题名

台南縣新營地區高中職學生蔬果攝取行為及相關因素研究

并列篇名

Factors Associated with Fruit and Vegetable Intake Behavior among Senior and Vocational High School Students in Sinying

DOI

10.7022/JHPHE.201112.0053

作者

李貞儀(Jan-Yi Lee);魏米秀(Mi-Hsiu Wei);呂昌明(Chang-Ming Lu)

关键词

可獲性 ; 自我效能 ; 高中生 ; 高職生 ; 蔬果攝取行為 ; availability ; fruit and vegetable intake behavior ; high school students ; selfefficacy ; vocational high school students

期刊名称

健康促進與衛生教育學報

卷期/出版年月

36期(2011 / 12 / 01)

页次

53 - 77

内容语文

繁體中文

中文摘要

本研究目的在探討高中、職學生個人背景因素、社會心理因素、環境因素與蔬果攝取行為的關係。以台南縣新營地區高、中職學生為母群體,採比率隨機集束抽樣,以自編結構式問卷進行調查,共得有效問卷542份。研究結果僅不到五成/三成的研究對象能總是或常常每天攝取三份蔬菜/二份水果。女性、自覺健康狀況好者,蔬果攝取行為較佳。社會心理因素的重要變項有蔬果攝取自我效能及蔬果喜好,環境因素的重要變項有蔬果攝取角色楷模及家庭蔬果可獲性,皆與蔬果攝取行為有正向關連。本研究架構中的背景因素、社會心理因素及環境因素三類變項共可解釋蔬果攝取行為總變異量的51%。本研究建議要促進高中、職學生的蔬果攝取行為,健康促進與衛生教育應發展多面向的介入策略。

