研究生: |
嚴敏禎 YEN, Min-Chen |
---|---|
論文名稱: |
高中女生對含糖飲料飲用行為及其相關影響因素之研究~以台北市某女子高中為例 A study on female students’ sugary drink consumption and its related factors─a cross-sectional survey in a girls high school in Taipei |
指導教授: |
葉國樑
Yeh, Gwo-Liang 曾治乾 Tseng, Chie-Chien |
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: | 2020 |
畢業學年度: | 108 |
語文別: | 中文 |
論文頁數: | 120 |
中文關鍵詞: | 含糖飲料飲用知識 、含糖飲料飲用態度 、拒絕含糖飲料飲用自我效能 、含糖飲料飲用社會支持 、含糖飲料飲用行為 |
英文關鍵詞: | knowledge toward drinking sweetened beverages, attitude toward drinking sweetened beverages, reject self-efficacy toward drinking sweetened beverages, social-support toward drinking sweetened beverages, behavior toward drinking sugar-sweetened beverages |
DOI URL: | http://doi.org/10.6345/NTNU202000482 |
論文種類: | 學術論文 |
相關次數: | 點閱:265 下載:48 |
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本研究目的在探討高中女生對含糖飲料行為及其相關影響因素。探討基本變項、含糖飲料飲用知識、態度、自我效能、社會支持與含糖飲料飲用行為間的關係,母群體以108學年度上學期就讀臺北市某女子高中全體在學學生為主為研究對象,採分層集束隨機抽樣,以班級為抽樣單位,共抽出高中女學生450人,利用自填式問卷施測,共發放450份問卷,回收有效問卷共403份(有效回收率89.56%),分析問卷結果之重要發現如下:
一、研究對象生家庭以高、中社經地位者較多佔六成五,在含糖飲料便利性方面,距離住家走路5分鐘可達販賣飲料商店之人數佔八成八,以居住家裡為主佔八成七、在獲取含糖飲料的生活環境屬於「便利的」佔八成九為多、睡眠品質自覺還不錯佔四成三為多。
二、研究對象每週含糖飲料飲用量平均值達1,488c.c.,校外購買首選飲品為茶飲料,次之為含糖乳製品及乳酸飲料。
三、「含糖飲料飲用態度」與「含糖飲料飲用行為」正相關,表示研究對象的含糖飲料態度愈正向,含糖飲料飲用行為次數愈少。「拒絕含糖飲料飲用自我效能」與「含糖飲料飲用行為」正相關。表示拒絕飲用含糖飲料自我效能愈強,飲用含糖飲料消費行為次數愈少。
四、在研究得知所有的變數可有效預測其含糖飲料飲用行為之總變異量的四成九,以「拒絕含糖飲料飲用自我效能」對高中女學生飲用含糖飲料飲用行為的影響能力最高。
五、建議學校階段性減少供應販售含糖飲料的環境;教育方面勿以贈送含糖飲料來獎勵學生,以導正含糖飲料飲用態度,以營造無含糖飲料的健康環境。未來的研究可針對整學年追蹤進行深入探討。
The purpose of this research was to investigate the causative factors in high school female students' behavior toward drinking sugar-sweetened beverages by viewing the relationships between the students' background, health related knowledge, attitude on sugary beverages, self-efficacy, social support, with behavior toward drinking sugar-sweetened beverages. The mother group is the students of the autumn semester in year 2020 of a girls high school in Taipei.
By using a stratified cluster random sampling method, 450 students out of the mother group were selected to participate in this research. A total of 450 self-developed questionnaires were sent out and 403 valid questionnaires were reclaimed with 89.56% response rate. The following conclusions were derived from the questionnaire:
1. 65% of the subjects were from families with middle to upper social economic status. 88% had access to sugar-sweetened beverages(SSBs) within five-minute walk from home. 87% based on residence. 89% agree that it is “convenient” to get SSBs from their surroundings. Good sleeping quality accounts for 43%.
