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研究生: 陳金記
Jin-Jih Chen
論文名稱: 愛滋病網站之內容分析與品質評估研究
Content Analysis and Quality Evaluation of AIDS Websites
指導教授: 黃淑貞
Huang, Sheu-Jen
學位類別: 博士
Doctor
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: 2004
畢業學年度: 92
語文別: 中文
論文頁數: 203
中文關鍵詞: 愛滋病網站評估宣導訊息策略內容充實度品質優良度
英文關鍵詞: AIDS, website evaluation, campaign strategy, content substance, website quality
論文種類: 學術論文
相關次數: 點閱:187下載:29
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  • 本研究旨在分析愛滋病網站之宣導訊息策略、訊息內容含括類目,並評估其品質優良度,俾瞭解網站內容之豐瘠及其品質之良窳情形。先以問卷調查法及主成分分析法建構「網站品質優良度評量表」,並透過國內六家大型網路搜尋引擎之關鍵字檢索,選取64個愛滋病網站、240個愛滋病宣導網頁進行分析與評估,再以立意取樣法選取5名愛滋病網站方面之專家學者進行實地訪談。
    研究工具為「愛滋病網站品質評估指標」調查問卷、「網站宣導訊息策略評估表」、「網站內容充實度評估表」與「網站品質優良度評估表」,以及愛滋病網站專家學者訪談大綱。問卷調查及評估所得資料以SPSS10.0套裝軟體進行統計分析,採用描述性統計、主成分分析、卡方分析、單因子變異數分析、皮爾遜積差相關等統計方法分析量化資料,並佐以質性深度訪談資料來詮釋研究發現。
    本研究之主要發現為:
    一、愛滋病網站訊息以來自非營利機構者居多,側重知識方面的宣導,
    多採用理性訴求方式,提及罹患疾病之嚴重性資訊最多,並鮮少提
    到採取預防措施時會遇到之障礙。
    二、愛滋病網站之內容項目大多不充實,以醫療科技(介紹愛滋病或HIV
    名詞、傳染途徑、分期症狀)與預防方法(使用保險套)最多;而
    感染愛滋病後的心理諮商、日常生活應對與最新活動預告之訊息不
    足。
    三、政府機關、教育機構、非營利機構網站之內容充實度與品質優良
    度,均優於營利機構網站;又各個網站內容充實度與品質優良度之
    差異性均極大,而且內容充實度與品質優良度之間達高度相關。
    四、愛滋病網站大多未標註醫療警語、隱私權政策;政府機關很少建置
    網路交流園地,部分網站之資料老舊、內容重複,且更新太慢,欠
    缺吸引力。
    五、愛滋病網站以「一般大眾」、「同性戀族群」為主,沒有細膩區隔
    對象,又訊息來源缺乏本土原創性資料,無法滿足網友個別的需
    要。
    六、部分營利機構愛滋病網站的訊息隱含誇大不實廣告及另類觀點,政
    府單位沒有介入處理或導正。
    最後研究者根據研究結論與發現,提出對於衛生教育宣導、行政實務界和後續研究者之具體建議,並建議未來可在研究對象、研究工具、研究期程、研究主題等方面再進行更廣博周延而長遠的研究。

    This study aims to analyze the campaign strategies and contents of AIDS websites and attempts to assess the quality of those websites. First a website quality evaluation form was established by way of questionnaire survey and principal component analysis. Next using keyword searching to browse through six Chinese search engines, 64 AIDS websites and 240 webpages that disseminated AIDS information were selected for analysis and evaluation. In addition, 5 AIDS website experts were purposively sampled for interview.
    The research tools employed in this study included a questionnaire survey on AIDS Website Quality Indicators, Website Campaign Strategy Evaluation Form, Website Content Evaluation Form, Website Quality Evaluation Form, and summaries drawn from the expert interviews. Data obtained from the questionnaire survey and evaluations were subjected to statistical analysis using SPSS10.0 software, where quantitative data were analyzed using descriptive statistics, principal component analysis, Chi-square, 1-Way ANOVA, and Person’s correlation, which were complemented with qualitative in-depth interview data in the interpretation of the research findings.
