國中生健康促進生活型態及其影響因素之探討－以台南縣四所國中生爲例

Survey of Health Promotion Lifestyle and Relevant Factors among Junior High School Students: Using Students at Four Junior High Schools from Tainan County as an Example

10.30026/CJSH.200906.0006

李秀珍(Shiou-Jen Lee)；李素幸(Su-Hsing Lee)；宋瑩珠(Ying-Ju Song)

健康概念 ； 行動線索 ； 自覺健康狀況 ； 健康行為自我效能 ； 健康促進生活型態 ； health conception ； cues to action ； perceived health status ； health behavior self-efficacy ； health-promotion lifestyle

學校衛生

54期（2009 / 06 / 01）

107 - 122

繁體中文

目的：本研究目的在探討台南縣國中生健康促進生活型態之現況，並進一步分析與健康促進生活型態有關的影響因素。 方法：本研究樣本來自立意選定的四所台南縣國中，先以校及年級分層，再利用班級為單位以集束抽樣方式抽出1275位學生作橫斷研究調查。資料收集以結構式問卷進行，問卷內容包括基本資料、行動線索、健康概念、自覺健康狀況、健康行為自我效能及健康促進生活型態等因素。 結果：研究結果顯示性別、年級、父母教育程度、健康訊息來源數量、健康概念、自覺健康狀況、健康行為自我效能等在健康促進生活型態上有顯著差異，進一步由逐步迴歸分析發現：健康概念、自覺健康狀況、健康行為自我效能與健康訊息來源數量可解釋健康促進生活型態56.4%總變異量，其中健康行為自我效能為最強的預測因子。 建議：本研究建議學校應協助國中生自我效能的提升，加上衛生教育老師及家長等重要的健康訊息來源的配合，讓學生能以樂觀、正向及自信的態度看待周邊的事物，進而能實行健康促進的生活行為。

Purpose: This study aimed to investigate health-promoting lifestyle among junior-high school students and, furthermore, to analyze relevant factors associated with health-promoting lifestyle. Method: This study was conducted cross-sectionally where students from four purposively selected junior high schools in Tainan County were first stratified by school and grade and, then, cluster sampled. In the end, 1275 students were selected. Study data was collected through a structured questionnaire that contained information of demographics, cues to action, health conception, perceived health status, health behavior self-efficacy, and health-promotion lifestyle. Results: Study results showed that gender, grade, parental education, quantity of health information source, health conception, perceived health status and health behavior self-efficacy were significantly related to health-promotion lifestyle. Stepwise analysis results further revealed that 56.4% of variability in health-promotion lifestyle could be explained by health conception, perceived health status, health behavior self-efficacy, and quantity of health promotion sources. Among these factors, health behavior self-efficacy was the strongest predictive factor. Suggestions: Schools should assist pupils to enhancement their self-efficacy, with support from health-education teachers and parents as important health information sources. In doing so, students may be able to face their life events with optimistic, positive and confident attitudes and afterward carry out health promotion lifestyle.

