職前教師拒絕二手菸行為及其影響因素之研究—以台中師範學院學生為例。臺中師範學院環境教育研究所碩士論文，未出版，台中市。
范彥壕(2004)。應用計畫行為理論來探討國中學生騎腳踏車戴安全帽之行為意圖。立德管理學院工業管理研究所碩士論文。未出版，台南市。
洪偉哲（2003）。以健康信念模式探討產婦於產前選擇剖腹產之傾向-以台北市立婦幼綜合醫院為例。國立台灣大學醫療機構管理研究所碩士論文，未出版。
柯懿嬖(1995）。以健康信念模式分析某工作場所員工之大腸直腸癌糞便篩檢行為研究。國立台灣師範大學衛生教育學系碩士論文，未出版，台北市。
胡聖(2005)。桃園縣中壢市國中生騎自行車戴安全帽行為意圖與相關因素之研究。國立台灣師範大學衛生教育研究所碩士論文，，未出版，台北市。
姜逸群、黃雅文(1992)。衛生教育與健康促進。台北：文景。
陳憲佐(2010) 。台北市某國中學生預防齲齒行為及相關因素之研究。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，台北市。
黃素雲（2004）。應用健康信念模式探討台灣地區影響老年人利用健保成人預防保健服務之相關因素研究。中國醫藥大學醫務管理研究所碩士論文，未出版，台中市。
黃純凰(2003)。台灣地區腳踏車頭部外傷之探討。台北醫學院傷害防治學研究所碩士班論文，未出版，台北市。
黃毅志（2003）。「臺灣地區新職業聲望與社經地位量表」之建構與評估：社會科學與教育社會學研究本土化。教育研究集刊，49（4），1-31。
黃淑貞、徐美苓（2000）。大台北地區愛滋病媒體宣導與民眾知識、信念與預防行為意向研究。衛生教育學報，13，143-164。
葉瀞云(2009)。台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在職進修碩士論文，未出版，台北市。
蔡宛真(2002)。台灣地區兒童頭部外傷之探討。台北醫學院傷害防治學研究所碩士班論文，未出版，台北市。
蔡欣達(2005)。台灣地區腳踏車傷害之危險因子調查。台北醫學大學傷害防治學研究所碩士班論文，未出版，台北市。
蔡玲珠(1998)。某大學一年級學生騎機車戴安全帽行為意向及相關因素之研究。國立台灣師範大學衛生教育研究所碩士論文，未出版，台北市。
盧成皆 (1998)，國中生自行車傷害－流行病學及醫療經濟研究，國科會專題研究報告。
賴翠琪（2002）。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在職進修碩士論文，未出版，台北市。
熊晴美（1998）。影響秀朗國小學童母親出席急救教育活動因素之探討。國立臺灣師範大學衛生教育研究所碩士論文，未出版，台北市。
鍾麗娟、謝明禮、劉雪娥（2003）。應用健康信念模式探討前列腺癌高危險群男性執行前列腺癌篩檢行為之因素。慈濟護理雜誌，2（3），38-48。
蘇素慧（2002）。國小教師對九年一貫課程數學領域教學信念與教學行為及相關問題之研究。屏東師範學院數理教育研究所碩士論文，未出版，屏東市。

二、英文部分
Acton, C.H., Thomas, S., Nixon, J.W., Clark, R., Pitt, W.R., & Battistutta, D.(1995). Children and bicycles: what is really happening? Studies of fatal and non-fatal bicycle injury. Injury Prevention, 1(2), 86-91.
Attewell, R.G., Glase, K., & McFadden, M. (2001). Bicycle helmet efficacy: a meta-analysis. Accident Analysis & Prevention, 33, 345-352.
Centers for Disease Control and Prevention (1995). Injury-control recommendations: bicycle helmets. Morbidity and Mortality Weekly Report, 44(RR-1), 1-17.
Centers for Disease Control and Prevention, National Center for Health Statistics (2000). 1998 Mortality Tapes. Hyattsville, MD: Division of Data Services, National Center for Health Statistics.
CDC(2008). Youth Risk Behavior Surveillance —United States, 2007. Morbidity and Mortality Weekly Report, 57(SS-4), 1-131.
Cormier, R., Kwan, L.A., Reid & Litwin, G.(2002). Knowledge and belief among brothers and sons of men with prostate cancer. Urology, 59(6), 895-900.
Eilert-Petersson, E., & Schelp, L. (1997). An Epidemiological Study of Bicycle-Related Injuries. Accident Analysis and Prevention, 29(3), 363-372.
Everett, S.A., Price, J.H., Bergin, D.A., & Groves, B.W.(1996). Personal Goals as Motivators: Predicting Bicycle Helmet Use in University Students. Journal of Safety Research, 27, 43-53.
