研究生: |
李碧霞 |
---|---|
論文名稱: |
中年人運動階段、身體活動及其影響因素之研究~以臺北市中山區居民為例 The Stages of Exercise, Physiacl Activity and Their Determinants: A Study of the Middle-Aged from the Chungshan District in Taipei |
指導教授: | 呂昌明 |
學位類別: |
博士 Doctor |
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: | 2001 |
畢業學年度: | 89 |
語文別: | 中文 |
論文頁數: | 246 |
中文關鍵詞: | 中年人 、運動階段 、身體活動 |
英文關鍵詞: | the middle-aged, stages of exercise, physical activity |
論文種類: | 學術論文 |
相關次數: | 點閱:309 下載:93 |
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本研究旨在了解社區中年人的運動階段、身體活動量及其影響因素。以臺北市中山區的中年人為研究母群體,由隨機抽樣的40~64歲名冊中,採分層集束抽樣法(cluster sampling),於民國90年4月至5月間,派遣訪員進行訪談式問卷調查,共完成504名。所得資料以卡方檢定、t-test、單因子變異數分析、皮爾森積差相關、斯皮爾曼等級相關、多元迴歸分析等統計方法進行分析。重要結果如下;
1.研究對象的運動自我效能略低於中間值;具有中等程度的知覺運動障
礙;有高度的知覺運動益處;來自家人、朋友、醫護人員的運動社會支
持屬中等。
2.研究對象的運動階段有6.0%是無意圖期、4.4%是意圖期、55%是準備
期、4.6%是行動期、30.6%是維持期。
3.影響社區中年人運動階段的因素包括年齡、職業、運動自我效能、知覺
運動障礙及運動社會支持。
4.身體活動量會因運動階段的不同而有顯著差異,維持期者的身體活動量
顯著高於準備期、意圖期和無意圖期者。
5.研究對象平時最常從事的身體活動項目是走路、拖地、散步及爬樓梯;
假日最常從事的身體活動項目是爬山、走路、散步及拖地。
6.社區中年人的相對身體活動量及相對中重度身體活動量在性別、身體活
動方式、有無子女及自覺健康狀況上有差異;相對身體活動量及相對中
重度身體活動量均與運動自我效能、運動社會支持、社區運動場所呈顯
著正相關。
7.運動自我效能、運動社會支持、性別、教育程度、過去運動代表隊經
驗、運動傷害經驗、社區運動場所等,分別是社區中年人相對身體活動
量及相對中重度身體活動量的重要預測變項,這些變項可解釋前二者各
13%的變異量。
本研究建議針對不同運動階段者及特殊對象設計健康體適能教育方案、協助中年人克服運動障礙、工作場所提供健身運動設施及活動等,以提昇中年人的身體活動。
The purpose of this study is to explore the stages of exercise, amount of physical activity and their determinants among the middle-aged in a community. The subjects chosen were from the middle-aged of the Chungshan District in Taipei. Cluster sampling was used to choose from the age group of 40~64 during April and May 2001. Questionnaires were used in the interviews with a total of five hundred and four (504) subjects. The data thus collected were analyzed with Chi-square test, t-test, One-way ANOVA, Pearson’s product-moment correlation, Spearman rank-order correlation and Multiple regression. The results are:
1. This study finds out in the selected subjects the self-
efficacy for exercise slightly below the mean; medium
perceived barriers for exercise; high perceived benefits for
exercise, and medium social supports from family, friends
and the medical personnel;
2. In terms of the stages of exercise of the subjects, 6.0% are
precontemplation ; 4.4% are contemplation; 55% are
preparation; 4.6% are action and 30.6% are maintenance;
3. The factors that help determine the stages of exercise of
the middle aged in the community include age, occupation,
self-efficacy for exercise, perceived barriers for
exercise, and social supports for exercise;
4. Significant variance is observed in the amount of physical
activity depending on the stages of exercise, and the
highest amount of physical activity is found in the phase of
maintenance compared to the other phases of preparation,
contemplation, and precontemplation ;
5. Walking, strolling, mopping floor and stair-climbing are the
most frequently engaged exercises of the subjects during
weekdays; hiking, walking, strolling and mopping floor are
those during weekends and holidays;
6. Relative amount of physical activity and relative amount of
moderate to vigorous physical activity of the middle aged in
the community differ in gender, type of physical activity,
raising any child or not, and perceived health status; they
also indicate positive correlation with the self-efficacy
for exercise, social supports, and places available for
sports in the community; and
7. Self-efficacy for exercise, social supports, gender,
educational background, athletic team experiences, exercise
injury experiences, and places available for sports in the
community are major predictors for both relative amount of
physical activity and relative amount of moderate to
vigorous physical activity of the middle aged in the
community; explaining 13% variation respectively achieved in
both relative amounts of physical activity.
Finally, in order to promote physical activity among the
middle aged, this study proposes to develop health fitting
educational programs both according to various stages of
exercise and for those with particular needs, to help the
middle aged overcome perceived barriers for exercise, and to
provide at work places proper exercise facilities and
activities.
