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研究生: 鄭勝元
Sheng Yuan Cheng
論文名稱: 臺北市國中學生之電子健康素養及其相關因素研究
eHealth Literacy and Related Factors among Junior High School Students in Taipei City
指導教授: 張鳳琴
Chang, Fong-Ching
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: 2013
畢業學年度: 101
語文別: 中文
論文頁數: 101
中文關鍵詞: 電子健康素養健康資訊素養媒體使用行為健康資訊搜尋行為國中學生
英文關鍵詞: eHealth literacy, health information literacy, media usage behavior, health information seeking behavior, junior high school students
論文種類: 學術論文
相關次數: 點閱:294下載:42
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  • 摘要
    本研究目的為探討臺北市國中學生個人背景、媒體使用行為、健康資訊搜尋行為與健康資訊素養、電子健康素養之關係。受測學生自臺北市國中抽樣選出,共抽出15所,回收有效問卷758份。研究主要發現如下:
    一、受測學生過去一週最常使用的媒體為看電視、手機(含上網)、電腦上網,平均每週各約使用9小時。最常使用的網路功能為社群網站(如Facebook)(一週平均4天)。
    二、受測學生表示,平均每個月約有數次從家人或親戚、網路、學校老師、雜誌或報紙、書籍或手冊、朋友或同學、電視或收音機獲得健康資訊。
    三、受測學生之健康資訊素養與電子健康素養皆傾向中上程度。
    四、複迴歸分析結果顯示,受測學生為女生、課業表現較佳、較常聽廣播、較常用電子郵件、健康資訊搜尋行為頻率較多,其健康資訊素養較好。
    五、複迴歸分析結果顯示,受測學生較常使用網路聊天室、健康資訊搜尋行為頻率較多、健康資訊素養得分較高,其電子健康素養較好。 
    建議學校可舉辦有關健康資訊素養與電子健康素養的教學活動,期能增進學生健康資訊素養與電子健康素養。

    Abstract
    The main purpose of this study was to examine the relationship among students’ demographic backgrounds, their media use behavior, their health information-seeking behavior, their health information literacy, and their eHealth literacy. A total of students were randomly selected from 15 junior high schools in Taipei. There were 758 valid questionnaires.
    The major findings were as follows:
    1.Participating students dedicated an average of 9 hours per week to each of the following activities: watching TV, using cell phones (including the Internet), and computers.
    2.Students obtained health information from either family members, the Internet, school teachers, magazines/newspapers, books/pamphlets, peers, or TV/radio several times each month.
    3.Students had health information literacy and eHealth literacy that was higher than mid-level.
    4.Multiple regression analysis showed that students who were female had better academic performance, had an increased frequency of listening to the radio, used e-mail, sought health information more frequently were more likely to have better health information literacy.
    5.Multiple regression analysis showed that students who used chat rooms more often, seek health information more frequently, and had a higher information literacy score were more likely to have higher degree of eHealth literacy.

    The results of the present study suggest a need for the implementation of educational intervention to enhance students’ health information literacy and eHealth literacy.

    目 錄 頁次 致 謝 I 摘 要 II Abstract IV 目 錄 V 表目錄 VIII 圖目錄 X 第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究目的 3 第三節 研究問題 4 第四節 研究假設 5 第五節 名詞界定 6 第六節 研究限制 7 第二章 文獻探討 9 第一節 國中學生媒體使用現況 9 第二節 健康素養 11 第三節 健康資訊素養 15 第四節 電子健康素養 21 第三章 研究方法 26 第一節 研究架構 26 第二節 研究對象 27 第三節 研究工具 28 第四節 研究步驟 34 第五節 資料處理與統計分析 35 第四章 結果與討論 37 第一節 各類變項之描述性統計 37 第二節 受測學生個人背景、媒體使用行為、健康資訊搜尋行為與健康資訊素養之關係 52 第三節 受測學生個人背景、媒體使用行為、健康資訊搜尋行為與電子健康素養之關係 57 第四節 以個人背景、媒體使用行為、健康資訊搜尋行為預測健康資訊素養 62 第五節 以個人背景、媒體使用行為、健康資訊搜尋行為、健康資訊素養預測電子健康素養 67 第五章 討論、結論與建議 70 第一節 討論 70 第二節 結論 73 第三節 建議 74 參考文獻 76 附錄一:受試者知情同意書 81 附錄二:問卷量表使用同意函 84 附錄三:專家效度名單 85 附錄四:青少年媒體使用與健康生活調查問卷 86

    參考文獻
    一、中文部分
    台北市政府教育局統計室(2012)。101學年度臺北市各級學校概況。取自http://www.doe.taipei.gov.tw/ct.asp?xItem=43366341&ctNode=33658&mp=104001
    李蘭(2006)。兒童與青少年之健康行為。台大校友雙月刊,44,16-20。
    突破機構(2010)。香港青少年媒體使用情況2010。取自
    http://www.breakthrough.org.hk/ir/Research/44_Youth_media_usage/Youthmediaus