2. The main category of the subjects' sugary beverages consumption after school is tea, followed by sugary dairy, including lactic acid drinks, and sports drinks. On average, the subjects' intake of SSBs as a whole reached 1,488 milliliter per week.
3. The subjects' attitude toward drinking sweetened beverages was positively correlated to their consumption of sweetened beverages. The more positive attitudes the subjects have, the fewer chances there are for them to drink sugar-sweetened beverages. There was a modest positive correlation between subjects' self-efficacy toward drinking sweetened beverages and their behavior toward drinking sugar-sweetened beverages, which suggests that the stronger the self-efficacy toward drinking sweetened beverages the subjects have, the more rarely drinking sugar-sweetened beverage behavior occurs.
4. In this study, the variances of SSBs intake, which could be explained by all research variances, were up to 48.1%. Among them, self-efficacy toward drinking sweetened beverages was the most powerful predictor for subjects’ behavior toward drinking sugar-sweetened beverages.
5. Based on the findings, this study suggests that schools set stage goals to progressively encourage students to take less sugar beverages. Furthermore, rewarding students with sugary beverages is highly prohibited so as to correct students' attitude toward sugary beverages and thus create a campus with sugar-free beverages. Future study can further focus on the same issue but investigating students’ sugary beverage consumption behavior in the entire academic year.
一、中文文獻
王荷晴 (2017)。社會行銷觀點探討大學生攝取含糖飲料行為(未出版之碩士論文)。國立臺灣師範大學社會教育研究所,台北市。
吳元輝 (2016)。含糖飲料增加心臟衰竭風險。健康世界,頁 6-6。
李蘭等著 (2014)。健康行為與健康教育 理性行動論與計畫行動論。 台北市: 巨流圖書公司。
林傳生 (2005) 。教育社會學(四版 )。台北市:巨流圖書公司。
洪荻婷(2014)。學生含糖飲料飲用行為及其相關因素研究-以高雄市某國中為例。(未出版之碩士論文)。義守大學管理研究所,高雄市。
高子晴 (2012)。臺中市國中生含糖飲料飲用行為及其相關因素之研究 (未出版之碩士論文)。國立臺灣師範大學健康促進與衛生教育研所,台北市。
張玉鳳 (2001)。台北市某國中生攝取蔬果行為相關因素之研究。(未出版之碩士論文)。國立台灣師範大學衛生教育研究所,台北市。
張乃文 (2007)。國中學生含糖飲料主題課程介入之效果研究(未出版之碩士論文)。國立臺灣師範大學健康促進與衛生教育研究所,台北市。
張于芸 (2019)。苗栗縣某科技公司員工攝取含糖飲料行為及其影響因素之研究(未出版之碩士論文)。國立臺灣師範大學健康促進與衛生教育研究所,台北市。
陳伊美 (2016)。均衡營養代餐包配合熱量限制對減重效益之研究 (碩士論文 )。取自華藝線上圖書館系統(系統編U0003-107201623125400)。。
陳啟榮 (2011)。淺談調查研究法。 42,頁125-127。
陳鴻杰 (2011)。馬祖地區國中學生含糖飲料飲用行為及其影響因素之研究(未出版之碩士論文)。國立臺灣師範大學健康促進與衛生教育研究所,台北市。
單文珍 (2003)。桃園市國中學生含糖飲料消費及其影響因素研究(未出版之碩士論文)。國立臺灣師範大學健康促進與衛生教育研究所,台北市。
程韻靜、陳映蓉、許素菁、方麗雯 (2016)。分析市售含糖飲料的含糖量及對健康的影響。秀傳醫學雜誌:92-98食品藥物研究年報(第15), 頁 92-98。
黃香瑜 (1998)。基隆市國中學生飲料消費行為之研究(未出版碩士論文)。國立臺灣師範大學家政教育研究所,台北市。
楊淑苓 (2004)。台北縣永和地區國中學生飲用飲料行為及其相關因素之研究(未出版碩士論文)。國立臺灣師範大學健康促進與衛生教育研究所,台北市。
經濟部統計處 (2017)。飲料店業積極拓點,營業額逐年攀升,預期106年將突破500億元。擷取自經濟部統計處: https://www.moea.gov.tw/Mns/dos/bulletin/Bulletin.aspx?kind=9&html=1&menu_id=18808&bull_id=2934
經濟部統計處 (2019)。飲料店營業額連續14年正成長。 擷取自經濟部統計處: https://www.moea.gov.tw/Mns/dos/bulletin/Bulletin.aspx?kind=9&html=1&menu_id=18808&bull_id=6099