英文摘要

This study examines the fruit and vegetable intake behavior of senior and vocational high school students with reference to their personal backgrounds, psychosocial, and environmental factors. The study sample was composed of 542 students from senior and vocational high schools in Sinying, Tainan, Taiwan. The results showed that nearly 50% of the students reported consuming 3 portions of vegetables daily, and that only 30% of the students consumed 2 portions of fruit daily. The female students, students who reported a higher perceived health status were more likely to intake fruit and vegetables. Self-efficacy and a preference for fruit and vegetables are important psychosocial factors. In addition, role modeling and the availability at home of fruit and vegetables are significant environmental correlates of intake behavior. The personal backgrounds, psychosocial, and environmental variables contained in research model accounted for 51% of the variance in fruit and vegetable intake behavior. These findings demonstrate that a variety of multi-level factors is associated with students' intake of fruit and vegetables. Therefore, it would be beneficial to incorporate a multi-level approach into health promotion and health education intervention strategies to encourage high school students to consume fruit and vegetables.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
社會科學 > 心理學
社會科學 > 教育學
社會科學 > 體育學
社會科學 > 社會學
社會科學 > 社會學
参考文献
  1. 何智靖、賴香如、姚友雅(2009)。某技術學院學生飲食行為與其學校飲食政策和環境認知關係之研究。學校衛生,55,67-86。
    連結:
  2. 魏米秀、呂昌明(2006)。以焦點團體訪談探討大學生蔬果攝取行為的影響因素。衛生教育學報,26,125-145。
    連結:
  3. 魏米秀、陳建宏、呂昌明(2005)。應用市場區隔分析大專生蔬果攝取行為之研究—以某技術學院二專部學生為例。衛生教育學報,23,1-18。
    連結:
  4. 行政院衛生署(2011a)。99年國人主要死因統計(以ICD-10編碼)。2011年6月15日,取自行政院衛生署網址http://www.doh.gov.tw/CHT2006/DM/DM2_p01.aspx?class_no=25&now_fod_list_no=11578&level_no=2&doc_no=80728
  5. World Health Organization. (2004). Global strategy on diet, physical activity and health. Retrieved January 12, 2012, from World Health Organization web site: http://apps.who.int/gb/ebwha/pdf_files/WHA57/A57_R17-en.pdf
  6. Centers for Disease Control and Prevention. (2010). Trends in the prevalence of obesity, dietary behaviors, and weight control practices national YRBS: 1991—2009. Retrieved January 12, 2012, from U.S. Department of Health and Human Services web site: http://www.cdc.gov/healthyyouth/yrbs/pdf/us_obesity_trend_yrbs.pdf
  7. 教育部(2010)。98學年度高中職學校各校班級學生及畢業生數。2010年3月1日取自教育部中部辦公室網址http://www.tpde.edu.tw/ap/teach_view.aspx?cate=129
  8. 行政院衛生署(2002)。每日飲食指南。台北市:作者。
  9. 行政院衛生署(2011b)。公布新版「國民飲食指標」及「每日飲食指南」。2011年7月15日,取自行政院衛生署網址http://www.doh.gov.tw/CHT2006/DM/DM2_p01.aspx?class_no=25&level_no=1&doc_no=81139
  10. Befort, C.,Kaur, H.,Nollen, N.,Sullivan, D. K.,Nazir, N.,Choi, W. S.(2006).Fruit, vegetable, and fat intake among non-Hispanic black and non-Hispanic white adolescents : Associations with home availability and food consumption settings.Journal of the American Dietetic Association,106(3),367-373.
  11. Bere, E.,Lenthe, F. V.,Klepp, K. L.,Brug, J.(2008).Why do parents' education level and income affect the amount of fruits and vegetables adolescents eat?.The European Journal of Public Health,18(6),611-615.
  12. Bevans, K. B.,Sanchez, B.,Teneralli, R.,Forrest, C. B.(2011).Children's eating behavior: The importance of nutrition standards for foods in schools.Journal of School Health,81(7),424-429.
  13. Beydoun, M. A.,Powell, L. M.,Wang, Y.(2008).The association of fast food, fruit and vegetable prices with dietary intakes among US adults: Is there modification by family income?.Social Science and Medicine,66,2218-2229.
  14. Block, G.,Patterson, B.,Subar, A.(1992).Fruit, Vegetables, and cancer prevention: a review of the epidemiological evidence.Nutrition and Cancer,18(1),1-29.
  15. Bourdeaudhuij, I. D.,Yngve, A.,Velde, S. J.,Klepp, K.-I.,Rasmussen, M.,Thorsdottir, I.(2006).Personal, social and environmental correlates of vegetable intake in normal weight and overweight 9 to 13-year old boys.International Journal of Behavioral Nutrition and Physical Activity,3,37-45.
  16. Daucht. L.,Amouyel, P.,Dallongeville, J.(2005).Fruit and vegetable consumption and risk of stroke: A meta-analysis of cohort studies.Neurology,65(8),1193-1197.
  17. French, S. A.,Story, M.,Jeffery, R. W.(2001).Environmental influences on eating and physical activity.Annual Review of Public Health,22,309-35.
  18. Glanz, K.(ed.),Rimer, B. K.(ed.),Viswanath, K.(ed.)(2008).Health behavior and health education: Theory, research, and practice.San Francisco:John Wiley & Sons.
  19. Harrington, J.,Perry, I. J.,Lutomski, J.,Fitzgerald, A. P.,Shiely, F.,McGee, H.(2010).Living longer and feeling better: healthy lifestyle, self-rated health, obesity and depression in Ireland.European Journal of Public Health,20(1),91-95.
  20. Hearn, M. D.,Baranowski, T.,Baranowski, J.,Doyle, C.,Smith, M.,Lin, L. S.(1998).Environmental influences on dietary behavior among children: availability and accessibility of fruits and vegetables enable consumption.Journal of Health Education,29(1),26-32.
  21. Heavey, P. M.,McKenna, D.,Rowland, I. R.(2004).Colorectal Cancer and relationship between genes and the environment.Nutrition Cancer,48(2),124-141.