    age.htm
    財團法人台灣網路資訊中心(2012)。2012年台灣寬頻網路使用調查。取自www.twnic.net.tw/download/200307/20120709c.pdf
    張小美(2009)。國小學童健康認知與數位落差因子關係之探討一以嘉義縣2 所國小6 年級學童為例(未出版碩士論文)。南華大學,嘉義縣。
    吳翠珍(2008)。2008全國青少年媒體使用行為調查報告。臺北市:富邦文教基
    金會。
    黃冠英(2006)。台灣大學生網路健康資訊使用調查(未出版碩士論文)。國立中山大學,高雄市。
    羅淑芬、楊美玲、江明珠、徐銘玉和林秀英(2008)。原住民對肺結核之知識、態度與行為。台灣醫學,12(3),275-283。
    二、英文部分
    Adams, R. J., Stocks, N. P., Wilson, D. H., Hill, C. L., Gravier, S., Kickbusch, I., & Beilby, J. J. (2009). Health literacy. A new concept for general practice? Aust Fam Physician, 38(3), 144-147.
    Adkins, N. R., & Corus, C. (2009). Health literacy for improved health outcomes:effective capital in the marketplace. Journal of Consumer Affairs 43(2), 199-222.
    American Library Association. (1989). Presidential Committee on Information Literacy: Final Report, Retrieved from http://www.webcitation.org/5GgPfd0A2
    American Medical Association. (1999). Health literacy: report of the Council on Scientific Affairs, Retrieved from http://jama.ama-assn.org/cgi/pmidlookup?view=long&pmid=10022112
    American Medical Association's. (1999). Health literacy: report of the council on scientific affairs. Journal of the American Medical Association, 281(6), 552-557.
    Association of College, Research Libraries, & American Library Association. (2000). Information literacy competency standards for higher education: Association of College and Research Libraries.
    Australian Bureau of Statistics. (2008). In Adult literacy and life skills survey.
    Baker, L. M., & Connor, J. J. (1994). Physician-patient communication from the perspective of library and information science. Bulletin of the Medical Library Association, 82(1), 36.
    Barclay, D. A., & Halsted, D. D. (2001). Creating Consumer Healthcare Service Consumer Health Reference Service Handbook, Part III. New York: Neal-Schuman Pub.
    Barsevick, A. M., & Johnson, J. E. (1990). Preference for information and involvement, information seeking and emotional responses of women undergoing colposcopy. Research in nursing & health, 13(1), 1-7.
    Burnham, E., & Peterson, E. B. (2005). Health information literacy: a library case study. Library Trends, 53(3), 422-433.
    Caprice, K., Vanessa, M., Hua, W., Phyllis, S., & Elizabeth, S. (2011). Internet Use and eHealth Literacy of Low-Income Parents Whose Children Have Special Health Care Needs. J Med Internet Res, 13(3), e75.
    Cotten, S. R., & Gupta, S. S. (2004). Characteristics of online and offline health information seekers and factors that discriminate between them. Social Science & Medicine, 59(9), 1795-1806.
    Czaja, R., Manfredi, C., & Price, J. (2003). The determinants and consequences of information seeking among cancer patients. Journal of Health Communication, 8(6), 529-562.
    Diamantopoulos, A., & Siguaw, J. A. (2000). Introducing LISREL: A guide for the uninitiated: Sage.
    El Bindari Hammad, A., & Mulholland, C. (1992). Functional literacy, health, and quality of life. Annals American Academy of Political and Social Science, 520, 103-120.
    Ellis, J., Mullan, J., Worsley, A., & Pai, N. (2012). The role of health literacy and social networks in arthritis patients' health information-seeking behavior: a qualitative study. International journal of family medicine, 2012.
    Eng, T. R. (2001). The e-Health Landscape: A Terrain Map of Emerging Information and Communication Technologies in Health and Health Care. Princeton, NJ: The Robert Wood Johnson Foundation.
