都市與偏遠社區成人的健康資訊尋求經驗：焦點團體訪談結果

Health Information Seeking Experiences of Adults in Urban and Remote Communities: Results of Focus Group Discussions

10.7022/JHPHE.201012.0093

魏米秀(Mi-Hsiu Wei)；洪文綺(Wen-Chi Hung)

健康資訊 ； 健康傳播 ； 偏遠地區 ； 資訊尋求 ； 衛生教育 ； health communication ； health education ； health information ； information seeking behavior ； remote area

健康促進與衛生教育學報

34期（2010 / 12 / 01）

93 - 114

繁體中文

本研究以一般性健康資訊為主題，透過焦點團體訪談都市及偏遠地區的居民，目的在瞭解民眾的健康資訊尋求經驗，發掘可能影響資訊尋求行為的因素，並比較偏遠與都市地區的差異。採目的抽樣策略，以台北市（都市地區）及花蓮縣（偏遠地區）為範圍，各選取六個村里，每個村里進行一場焦點團體訪談，計十二場。共訪談95位居民，其中偏遠地區44位，都市地區51位。質性資料分析結果發現，健康資訊的需求來自其所處的個人及社會脈絡情境所引發的動機。影響健康資訊尋求的中介因素包括環境資訊可近性、人際社會支持及個人資訊獲取條件。偏遠與都市地區的差異呈現在環境資訊可近性、個人資訊獲取條件、傳播管道與型態及主動／被動的尋求行為。建議公共衛生教育要因地制宜，都市地區可運用多元的傳播管道，偏遠地區要善用人際傳播網絡。對於資訊獲取弱勢者，依其特殊需求設計健康資訊，並運用人際社會支持的功能。加強資訊弱勢地區的環境資源與提升民眾獲取資訊的能力都是重要的議題。

The purpose of the study was to understand the health information seeking experiences of adults living in urban and remote communities, and to explore possible affecting factors on health information seeking. This study also focused on the differences between remote and urban area. Purposive sampling was used. Six communities were selected from remote areas, while six from urban areas. A focus group interview was conducted in each community. A total of 95 residents participated in the 12 focus group interviews, 44 were from the remote areas, while 51 from the urban areas. Personal and social context induce health information needs. The mediating factors include environmental accessibility of information, interpersonal-social support, and personal ability of obtaining information. The differences in health information communication between remote and urban areas were presented by environmental information accessibility, communication channels and types, personal information ability, and active/passive seeking type. The results suggested that health education needs to apply different communication strategies according to local conditions. In urban areas health educators could use diversified channels; while in remote areas could make the best use of interpersonal communication. For the poor informed people, their specified needs and social support should be considered. Improve environmental resources in disadvantaged areas and enhancing public's ability to obtain information were also important issues.