葉麗芳、陳政友、郭李堂 (2009)。某完全中學學生飲用含糖飲料相關因素與肥胖之研究。學生衛生,55, 頁 87-105。
董麗玉 (2017)。高雄市某國中學生對含糖飲料之健康認知及其飲用行為研究(碩士論文)。取自華藝線上圖書館系統。(系統編碼U0074-0905201723113000)。。
劉秀珍 (2007)。台北縣高職餐飲科學生含糖飲料飲用行為及其影響因素之研究(未出版之碩士論文)。中國文化大學生活應用學系暨生活應用生活科學研究所,台北市。
蔡佩珊 (2001)。台北市某國中學生含糖飲料飲用行為及其影響因素之研究(未出版碩士論文)。國立臺灣師範大學健康促進與衛生教育研究所,台北市。
衛生福利部國民健康署 (2017)。響應世界肥胖日控制體位預防肥胖併發症上身。擷取自 衛生福利部國民健康署: https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=1137&pid=7808
衛生福利部國民健康署 (2018)。衛生福利部國民健康署2018國民健康署年報-中文版。擷取自 衛生福利部國民健康署: https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=3801&pid=10284
衛生福利部國民健康署 (2018)。糖飲消暑?越喝越渴且熱量趁機上身國健署推出減糖3技巧助民眾清涼一下。擷取自 衛生福利部國民健康署: https://www.hpa.gov.w/Pages/Detail.aspx?nodeid=1405&pid=8818
盧立卿、呂雅婷、徐桂婷、游家佳(2018)。台北兒童與母親飲料與糕餅點心中游離糖攝取研究。 台灣公共衛生雜誌, 37(4), 頁 420-434。
薛凱文 (2007)。台北市國中學生之危害健康含糖飲料飲用行為及其相關因素之研究---PRECEDE模式之應(未出版之碩士論文)。國立臺灣師範大學健康促進與衛生教育研究所,台北市。
簡琬麗 (2018)。某科技大學學生飲用含糖飲料消費行為及其影響因素研究(未出版之碩士論文)。國立臺灣師範大學健康促進與衛生教育研究所,台北市。
二、英文文獻
Abdel-Rahman, G. N., Ahmed, M. B. M., Sabry, B. A., & Ali, S. S. M. (2019). Heavy metals content in some non-alcoholic beverages (carbonated drinks, flavored yogurt drinks, and juice drinks) of the Egyptian markets. Toxicol Rep, 6, 210-214. doi:10.1016/j.toxrep.2019.02.010
Anjum, I., Jaffery, S. S., Fayyaz, M., Wajid, A., & Ans, A. H. (2018). Sugar Beverages and Dietary Sodas Impact on Brain Health: A Mini Literature Review. Cureus, 10(6), e2756. doi:10.7759/cureus.2756
Auerbach, B. J., Littman, A. J., Krieger, J., Young, B. A., Larson, J., Tinker, L., & Neuhouser, M. L. (2018). Association of 100% fruit juice consumption and 3-year weight change among postmenopausal women in the in the Women's Health Initiative. Prev Med, 109, 8-10. doi:10.1016/j.ypmed.2018.01.004
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215. doi:10.1037/0033-295X.84.2.191
Chaput, J. P., Tremblay, M. S., Katzmarzyk, P. T., Fogelholm, M., Hu, G., Maher, C., . . . Group, I. R. (2018). Sleep patterns and sugar-sweetened beverage consumption among children from around the world. Public Health Nutr, 21(13), 2385-2393. doi:10.1017/S1368980018000976
Curran, C. P., & Marczinski, C. A. (2017). Taurine, caffeine, and energy drinks: Reviewing the risks to the adolescent brain. Birth Defects Research, 109(20), 1640-1648. doi:10.1002/bdr2.1177
De Sanctis, V., Soliman, N., Soliman, A. T., Elsedfy, H., Di Maio, S., El Kholy, M., & Fiscina, B. (2017). Caffeinated energy drink consumption among adolescents and potential health consequences associated with their use: a significant public health hazard. Acta Biomed, 88(2), 222-231. doi:10.23750/abm.v88i2.6664
DeChristopher, L. R., Uribarri, J., & Tucker, K. L. (2016). Intake of high-fructose corn syrup sweetened soft drinks, fruit drinks and apple juice is associated with prevalent arthritis in US adults, aged 20-30 years. Nutr Diabetes, 6, e199. doi:10.1038/nutd.2016.7