    European Commission. (2007). White Paper together for health: A strategic approach for the EU 2008–2013. Brussels: European Commission.
    Eysenbach, G. (2001). What is e-health? J Med Internet Res, 3(2), e20.
    Finney, S. J., & DiStefano, C. (2006). Non-normal and categorical data in structural equation modeling. Structural equation modeling: A second course, 269-314.
    Fox, S., & Duggan, M. (2013). Health Online 2013, Retrieved from http://www.pewinternet.org/Press-Releases/2013/Health-Online-2013.aspx
    Freedman, D. A., Bess, K. D., Tucker, H. A., Boyd, D. L., Tuchman, A. M., & Wallston, K. A. (2009). Public health literacy defined. American Journal of Preventive Medicine 36(5), 446-451.
    Global Reach. (2003). Global Internet Statistics: Sources & References, Retrieved from http://vclass.mgt.psu.ac.th/~parinya/Intro2IT/sectionThree/hitechcrime/webinfo/Global%20Internet%20Statistics%20Sources%20&%20References.htm
    Harvey, K., Churchill, D., Crawford, P., Brown, B., Mullany, L., Macfarlane, A., & McPherson, A. (2008). Health communication and adolescents: what do their emails tell us? Family Practice, 25(4), 304-311.
    Hye-Jin, P., Bryan, H. R., & Ruthann, W. L. (2011). Roles of interpersonal and media socialization agents in adolescent self-reported health literacy: a health socialization perspective. Health education research, 26(no.1), 131-149.
    Institute of Medicine. (2004). Health literacy: a prescription to end confusion Washington, DC: The National Academies.
    Ishikawa, H., & Yano, E. (2008). Patient health literacy and participation in the health‐care process. Health Expectations, 11(2), 113-122.
    Kickbusch, I., & Maag, D. (2008). Health literacy International Encyclopedia of Public Health, 3, 204-211.
    Kickbusch, I., Wait, S., & Maag, D. (2005). Navigating health: The role of health literacy: Alliance for Health and the Future, International Longevity Centre-UK.
    Kirsch, I. S., Jungeblut, A., Jenkins, L., & Kolstad, A. (1993). Adult literacy in America: A first look at the findings of the National Adult Literacy Survey. Washington, DC: National Center for Education Statistics, US Department of Education.
    Krisberg, K. (2004). Millions of Americans suffer from low health literacy. Nation’s Health, 1.
    Kristina, E. B., Stefan, E. K., Raimo, N., & Maija-Leena, H. (2012). Health information literacy in everyday life: A study of Finns aged 65-79 years. Health Informatics Journal, 18(83).
    Kummervold, P. E., Chronaki, C. E., Lausen, B., Prokosch, H.-U., Rasmussen, J., Santana, S., . . . Wangberg, S. C. (2008). eHealth trends in Europe 2005-2007: a population-based survey. journal of Medical Internet Research, 10(4).
    Laugksch, R. C. (2000). Scientific literacy: a conceptual overview. Science Education, 84(1): 71-94.
    Lee, R., Conley, D., & Preikschat, A. (2000). eHealth 2000: Healthcare and the Internet in the New Millennium.2000.
    Lenz, E. R. (1984). Information seeking: A component of client decisions and health behavior. Advances in Nursing Science, 6(3), 59-72.
    Logan, R. K. (1995). The Fifth Language: Learning a Living in the Computer Age. Toronto: Stoddart Books.
    Mancuso, J. M. (2008). Health literacy: a concept/dimensional analysis. Nursing & health sciences, 10(3), 248-255.
    Medical Library Association. (2003). Health Information Literacy, Retrieved from http://www.mlanet.org/resources/healthlit/define.html
    Niemelä, R., Ek, S., Eriksson-Backa, K., & Huotari, M.-L. (2012). A Screening Tool for Assessing Everyday Health Information Literacy. [Article]. Libri: International Journal of Libraries & Information Services, 62(2), 125-134. doi: 10.1515/libri-2012-0009
    Norman, C. D., & Skinner, H. A. (2006a). eHEALS: The eHealth Literacy Scale. Journal of Medical Internet Research, 8(4), e27.
    Norman, C. D., & Skinner, H. A. (2006b). eHealth Literacy: Essential Skills for Consumer Health in a Networked World. journal of Medical Internet Research
    Nutbeam, D. (1998). Health promotion glossary. Health promotion International, 13(4), 349-364.
    Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health promotion International, 15(3), 259-267.
    Oh, H., Rizo, C., Enkin, M., & Jadad, A. (2005). What is eHealth? A systematic review of published definitions. Journal of Medical Internet Research, 7(1), e1.
    Paasche-Orlow, M. K., & Wolf, M. S. (2007). The causal pathways linking health literacy to health outcomes. American Journal of Health Behavior, 31(Supplement 1), S19-S26.
    Pew Research Center's Internet & American Life Project. (2013). Teens and technology 2013, Retrieved from http://www.pewinternet.org/Reports/2013/Teens-and-Tech.aspx
    Potter, W. J. (2004). Theory of Media Literacy: A Cognitive Approach. Thousand Oaks, CA: Sage.
    Raimo, N., Stefan, E., Kristina, E. B., & Maija-Leena, H. (2011). A Screening Tool for Assessing Everyday Health Information Literacy. Libri. International Journal of Libraries and Information Services, 62, 125-134.
    Ratzan, S. C., & Parker, R. M. (2000). National Library of Medicine Current Bibliographies in Medicine: Health Literacy. NLM Pub. No. CBM 2000-1 ed. Washington, DC: National Institutes of Health, US Department of Health and Human Services.
    Rees, C. E., & Bath, P. A. (2000). The psychometric properties of the Miller Behavioural Style Scale with adult daughters of women with early breast cancer: a literature review and empirical study. Journal of Advanced Nursing, 32(2), 366-374.
    Renahy, E., Parizot, I., & Chauvin, P. (2007). WHIST: A web-based survey on health information seeking on Internet in France, 2007. Paper presented at the AMIA... Annual Symposium proceedings/AMIA Symposium. AMIA Symposium.
    Rice, R. E. (2006). Influences, usage, and outcomes of Internet health information searching: multivariate results from the Pew surveys. International Journal of Medical Informatics, 75(1), 8-28.
    Rideout, V. J., Foehr, U. G., & Roberts, D. F. (2010). Generation M [superscript 2]: Media in the Lives of 8-to 18-Year-Olds. Henry J. Kaiser Family Foundation.
    Rootman, I., & Gordon-El-Bihbety, D. (2008). A vision for a health literate Canada. Ottawa: CPHA, 13.
    Shariq, K., Hammad, D., Parvez, N., & Ammad, F. (2012). Scope of Policy Issues in eHealth: Results From a Structured Literature Review. Journal of Medical Internet Research, 14(1), e34.
    Simond, S. (1974). Health education as social policy Health Education Monograph, 1-25.
    Stellefson, M., Hanik, B., Chaney, B., Chaney, D., Tennant, B., & Chavarria, E. A. (2011). eHealth Literacy Among College Students: A Systematic Review With Implications for eHealth Education. Journal of Medical Internet Research, 13(4), e102.
    Tardy, R. W., & Hale, C. L. (1998). Getting “plugged in”: A network analysis of health‐information seeking among “stay‐at‐home moms”. Communications Monographs, 65(4), 336-357.
    Tyner, K. (1998). Literacy in a Digital World. Mahwah, NJ: Lawrence Erlbaum Associates.
    U.S. Department of Health and Human Services. (2001). Healthy People 2010 Operational Definition: 11-2. Improve the health literacy of the population., Retrieved from ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Datasets/DATA2010/Focusarea11/O1102a.pdf
    World Health Organization. (1948). What is the WHO definition of health? Retrieved from http://www.who.int/suggestions/faq/en/index.html
    Ybarra, M. L., Emenyonu, N., Nansera, D., Kiwanuka, J., & Bangsberg, D. R. (2008). Health information seeking among Mbararan adolescents: results from the Uganda Media and You survey. Health education research, 23(2), 249-258.
    Yost, K. J., Webster, K., Baker, D. W., Choi, S. W., Bode, R. K., & Hahn, E. A. (2009). Bilingual health literacy assessment using the Talking Touchscreen/la Pantalla Parlanchina: Development and pilot testing. Patient Education and Counseling, 75(3), 295-301.
    Zarcadoolas, C., Pleasant, A., & Greer, D. Advancing health literacy: A framework for understanding and action. 2006: San Francisco, CA: Jossey-Bass.
    Zarcadoolas, C., Pleasant, A., & Greer, D. S. (2005). Understanding Health Literacy: An Expanded Model. Health Promotion International, 20(2), 195-203.

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