  22. Keim, K. S.,Steward, B.,Voichick, J.(1997).Vegetable and fruit intake and perceptions of selected young adults.Journal of Nutrition Education,29(2),80-85.
  23. Krejcie, R. V.,Morgan, D. W.(1970).Determining sample size for research activities.Education and Psychological Measurement,30,607-610.
  24. Kubik, M. Y.,Lytle, L. A.,Hannan, P. J.,Perry, C. L.,Story, M.(2003).The association of the school food environment with dietary behaviors of young adolescents.American Journal of Public Health,93(7),1168-1173.
  25. Lien, N.,Lytle, L. A.,Klepp, K. I.(2001).Stability in consumption of fruit, vegetable, and sugary foods in a cohort from age 14 to age 21.Preventive Medicine,33,217-226.
  26. Lytle, L. A.,Seifert, S.,Greenstein, J.,McGovern, P.(2000).How do children's eating patterns and food choices change over time? results from a cohort study.American Journal of Health Promotion,14(4),222-228.
  27. National Cancer Institute(2005).Theory at a glance: A guide for health promotion practice.
  28. Neumark-Sztainer, D.,Melanie, W.,Perry, C.,Story, M.(2003).Correlates of fruit and vegetable intake among adolescents: Findings from Project EAT.Preventive Medicine,37(3),198-208.
  29. Nilsen, S. M.,Krokstad, S.,Holmen T. L.,Westin, S.(2010).Adolescents' health-related dietary patterns by parental socio-economic position, The Nord-Trøndelag Health Study (HUNT).European Journal of Public Health,20(3),299-305.
  30. Oliveria, S. A.,Ellison, R. C.,Moore, L. L.,Gillman, M. W.,Garrahie, E. J.,Singer, M. R.(1992).Parent-child relationships in nutrition intake: the Framingham Children's Study.American Journal of Clinical Nutrition,56,593-598.
  31. Paisley, J.,Skrzypczyk, S.(2005).Qualitative investigation of differences in benefits and challenges of eating fruits versus vegetables as perceived by Canadian women.Journal of Nutrition Education and Behavior,37(2),77-82.
  32. Pearson, N.,Biddle, S. J. H.,Gorely, T.(2008).Family correlates of fruit and vegetable consumption in children and adolescents: a systematic review.Public Health Nutrition,12(2),267-283.
  33. Reinaerts, E.,Nooijer, J.,Candel, M.,Vries, N.(2007).Explaining school children's fruit and vegetable consumption: The contributions of availability, accessibility, exposure, parental consumption and habit in addition to psychosocial factors.Appetite,48,248-258.
  34. Steinmetz, K. A.,Potter, J. D.(1996).Vegetables, fruit, and cancer prevention: a review.Journal of the American Dietetic Association,96(10),1027-1039.
  35. Story, M.,Nanney, M. S.,Schwartz, M. B.(2009).Schools and obesity prevention: Creating school environments and policies to promote healthy eating and physical activity.The Milbank Quarterly,87(1),71-100.
  36. Tak, N. I.,Velde, S. J.,Singh, A. S.,Brug, J.(2010).The effects of a fruit and vegetable promotion intervention on unhealthy snacks during mid-morning school breaks: results of the Dutch Schoolgruiten Project.Journal of Nutrition and Dietetics,23,609-615.
  37. Theresa, A. N.,Carolyn, C. J.,Leann, M.,Rosanne, P. F.,Amy, C.(1998).Outcomes of a High School Program to Increase Fruit and Vegetable Consumption: Gimme 5-A Fresh Nutrition Concept for Students.Journal of School Health,68(6),248-253.
  38. U. S. Department of Health and Human Services,U.S. Department of Agriculture(2005).Dietary guidelines for Americans.Washington, DC:U.S. Government Printing Office.
  39. Vereecken, C. A.,Inchley, J.,Subranmanian, S. V.,Hublet, A.,Maes, L.(2005).The relative influence of individual and contextual socio-economic status on consumption of fruit and soft drinks among adolescents in Europe.European Journal of Public Health,15(3),224-232.
  40. Wind, M.,Velde, S. J. T.,Brug, J.,Bourdeaudhuij, I. D.,Sandvik, C.,Klepp, K.(2006).Correlates of fruit and vegetable consumption among 11-Year-Old Belgian-Flemish and Dutch schoolchildren.Journal of Nutrition Education & Behavior,38(4),211-221.
  41. World Health Organization(2008).School policy framework: Implementation of the WHO global strategy on diet, physical activity and health.
  42. Wu, S. J.,Pan, W. H.,Yeh, N. H.,Chang, H. Y.(2011).Trends in nutrient and dietary intake among adults and the elderly: from NAHSIT 1993-1996 to 2005-2008.Asia Pacific Journal of Clinic Nutrition,20(2),251-265.
  43. Young, E. M. F.,Stuart W.,Hayes, D. M.(2004).Associations between perceived parent behaviors and middle school student fruit and vegetable consumption.Journal of Nutrition Education and Behavior,36(1),2-12.
  44. 行政院衛生署(2009)。2020健康國民白皮書。台北市:行政院衛生署。
  45. 何素梅(2007)。碩士論文(碩士論文)。台北市,國立臺灣師範大學。
  46. 兵逸儂(2008)。碩士論文(碩士論文)。台北市,國立臺灣師範大學。
  47. 吳明隆(2009)。SPSS操作與應用:問卷統計分析實務。台北:五南。
  48. 林生傳(2005)。教育社會學。台北:巨流圖書公司。
  49. 邱皓政(2005)。量化研究法(二):統計原理與分析技術。台北:雙葉書廊。
  50. 胡惠碧(2008)。碩士論文(碩士論文)。台北市,國立臺灣師範大學。
  51. 張玉鳳(2001)。碩士論文(碩士論文)。台北市,國立臺灣師範大學。
  52. 張富琴(2001)。碩士論文(碩士論文)。台北市,國立臺灣師範大學。
  53. 陳俐蓉(2009)。碩士論文(碩士論文)。台北市,國立臺灣師範大學。
  54. 曾明淑,高美丁,葉文婷,潘文涵(1999).Food consumption frequency and eating habit among Taiwanese-NAHSIT 1993-1996.中華民國營養學會雜誌,24(1),59-80.
  55. 董佳欣(2004)。碩士論文(碩士論文)。新北市,輔仁大學。
  56. 蔡淑芳(2006)。青少年飲食問題與建議。台南健康城市學刊,2,33-44。
  57. 魏米秀(2006)。博士論文(博士論文)。台北市,國立臺灣師範大學。
被引用次数
  1. 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。
  2. 洪乙禎(2021)。營養知識與飲食品質:台灣青壯年人口之研究。經濟研究,57(2),255-296。