Gabella B., Reiner K.L., Hoffman R.E., Cook M., & Stallones L. (1995).Relationship of helmet use and head injuries among motorcycle crash victims in E1 Paso County, Colorado, 1989-1990. Accident Analysis & Prevention, 27(3), 363-9.
Gielen, A.C., Joffe, A., Dannenberg, A.L., Wilson, M.E., Bielenson, P.L., & DeBoer ,M.(1994).Psychosocial factors associated with the use of bicycle helmets among children in counties with and without helmet use laws. The Journal of Pediatrics, 124(2), 204-210.
Gray, M.E.(1990). Factors related to practice of breast self-examination in rural women. Cancer Nursing, 13(2), 100-107.
Janz, N.K., & Becker, M.H. (1984). The health belief model: A decade later. Health Education Quarterly, 11(1), 1-47.
Klein K. S., Thompson D., Scheidt P.C., Overpeck M.D., Gross L.A., and the HBSC International Investigators(2005). Factors associated with bicycle helmet use among young adolescents in a multinational sample. Injury Prevention, 11, 288-293.
Kopjar, B., & Wickizer, T.M (2000). Age gradient in the cost-effectiveness of bicycle helmets. Prevention Medicine, 30, 401-406.
Kraus J.F., & Peek C. (1995): The impact of two related prevention strategies on head injury reduction among non-fatally injured motorcycle riders, California, 1991-1993. Journal of Neurotrauma,12(5),873-81.
Krejcie, R.V. & Morgan, D.W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30, 607-610.
Li, G.H., & Baker, S.P. (1996). Exploring the Male-Female Discrepancy in Death Rates from Bicycling Injury: The Decomposition Method. Accident Analysis and Prevention, 28(4), 537-540.
Linn, S., Smith, D., & Sheps, S. (1998). Epidemiology of Bicycle Injury, Head Injury, and Helmet Use among Children in British Columbia: A Five year Descriptive Study. Injury Prevention, 4(2), 122-125.
McDermott, F.T. (1995). Bicyclist head injury prevention by helmets and mandatory wearing legislation in Victoria, Australia. Annals of the Royal College of Surgeons of England, 77(1), 38-44.
Miller, P.A., Binns, H.J., Kaufer, & Christoffel, K.(1996). Children's Bicycle Helmet Attitudes and Use: Association with Parental Rules. Archives of Pediatric and Adolescent Medicine, 150, 1259-1264.
National Highway Traffic Safety Administration (2007). Traffic Safety Facts , Retrieved June 25, 2009, website: http://www.nhtsa.dot.gov/staticfiles/DOT/NHTSA/NCSA/Content/TSF/2007/TSF2007FE.pdf
Price, J.H., Colvin, T.I. & Smith, D.(1993). Prostate cancer: perceptions of African-American males. Journal of National Medical Association, 88(12), 941-947.
Rodgers G.B. (2000).Bicycle and bicycle helmet use patterns in the United States in 1998. Journal of Safety, 31, 149-58
Rosenkranz, K.M.,& Sheridan, R.L.(2003). Trauma to Adult Bicyclists: A Growing Problem in the Urban Environment. Injury, 34(11), 825-829.
Rosentock, I.M. (1974). Historical origins of the health belief model. Health Education Monographs, 2 (4), 328-335.
Sacks J.J., Holmgreer P., Smith S.M., & Sosin D.M. (1991). Bicycle-associated head injuries and deaths in the United States from 1984 through 1988: how many are preventable? Journal of the American Medical Association (JAMA), 266, 3016-8.
Sacks J.J., Kresnow M.J., Houston B., & Russell J. (1996). Bicycle helmet use among American children, 1994. Injury Prevention, 2, 258-62.
See, L.C., & Lo, S.K.(1997). Cycling injuries among junior high school children in Taiwan. Journal of the Formosan Medical Association, 96(8), 641-648.
Timo Lajunen , & Mikko Rasanen (2001). Why teenagers owning a bicycle helmet do not use their helmets. Journal of Safety Research, 32, 323-332.
Thompson R.S., Rivara F.P., & Thompson D.C. (1989). A case-control study of the effectiveness of bicycle safety helmet. New England Journal of Medicine, 320, 1361-7.
Towner, P., & Marvel, M.K.(1992). A school-based intervention to increase the use of bicycle helmets. Family Medicine, 24(2), 156-158 .
US Consumer Product Safety Commission (1999a). National Electronic Injury Surveillance System (NEISS). Bethesda, MD: US Consumer Product Safety Commission Press.
US Consumer Product Safety Commission (1999b). National Electronic Injury Surveillance System data tapes. Washington: The Commission Press.
Zentner, J., Franken, H., & Lobbecke, G. (1996). Head Injuries from Bicycle Accidents. Clinical Neurology and Neurosurgery, 98(4), 281-285.