臺灣成年女性肥胖、自覺肥胖和健康知識與教育程度之關係

The Relationship between Obesity, Subjective Perception of Obesity, Knowledge Base of Health Matters, and Level of Education among Taiwanese Adult Females

10.7023/TJFM.200612.0237

鄒孟婷(Meng-Ting Tsou)

obesity ； subjective perception of obesity ； health knowledge ； educational level

台灣家庭醫學雜誌

16卷4期（2006 / 12 / 01）

237 - 250

繁體中文

本研究目的在瞭解台灣成年女性身體質量指數(body mass index)與自覺肥胖情形，並探討健康知識、教育程度和客觀及自覺肥胖之關係。針對2002年7月至12月至台北市立馬偕紀念醫院接受成人免費健康檢查的成年女性為研究對象，本研究發現約有44%的受訪者有不正確的體重認知，這在教育程度較高的女性尤其明顯。其中，31%的女性根據BMI的定義屬於標準或過瘦體態，卻主觀認為自己體重過重或肥胖；相反地，僅約有1%的女性屬於肥胖，卻主觀認為自己體重標準或過瘦體態。這顯示肥胖對台灣女性帶來的社會壓力相當高，婦女普遍追求比客觀標準更為纖細的體態。在考慮健康知識的內生性質後，由聯立模型的估計結果顯示，教育程度愈高的女性，肥胖及主觀認為肥胖的機率明顯較低。這項發現支持Grossman的假說，顯示教育有助於減少肥胖發生的可能性。此外，肥胖也較少出現在年齡較輕、擁有健康知識較豐富以及蔬果攝取多的女性。因此，政府若欲抑制國內肥胖人口升高的趨勢，可採取的有效方式是針對教育程度較低的民眾加強肥胖之衛教以及持續增加教育投資，宣導民眾正確的體重認知，也可匡正盲目瘦身不必要之金錢浪費。

The purpose of this study was to examine the BMI (body mass index) and perceptions of obesity among Taiwanese adult females. Furthermore, we investigated the relationship between the subject's knowledge base of health matters, their level of education, objective measures of obesity, and their subjective perception of obesity. The survey was conducted at the Mackay Memorial Hospital with a target sample of women 40 years of age and older who participated in no-charge adult physical examinations from July to December 2002. The survey showed that about 44% of the respondents had inaccurate weight perceptions. While 31% of females perceived themselves as being overweight or obese even though they were not, approximately 1% of females perceived themselves as being normal or underweight, even though they were not. Thus, the results indicate that there is a pervasive stigmatization of obesity among Taiwanese women. Controlling for one's endogenous knowledge of health matters, formal schooling has a statistically significant negative effect on obesity and the perception of obesity among females. The findings support Grossman's hypothesis that schooling has a direct positive effect on health through reducing obesity. In addition, younger, highly-knowledgeable females, and those with a higher fiber intake, are less likely to be obese. The results suggest that increasing expenditures on general education and health matters could be viewed as an effective policy in terms of its role in reducing the prevalence of obesity.

1. 鄒孟婷、鄒孟文(2003)。健康知識、教育程度與肥胖之關係。臺灣衛誌，22，295-307。
   連結：
2. Adams K,Sargent RG,Thompson SH,Richter DCorwin SJ,Rogan TJ(2000).A study of body weight control practices of 4th and 7th grade adolescents.Ethnicity and Health,1,79-94.
3. Becker GS,Murphy KM(1988).A theory of rational addiction.J Political Economy,96,675-700.
4. Berger MC,Leigh JP(1989).Schooling, Self-Selection, and Health.Journal of Human Resources,24,433-455.
5. Biener L,Heaton A(1995).Women dieters of normal weight: their motives, goals, and risks.Am J Public Health,85,714-717.
6. Chaloupka F(1991).Rational addictive behavior and cigarette smoking.J Political Economy,99,722-742.
7. Cutler DM,Glaeser E(2005).What explains differences in smoking, drinking, and other health-related behaviors?.Am Economic Review, AEA Papers and Proceedings,95,238-242.
8. Fallon AE,Rozin P(1985).Sex differences in perceptions of body shape.J Abnormal Psychology,94,102-105.
9. Farrell P,Fuchs VR(1982).Smoking and Health: The Cigarette Correction.Journal of Health Economics,1,217-230.
10. Grossman M(1972).On the Concept of Health Capital and Demand for Health.Journal of Political Economy,80,223-255.
11. Grossman M,Nestor E. Terleckyj(Ed.)(1975).Household, Production and Consumption.New York:National Bureau of Economic Research.
12. Himes CL(2000).Obesity, Disease, and Functional Limitation in Later Life.Demography,37,73-82.
13. Hsieh CR,Yan LL,Liu JT,Lin CJ(1996).Smoking, health knowledge, and antismoking campaigns: an empirical study in Taiwan.J Health Economics,15,87-104.
14. JAMA(2001).Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults.Executive Summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. (Adult Treatment 249 Panel ill),285,2486-2497.
15. Kenkel DS(1991).Health behavior, health knowledge, and schooling.J Political Economy,99,287-305.
16. Maddala GS(1983).Limited-dependent and qualitative variables in econometrics.Cambridge:Cambridge University Press.
17. Nayga Jr(2000).Schooling, health knowledge and obesity.Applied Economics,32,815-822.
18. Nayga Jr(2000).Schooling, self-selection, and obesity.Consumer Interests Annual,46,13-16.
19. Nayga Jr(2001).Effect of schooling on obesity: is health knowledge a moderating factor?.Education Economics,9,129-137.
20. Philipson T(2001).The world-wide growth in obesity: an economic research agenda.Health Economics,10,1-7.
21. Ramezani CA,Roeder C(1995).Health knowledge and nutritional adequacy of female heads of households in the United States.J Consumer Affairs,29,381-412.
22. Ramos de Marins VM,Almeida RM,Pereira RA,de Azevedo Barros MB(2004).The relationship between parental nutritional status and overweight children/adolescents in Rio de Janeiro, Brazil.Public Health,118,3-10.
23. Sander W(1995).Schooling and Quitting Smoking.Review of Economics and Statistics,17,317-324.
24. Sobal J,Stunkard AJ(1989).Socioeconomic Status and Obesity: A Review of the Literature.Psychological Bulletin,105,260-275.
25. Taubman P,Rosen S,Victor R. Fuchs(Ed.)(1982).Economic Aspects of Health.Chicago:University of Chicago Press.
26. Variyam IN,Blaylock J,Smallwood D(1996).A probit latent variable model of nutrition information and dietary fiber intake.Am J Agricultural Economics,78,628-639.
27. 莊紹源、沉震寰、周碧瑟(2002)。Clinical identification of the metabolic syndrome in Kimen。Acta Cardiol Sin，18，16-23。
28. 2002国民健康促进知識、態度与行為调查(91HPKAP)

1. 鄒孟婷(2009)。靜態作息與肥胖—臺灣2002年「國民健康促進知識、態度與行爲調查」之研究。臺灣家庭醫學雜誌，19(2)，113-127。
2. 鄒孟婷、鄒孟文(2009)。臺灣成人肥胖因素之分析：2001年「國民健康訪問調查」。臺灣家庭醫學雜誌，19(1)，13-23。