Falbe, J., Thompson, H. R., Patel, A., & Madsen, K. A. (2019). Potentially addictive properties of sugar-sweetened beverages among adolescents. Appetite, 133, 130-137. doi:10.1016/j.appet.2018.10.032
Fidler Mis, N., Braegger, C., Bronsky, J., Campoy, C., Domellof, M., Embleton, N. D.,Nutrition, E. C. o. (2017). Sugar in Infants, Children and Adolescents: A Position Paper of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition. J Pediatr Gastroenterol Nutr, 65(6), 681-696. doi:10.1097/MPG.0000000000001733
Fayet-Moore, F. (2016). Effect of flavored milk vs plain milk on total milk intake and nutrient provision in children. Nutr Rev, 74(1), 1-17. doi:10.1093/nutrit/nuv031
Feltz, D. L., & Magyar, T. M. (2006). Self-efficacy and youth in sport and physicalactivity. In F. Pajares & T. Urdan (Eds.), Self-efficacy beliefs and adolescent development and education, 161-179. Greenwich, CT: Information Age Publishing
Fellnhofer, K. (2017). Entrepreneurship education revisited: perceived entrepreneurial role models increase perceived behavioural control. Int J Learn Chang, 9(3), 260-283. doi:10.1504/IJLC.2017.086856
Fung, T. T., Arasaratnam, M. H., Grodstein, F., Katz, J. N., Rosner, B., Willett, W. C., & Feskanich, D. (2014). Soda consumption and risk of hip fractures in postmenopausal women in the Nurses' Health Study. Am J Clin Nutr, 100(3), 953-958. doi:10.3945/ajcn.114.083352
Han , E., Kim, T.H.,& Powell, L.M. (2013). Beverage consumption and individual-level associations in South Korea. BMC Public Health, 13(195), 1-10. doi:10.1186 / 1471-2458-13-195
Jensen, T., Abdelmalek, M. F., Sullivan, S., Nadeau, K. J., Green, M., Roncal, C., Johnson, R. J. (2018). Fructose and sugar: A major mediator of non-alcoholic fatty liver disease. J Hepatol, 68(5), 1063-1075. doi:10.1016/j.jhep.2018.01.019
Keller, A., & Bucher Della Torre, S. (2015). Sugar-Sweetened Beverages and Obesity among Children and Adolescents: A Review of Systematic Literature Reviews. Child Obes, 11(4), 338-346. doi:10.1089/chi.2014.0117
Kenney, E. L., & Gortmaker, S. L. (2017). United States Adolescents' Television, Computer, Videogame, Smartphone, and Tablet Use: Associations with Sugary Drinks, Sleep, Physical Activity, and Obesity. J Pediatr, 182, 144-149. doi:10.1016/j.jpeds.2016.11.015
Kim, S. Y., Sim, S., & Choi, H. G. (2017). High stress, lack of sleep, low school performance, and suicide attempts are associated with high energy drink intake in adolescents. PLoS One, 12(11), e0187759. doi:10.1371/journal.pone.0187759
Kyla Cordrey, B., a Sarah A. Keim, PhD, MA, MS,b,c,d Ruth Milanaik, DO,a,e Andrew Adesman, MDa,e. (2018).Adolescent Consumption of Sports Drinks. American Academy of Pediatrics, 141(6), 1-10.