    This study finds the following:
    1.The AIDS websites were created primarily by non-profit
    organizations, which stressed dissemination of knowledge and
    information in a rational fashion. The websites under study
    contained information in large measure on the serious health
    consequences of the disease, while rarely mentioned the
    obstacles encountered in the exercise of preventive measures.
    2.The contents of AIDS websites under study lacked substance
    in general. The bulk of information was on health and
    medicine (introduction of AIDS or HIV, routes of
    transmission, and symptoms in different stages of the
    disease) as well as prevention (use of condom), while
    information on psychological counseling for AIDS patients,
    advice for daily life of AIDS patients, and announcement of
    latest activity or program were typically inadequate.
    3.The contents of websites created by government agencies,
    educational organizations and non-profit organizations were
    in general superior to those of for-profit organizations in
    terms of substance and quality, while great disparity in
    content substance and quality existed among different
    websites with high correlation between content substance and
    quality.
    4.The majority of AIDS websites under study did not post
    health warnings or its privacy policy. Few government-owned
    websites offered a place for information exchange, while
    some government websites contained obsolete information and
    repetitive contents that were not constantly updated and
    lacked appeal.
    5.AIDS websites mostly used the terms “general public” and
    “homosexuals” without more subtle distinctions. The sources
    of information presented on the website were rarely local or
    original, which hardly met the individual needs of browsers.
    6.Some for-profit AIDS websites made exaggerated or false
    advertisements or presented alternative viewpoints that were
    not intervened or rectified by government authorities.
    Based on the research findings, the author made concrete suggestions with regard to health education and propagation, administrative practices and subsequent studies, and proposed that more extensive and long-term studies be carried out in the aspects of research subjects, tools, duration, and topics.