1. 黃松元、陳政友、賴香如(2004)。學校衛生工作新模式－健康促進學校。學校衛生，45，59-71。
   連結：
2. Alexander, D.(1994).Adolescents and young adult: Overview.Preventive Medicine,23,653-654.
3. Bandura, A.,V. S. Ramachaudran (Ed.)(1994).Encyclopedia of human behavior.New York:Academic Press.
4. Erikson, E. H.(1982).A review.New York:Norton.
5. Gillis, A. J.(1994).Determinants of health promoting lifestyles in adolescent females.Canadian Journal of Nursing Research,26(2),13-28.
6. Gould, S. J.(1990).Health consciousness and health behavior: The application of a new Health Consciouness Scale.American Journal of Preventive Medicine,6(4),228-237.
7. Hamama, L.,Ronen, T.,Rahav, G.(2008).Self-control, self-efficacy, role overload, and stress responses among siblings of children with cancer.Health and Social Work,33(2),121-132.
8. Hellerstedt, W. L.,Jeffery, R. W.(1997).The association of job strain and health behaviors in men and women.International Journal of Epidemiology,26,575-583.
9. Kim, Y. H.(2004).Korean adolescents' exercise behavior and its relationship with psychological variables based on stages of change model.Journal of Adolescence Health,34(6),523-530.
10. Larson, N. I.,Neumark-Sztainer, D. R.,Story, M. T.,Wall, M. M.,Harnack, L. J.,Eisenberg, M.E.(2008).Fast food intake: longitudinal trends during the transition to young adulthood and correlates of intake.Journal of Adolescence Health,43(1),79-86.
11. Lazarus, R. S.,Folkman, S.(1987).Transactional theory and research on emotions and coping.European Journal of Personality,1,141-170.
12. Maccoby E. E,Jacklin C. N.(1974).The Psychology of Sex Differences.Stanford, Calif.:Stanford University Press.
13. Pajares, F.,Schunk, D. H.,F. Pajares (Eds.),T. Urdan (Eds.)(2005).Self-efficacy beliefs of adolescents.Greenwich, CT:Information Age.
14. Pender, N. J.,Walker, S. N.,Sechrist, K. R.,Frank-Stromborg, M.(1990).Predicting health-promoting lifestyle in the workplace.Nursing Research,39(6),326-332.
15. Prapavessis, H.,Maddison, R.,Brading, F.(2004).Understanding exercise behavior among New Zealand adolescents: a test of the transtheoretical.Journal of Adolescence Health,35(4),346.e17-27.
16. Pullen, C.,Walker, S. N.,Fiandt, K.(2001).Determinants of health-promoting lifestyle behaviors in rural older women.Family and Community Health,24(2),49-72.
17. Schiamberg, L. B.(1988).Child and adolescent development.New York:Macillan.
18. Shaffer, D. R.(2000).Social and Personality Development.Belmont:Wadsworth/Thomson Learning.
19. Steinberg, M. B.,Delnevo, C. D.,Foulds, J.,Pevzner, E.(2004).Characteristics of smoking and cessation behaviors among high school students in New Jersey.Journal of Adolescence Health,35(3),231-233.
20. Stephens, T.,Jacobs, D. R.,White, C. C.(1985).A descriptive epidemiology of leisure-time physical activity.Public Health Report,100,147-158.
21. Wang, H. H.(2001).A comparison of two models of health-promoting lifestyle in rural elderly Taiwanese women.Public Health Nursing,18(3),204-211.
22. Watkins, J. A.,Howard-Barr, E. M.,Moore, M. J.,Werch, C. C.(2006).The mediating role of adolescent self-efficacy in the relationship between parental practices and adolescent alcohol use.Journal of Adolescence Health,38(4),448-450.
23. Weitzel, M. H.(1989).A test of health promotion model with blue collar workers.Nursing Research,38(2),99-104.
24. Wong, C. Y,,Tang, C. S.(2005).Practice of habitual and volitional health behaviors to prevent severe acute respiratory syndrome among Chinese adolescents in Hong Kong.Journal of Adolescence Health,36(3),193-200.
25. 丁秋娟(1999)。碩士論文(碩士論文)。台北市立師範學院國民教育研究所。
26. 行政院衛生署國民健康局(2003)。行政院衛生署國民健康局。
27. 李彩華(1998)。碩士論文(碩士論文)。國立台灣師範大學體育研究所。
28. 李蘭、曾東松、翁慧卿、孫亦君(1999)。青少年危害健康行為研究：八十六學年度台北市國中生之現況。公共衛生，26(2)，75-90。
29. 林美聲(2004)。碩士論文(碩士論文)。國立台灣師範大學衛生教育系。
30. 洪麗玲(1997)。碩士論文(碩士論文)。長庚醫學工程學院護理研究所。
31. 高淑芬(2001)。某技職專科部不同學制之護理學生的健康促進生活方式及其相關因素。2001健康與管理學術研討會論文集（二）
32. 高淑芬、蔡秀敏、洪麗玲(1999)。員工健康促進生活方式之初步探討。元培學報，6，43-68。
33. 張富琴(2001)。碩士論文(碩士論文)。國立台灣師範大學衛生教育研究所。
34. 許世美(2002)。碩士論文(碩士論文)。國立台灣師範大學衛生教育研究所。
35. 陳昭伶(2003)。碩士論文(碩士論文)。國立台灣師範大學衛生教育研究所。
36. 陳美燕、廖張京棣(1995)。桃園地區護理學生與護理人員執行健康促進生活方式的初步探討。護理研究，3(1)，6-15。
37. 陳娟惠、牛玉珍(2001)。學校健康促進工作之推展。學校衛生，39，85-92。
38. 陳淑娟(2000)。碩士論文(碩士論文)。國立高雄師範大學教育研究所。
39. 黃毓華(1995)。碩士論文(碩士論文)。高雄醫學院護理研究所。
40. 黃毓華、邱啟潤(1996)。健康促進生活型態量表信度效度之評估。高雄醫學科學雜誌，12，529-537。
41. 楊瑞珍、蘇秀娟、黃秀麗(2001)。台北市不同學制學生健康促進生活方式之初步探討。醫護科技學刊，3(1)，1-17。

1. 陳麗玉、盛世慧、王宗進(2013)。國中生健康促進生活型態及其相關因素之探討。海峽兩岸體育研究學報，7(2)，19-36。
2. 洪乙禎(2019)。臺灣青壯年人口健康行為的影響因素。人文及社會科學集刊，31(1)，111-151。
3. 蘇蕙芬,陳怡玲,馬上閔(2020)。屏東地區高職學生健康行為自我效能、心理困擾程度與健康促進生活型態之研究。成大體育學刊，52(1)，19-37。