Lenk, K. M., Caspi, C. E., Harnack, L., & Laska, M. N. (2018). Customer Characteristics and Shopping Patterns Associated with Healthy and Unhealthy Purchases at Small and Non-traditional Food Stores. J Community Health, 43(1), 70-78. doi:10.1007/s10900-017-0389-5
Li, X., Qiao, Y., Yu, C., Guo, Y., Bian, Z., Yang, L., China Kadoorie Biobank Collaborative, G. (2019). Tea consumption and bone health in Chinese adults: a population-based study. Osteoporos Int, 30(2), 333-341. doi:10.1007/s00198-018-4767-3
Malik, V. S., Popkin, B. M., Bray, G. A., Despres, J. P., Willett, W. C., & Hu, F. B. (2010). Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: a meta-analysis. Diabetes Care, 33(11), 2477-2483. doi:10.2337/dc10-1079
Mendy, V. L., Vargas, R., Payton, M., & Cannon-Smith, G. (2017). Association Between Consumption of Sugar-Sweetened Beverages and Sociodemographic Characteristics Among Mississippi Adults. Prev Chronic Dis, 14, E137. doi:10.5888/pcd14.170268
Pacheco, L. S., Anderson, C. A. M., Lacey, J. V., Jr., Giovannucci, E. L., Lemus, H., Araneta, M. R. G., Martinez, M. E. (2019). Sugar-sweetened beverages and colorectal cancer risk in the California Teachers Study. PLoS One, 14(10), e0223638. doi:10.1371/journal.pone.0223638
Palmedo, P. C., & Gordon, L. M. (2019). How to be SSB-free: Assessing the attitudes and readiness for a sugar sweetened beverage-free healthcare center in the Bronx, NY. PLoS One, 14(5), e0215127. doi:10.1371/journal.pone.0215127
Parcel, G.S., Edmundson, E., Perry, C.l., Feldman, H.A., O’Hara -Tompkins, N., Nader, P.R., Johnson, C.C., Stone, E.J. (1995). Measurement of self-efficacy for diet-related behaviors among elementary school children. Journal of School Health,65(1),23-27.
Park, S., Ayala, G. X., Sharkey, J. R., & Blanck, H. M. (2019).Knowledge of Health Conditions Associated With Sugar-Sweetened Beverage Intake Is Low Among US Hispanic Adults. Am J Health Promot, 33(1), 39-47. doi:10.1177/0890117118774206
Pase, M. P., Himali, J. J., Beiser, A. S., Aparicio, H. J., Satizabal, C. L., Vasan, R. S., . . . Jacques, P. F. (2017). Sugar- and Artificially Sweetened Beverages and the Risks of Incident Stroke and Dementia: A Prospective Cohort Study. Stroke, 48(5), 1139-1146. doi:10.1161/STROKEAHA.116.016027
Pereira, M. A. (2014). Sugar-sweetened and artificially-sweetened beverages in relation to obesity risk. Adv Nutr, 5(6), 797-808. doi:10.3945/an.114.007062
Prather, A. A., Leung, C. W., Adler, N. E., Ritchie, L., Laraia, B., & Epel, E. S. (2016). Short and sweet:Associations between self-reported sleep duration and sugar-sweetened beverage consumption among adults in the United States. Sleep Health, 2(4), 272-276. doi:10.1016/j.sleh.2016.09.007
Rasaei, B., Talib, R. A., Noor, M. I., Karandish, M., & Karim, N. A. (2016). Simultaneous coffee caffeine intake and sleep deprivation alter glucose homeostasis in Iranian men: a randomized crossover trial. Asia Pac J Clin Nutr, 25(4), 729-739. doi:10.6133/apjcn.092015.46