    第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究重要性 5 第三節 研究目的 10 第四節 研究問題 11 第五節 研究假設 11 第六節 名詞界定 11 第七節 研究範圍與限制 12 第二章 文獻探討 14 第一節 愛滋病之流行病學 14 第二節 愛滋病與網路傳播 18 第三節 網站之分類與其任務取向 28 第四節 網站之宣導訊息策略 31 第五節 愛滋病網站之內容充實度 37 第六節 愛滋病網站之品質優良度 45 第三章 研究方法 65 第一節 研究之架構 65 第二節 研究之流程 67 第三節 研究對象之界定 69 第四節 研究方法和步驟 71 第五節 愛滋病網站品質評估指標之建構 81 第六節 資料之分析與處理 86 第四章 研究結果 88 第一節 愛滋病網站及網頁之基本資料分析 88 第二節 愛滋病網站訊息內容策略之描述性統計 91 第三節 愛滋病網站內容充實度之統計 95 第四節 愛滋病網站品質優良度之統計 100 第五節 愛滋病網站訊息策略與品質優良度之統計考驗 105 第六節 愛滋病網站內容充實度與品質優良度之相關 110 第七節 愛滋病網站之缺失綜合分析 111 第五章 討論 124 第一節 愛滋病網站訊息內容策略之討論 124 第二節 愛滋病網站內容充實度之討論 128 第三節 愛滋病網站品質優良度之討論 130 第四節 愛滋病網站缺失之討論 132 第五節 方法學討論 138 第六章 研究結論與建議 141 第一節 研究結論 141 第二節 建議 142 第三節 研究貢獻 145 參考文獻 146 一、中文部分 146 二、英文部分 151 附錄目次 附錄一 資訊技術革命大事紀 165 附錄二 杜撰之愛滋病真相網站 166 附錄三 國外愛滋病教育宣導之實證研究 169 附錄四 台灣愛滋病防治大事紀 172 附錄五 國內有關愛滋病議題之實證研究 174 附錄六 預防艾滋病宣傳教育知識要點 176 附錄七 台灣地區愛滋病網站之網址清單 179 附錄八 愛滋病網站之宣導網頁明細表 182 附錄九 愛滋病網頁內容訊息策略評估表 186 附錄十 愛滋病網頁內容充實評估統計表 187 附錄十一 愛滋病網站品質評估統計表 189 附錄十二 愛滋病網站品質評估指標研究問卷調查表 190 附錄十三 項目分析表 197 附錄十四 愛滋病之廣告 200 附錄十五 愛滋病另類觀點 201 附錄十六 FDA Sponsored AIDS Health Fraud Task Forces 203 附圖目次 圖2-1 愛滋病宣導與網路傳播之關聯 27 圖2-2 The Body網站首頁 43 圖2-3 Health on the Net Foundation首頁 48 圖2-4 URAC健康網站的評鑑機制說明網頁 49 圖2-5 QUICK健康網站資訊品質檢核表 50 圖2-6 九十二年度行政機關網站評獎推薦網站 63 圖2-7 九十二年度健康資訊網站評獎活動得獎網站 64 圖3-1 研究架構圖 66 圖3-2 研究流程圖 68 圖4-1 兒童防疫網(愛滋病) 117 圖4-2 AIDS愛滋病另類觀點之首頁 120 附表目次 表1-1 愛滋病網站、網頁之搜尋情形統計表 8 表2-1 2003年全球HIV/AIDS流行實況統計表 16 表2-2 不同媒體之溝通情形比較表 22 表2-3 歷年來世界愛滋病日活動之主題 38 表2-4 評估網路品質的主要機制 46 表2-5 國外進行一般網站品質評估之指標 54 表2-6 國內研究者進行網站品質評估之指標 56 表3-1 愛滋病網站之搜尋結果 70 表3-2 三位評核者之相互同意度 78 表3-3 愛滋病評鑑指標之分析信度 79 表3-4 本研究訪談對象之基本資料 80 表3-5 因素分析表 83 表3-6 品質評估構面之信度分析表 85 表3-7 研究問題與統計方法一覽表 87 表4-1 本研究搜尋台灣地區之愛滋病網站個數分類表 88 表4-2a 各類型愛滋病教育宣導網頁之權屬別分布統計表 89 表4-2b 各權屬別愛滋病網站之教育宣導網頁類型分布統計表 90 表4-3 各權屬別愛滋病網站之宣導訊息來源統計表 92 表4-4 各權屬別愛滋病網站之宣導訊息導向統計表 92 表4-5 各權屬別愛滋病網站宣導訊息導向之比較表 93 表4-6 各權屬別愛滋病網站之宣導訊息訴求方式統計表 93 表4-7 各權屬別愛滋病網站宣導訊息認知變項統計表 94 表4-8 不同權屬別愛滋病網站之宣導訊息認知變項比較表 94 表4-9 各權屬別愛滋病網站宣導訊息受眾統計表 95 表4-10 愛滋病網站內容充實度之描述性統計 95 表4-11 愛滋病網站在內容細項指標得分平均數前10名之排序 96 表4-12 愛滋病網站在內容細項指標得分平均數後10名之排序 96 表4-13 愛滋病網站在內容充實度八大構面之表現 97 表4-14 不同權屬別網站與內容項目充實度得分之ANOVA檢定結果 98 表4-15 愛滋病網站品質優良度之描述性統計 100 表4-16 愛滋病網站品質優良度八大構面描述性統計表 101 表4-17 各權屬別愛滋病網站品質優良度描述性統計表 101 表4-18 不同權屬別網站與品質優良度得分之ANOVA檢定結果 103 表4-19 不同訊息策略與網站內容總層面得分之ANOVA檢定結果 106 表4-20 不同訊息策略與網站科技總層面得分之ANOVA檢定結果 107 表4-21 不同訊息策略與網站品質優良度總分之ANOVA檢定結果 108 表4-22 網站內容充實度與品質內容優良度之相關矩陣表 110 表4-23 愛滋權益促進會彙集之感染者交流園地 114

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