1. 李孟壕、曾淑芬(2005)。數位落差再定義與衡量指標之研究。資訊社會研究，9，89-124。
   連結：
2. 李孟壕、曾淑芬(2005)。數位落差再定義與衡量指標之研究。資訊社會研究，9，89-124。
   連結：
3. 陳清河(2004)。科技、政治與弱勢傳播：以台灣原住民族之廣電媒體近用為例。台灣民主季刊，1(4)，109-138。
   連結：
4. 黃淑貞、陳金記、洪文綺(2005)。泰雅族人健康訊息接收管道與使用衛生所服務之影響因素研究。醫護科技學刊，7(1)，71-86。
   連結：
5. 葉乃靜(2003)。SARS流行期間民眾健康資訊行為研究。圖書資訊學刊，1(2)，95-110。
   連結：
6. 行政院研究發展考核委員會（2008）。九十七年數位落差調查報告。2009年11月1日，取自行政院研究發展考核委員會網址http://www.rdec.gov.tw/public/Attachment/92313455871.pdf
7. 教育部（2002）。媒體素養教育政策白皮書。2009年10月10日，取自教育部社會教育司網址 http://www.edu.tw/society/publication_list.aspx?publication_sn=494&pages=7&site_content_sn=5501
8. World Health Organization (1998). Health promotion glossary. Retrieved June 10, 2009, from World Health Organization Web site: http://whqlibdoc.who.int/hq/1998/WHO_HPR_HEP_98.1.pdf
9. 行政院內政部（2009）。戶籍人口統計年報：97年度。2009年1月30日，取自內政部戶政司全球資訊網網址http://www.ris.gov.tw/ch4/static/y0s609700.xls
10. Borgers, R., Mullen, P.D.,Meertens, R.,Rijken, M.,,Eussen, G., Plagge, I.(1993).The information-seeking behavior of cancer outpatients: A description of the situation.Patient Education and Counseling,22(1),35-46.
11. Brashers, D.E.(2001).Communication and uncertainty management.Journal of Communication,51,477-497.
12. Brashers, D.E.,Goldsmith, D.J.,,Hsieh, E.(2002).Information seeking and avoiding in health contexts.Human Communication Research,28(2),258-271.
13. Courtright, C.(2005).Health information-seeking among Latino newcomers: An exploratory study.Information Research,10(2),1-1.
14. Davies, M.M.,Bath, P.A.(2002).Interpersonal sources of health and maternity information for Somali women living in the UK.Journal of Documentation,58(3),302-318.
15. Dutta-Bergman, M.J.(2004).Primary sources of health information: Comparisons in the domain of health attitudes, health cognitions, and health behaviors.Health Communication,16(3),273-288.
16. Joint Committee on Health Education and Promotion Terminology(2001).Report of the 2000 Joint Committee on Health Education and Promotion Terminology.American Journal of Health Education,32(2),89-104.
17. Lambert, S.D., Loiselle, C.G.(2007).Health information-seeking behavior.Qualitative Health Research,17(8),1006-1019.
18. Longo, D.R.(2005).Understanding health information, communication, and information seeking of patients and consumers: A comprehensive and integrated model.Health Expectations,8,189-194.
19. Maibach, E.W.,Weber, D.,Massett, H.,Hancock, G.R. ,Price, S.(2006).Understanding consumers' health information preferences: Development and validation of a brief screening instrument.Journal of Health Communication,11,717-736.
20. Mayer, D.K.,Terrin, N.C., Kreps, G.L., Menon, U.,MaCance, K.,Parsons, S.K.(2007).Cancer survivors information seeking behaviors: A comparison of survivors who do and do not seek information about cancer.Patient Education and Counseling,65,342-350.
21. Nguyen, G.T.,Bellamy, S.L.(2006).Cancer information seeking preferences and experiences: Disparities between Asian Americans and whites in the Health Information National Trends Survey (HINTS).Journal of Health Communication,11,173-180.
22. Parker, B.R.,Kreps, G.L.(2005).Library outreach: Overcoming health literacy challenges.Journal of the Medical Library Association,93(4),S81-S85.
23. Radecki, C.M., Jaccard, J.(1995).Perceptions of knowledge, actual knowledge, and information search behavior.Journal of Experimental Social Psychology,31,107-138.
24. Ramanadhan, S., Viswanath, K.(2006).Health and the information nonseeker: A profile.Health Communication,20(2),131-139.
25. Szwajcer, E.M.,Hiddink, G.J., Koelen, M.A., van Woerkum, C.M.J.(2005).Nutrition-related information-seeking behaviours before and throughout the course of pregnancy: Consequences for nutrition communication.European Journal of Clinical Nutrition,59(S1),S57-S65.
26. Tian, Y.,Robinson, J.D.(2008).Media use and health information seeking: An empirical test of complementarity theory.Health Communication,23,184-190.
27. U.S. Department of Health and Human Services(2001).Healthy people 2010.Mclean, Virginia:International Medical Publishing.
28. Warner, D., Procaccino, J.D.(2004).Toward wellness: Women seeking health information.Journal of the American Society for Information Science and Technology,55(8),709-730.
29. Wathen, C.N.,Harris, R.M.(2007)."I try to take care of it myself." -How rural women search for health information.Qualitative Health Research,17(5),639-651.
30. Wilson, T.D.(1999).Models in information behaviour research.Journal of Documentation,55(3),249-270.
31. 毛榮富(2005)。行政院國家科學委員會專題研究計畫成果報告行政院國家科學委員會專題研究計畫成果報告,行政院國家科學委員會。
32. 胡幼慧(1996)。質性研究的分析與寫成。質性研究 : 理論、方法及本土女性研究實例，台北市:
33. 胡幼慧編(1996)。焦點團體法。質性研究：理論、方法及本土女性研究實例，台北市:
34. 張慈桂、李燕鳴、蕭正光(1998)。全民健康保險實施後花蓮偏遠地區民眾醫療可近性之探討。慈濟醫學，10，201-209。
35. 陳向明(2002)。社會科學質的研究。台北市:五南出版。
36. 陳美如、湯澡薰、鄭惠美、邱文祥(2007)。台北市新移民健康宣導資訊來源管道之分析。健康促進暨衛生教育雜誌，27，115-132。
37. 葉俊榮(2006)。台灣數位落差的現狀與政策。研考雙月刊，30(1)，3-16。
38. 葛梅貞、李蘭、蕭朱杏(1999)。傳播管道與健康行為之關係研究：以嚼檳榔為例。中華公共衛生雜誌，18(5)，349-362。
39. 蔡鶯鶯、湯允一(1999)。健保資訊的接觸管道對全民健保預防保健服務利用之影響。新聞學研究，61，73-98。
40. 謝慧欣、鄭守夏、丁志音(2000)。住院病患對就醫選擇資訊之需求：初步調查發現。中華公共衛生雜誌，19(6)，437-445。

1. 廖韋淳(2012)。鄉村地區高齡者健康資訊行為之研究。國立臺灣大學生物產業傳播暨發展學系學位論文。2012。1-87。