Reyes, C. M., & Cornelis, M. C. (2018).Caffeine in the Diet: Country-Level Consumption and Guidelines. Nutrients, 10(11). doi:10.3390/nu10111772
Samano, R., Rodriguez Ventura, A. L., Godinez Martinez, E. Y., Rivera, B., Medina Flores, M., Sanchez, B., Ramirez, C. (2013). [Association of consumption of carbonated beverages and decalcification in woman on reproductive and non-reproductive age of Mexico City]. Nutr Hosp, 28(5), 1750-1756. doi:10.3305/nh.2013.28.5.6773
Siqueira, J. H., Mill, J. G., Velasquez-Melendez, G., Moreira, A. D., Barreto, S. M., Bensenor, I. M., & Molina, M. (2018). Sugar-Sweetened Soft Drinks and Fructose Consumption Are Associated with Hyperuricemia: Cross-Sectional Analysis from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Nutrients, 10(8). doi:10.3390/nu10080981
Stepien, M., Duarte-Salles, T., Fedirko, V., Trichopoulou, A., Lagiou, P., Bamia, C., Jenab, M. (2016). Consumption of soft drinks and juices and risk of liver and biliary tract cancers in a European cohort. Eur J Nutr, 55(1), 7-20. doi:10.1007/s00394-014-0818-5
Sung, E. S., Choi, C. K., Kim, N. R., Kim, S. A., & Shin, M. H. (2018). Association of Coffee and Tea with Ferritin: Data from the Korean National Health and Nutrition Examination Survey (IV and V). Chonnam Med J, 54(3), 178-183. doi:10.4068/cmj.2018.54.3.178
Tasevska, N., DeLia, D., Lorts, C., Yedidia, M., & Ohri-Vachaspati, P. (2017). Determinants of Sugar-Sweetened Beverage Consumption among Low-Income Children: Are There Differences by Race/Ethnicity, Age, and Sex? J Acad Nutr Diet, 117(12), 1900-1920. doi:10.1016/j.jand.2017.03.013
Vandevijvere, S., Molloy, J., Hassen de Medeiros, N., & Swinburn, B. (2018). Unhealthy food marketing around New Zealand schools: a national study. Int J Public Health, 63(9), 1099-1107. doi:10.1007/s00038-018-1158-7
Wilson, K. E., Harden, S. M., Almeida, F. A., You, W., Hill, J. L., Goessl, C., & Estabrooks, P. A. (2016). Brief self-efficacy scales for use in weight-loss trials: Preliminary evidence of validity. Psychol Assess, 28(10), 1255-1264. doi:10.1037/pas0000249
Xi, B., Huang, Y., Reilly, K. H., Li, S., Zheng, R., Barrio-Lopez, M. T., Zhou, D. (2015).Sugar-sweetened beverages and risk of hypertension and CVD: a dose-response meta-analysis. Br J Nutr, 113(5), 709-717. doi:10.1017/S0007114514004383
Yoshida, Y., & Simoes, E. J. (2018). Sugar-Sweetened Beverage, Obesity, and Type 2 Diabetes in Children and Adolescents: Policies, Taxation, and Programs. Curr Diab Rep, 18(6), 31. doi:10.1007/s11892-018-1004-6
Zhang, Z. F., Yang, J. L., Jiang, H. C., Lai, Z., Wu, F., & Liu, Z. X. (2017). Updated association of tea consumption and bone mineral density: A meta-analysis. Medicine (Baltimore), 96(12), e6437. doi:10.1097/MD.0000000000006437
Zheng, M., Rangan, A., Allman-Farinelli, M., Rohde, J. F., Olsen, N. J., & Heitmann, B. L. (2015).Replacing sugary drinks with milk is inversely associated with weight gain among young obesity-predisposed children. Br J Nutr, 114(9), 1448-1455. doi:10.1017/S0007114515002974