于漱(民77)‧臺北市20~60歲居民預防性健康行為之調查研究‧公共衛
生,14(4),391-406。
牛玉珍(民86)‧教師規律運動行為影響因素之研究—以交通大學為例‧國
立臺灣師範大學衛生教育研究所碩士論文。
王士怋(民81)‧臺北市國小學童營養知識、態度及飲食行為調查研究‧國
立臺灣師範大學家政教育研究所碩士論文。
王佩玲(民81)‧兒童氣質、父母教養方式與兒童社會能力關係之研究‧國
立政治大學教育研究所博士論文。
王秀華(民84)‧中年男性身體活動狀況與心血管疾病危險因子之比較‧國
立臺灣師範大學體育研究所碩士論文。
王淑芳(民89)‧影響婦女孕期運動行為之相關因素研究‧國立臺灣師範大
學衛生教育研究所碩士論文。
王瑞霞(民83)‧社區老年人健康體能活動參與及相關因素的探討‧行政院
衛生署八十三年度委託研究計畫。
王維漢(民78)‧臺灣地區民眾及旅遊活動概況結果分析‧中國統計學報,
75(9),26-49。
呂昌明、李明憲、楊啟賢(民86)‧都市學童規律運動行為及其影響因素之
研究‧衛生教育論文集刊,10,53-66。
呂昌明、林旭龍、黃奕清、李明憲、王淑芳(民89)‧身體活動自我報告量
表之效度及信度的研究-以Polar Vantage NV心搏率監測器為效標‧衛
生教育學報,14,33-48。
呂昌明、林旭龍、黃奕清、李明憲、王淑芳(民90)‧身體活動自我報告量
表之效度及信度的研究-以TriTrac-R3D三度空間加速器為效標‧衛生
教育學報,15,已接受刊登。
吳慧玲(民86)‧臨床護理人員規律運動習慣及其相關因素探討‧國立臺灣
大學護理學研究所碩士論文。
李明憲(民87)‧國小、國中學生體能活動、健康體能相影響因素之調查研
~以花蓮縣宜昌國民小學、宜昌國民中學二所學校為例‧國立臺灣師範
大學衛生教育學系博士論文。
李思招(民89)‧護理學生規律運動行為相關因素研究-以臺北護理學院學
生為例‧國立臺灣師範大學衛生教育研究所碩士論文。
李彩華(民87)‧臺北市國中學生身體活動量及其影響因素研究‧國立臺灣
師範大學體育研究所碩士論文。
李蘭、季瑋珠、江永盛、楊志良、呂槃(民78)‧家庭結構年齡和性別影響
成人健康行為之探討。中華衛誌,9(1),1-13。
李蘭、陸玓玲、李隆安、黃美維、潘怜燕、鄧肖琳(民84)‧臺灣地區成人
的健康行為探討:分佈情形因素結構和相關因素‧中華衛誌,14 (4),
358-367。
林正常(民81a)‧臺北市30~39歲中年就業人口運動量及健康體能常模之
測定‧行政院衛生署八十一年度委託研究計畫。
林正常(民81b)‧中年就業人口運動量及健康體能常模之測定‧行政院衛
生署八十一年度委託研究計畫。
林旭龍(民89)‧應用跨理論模式於大學女生身體活動之主客觀評價的研
究‧國立臺灣師範大學衛生教育研究所博士論文。
林瑞雄(民80)‧國民健康調查之規劃與試驗。行政院衛生署委託研究報
告。
胡幼慧(民85)‧質性研究—理論、方法及本土女性研究實例。臺北:巨流
圖書公司。
姜逸群、呂槃、江永盛、黃雅文(民77)‧民眾的健康意識及中老年病預防
之健康行為調查。衛生教育雜誌,9,67-81。
高毓秀、黃奕清(民89)‧成年人運動行為影響因素之徑路分析‧護理研
究,8(4),435-445。
季瑋珠、符春美(民81)‧社區民眾從事運動之研究‧中華衛誌,11(4),
328-339。
馬力生、孔憲蘭(民77)‧臺北市居民危險因子調查‧疫情報導,37-41。
張正發(民89)‧臺北縣新莊市國小學生家長運動參與行為及其影響因素之
研究‧國立體育學院體育研究所碩士論文。
張彩秀(民81)‧中老年人運動型態、體適能及健康狀況之研究‧國立陽明
大學公共衛生研究所碩士論文。
許哲彰(民88)‧國小教師從事規律運動意圖行為之預測及影響因素之探
究----驗證計畫行為理論‧國立體育學院運動科學研究所碩士論文。
許泰彰(民89)‧國小教師運動行為及其相關因素之研究‧國立體育學院體
育研究所碩士論文。
陳秀珠(民88)‧老人運動行為及其相關因素之研究研究----以臺北市基督
長老教會松年大學五十五歲以上學員為例‧國立臺灣師範大學衛生教育
研究所碩士論文。
陳俊忠(民82)‧中年就業人口運動量及健康體能常模之測定‧行政院衛生
署八十二年度委託研究計畫。
郭曉文(民89)‧學童母親規律運動行為之相關因素探討‧國立臺灣師範大
學衛生教育研究所碩士論文。
曾佳珍(民88)‧以理性行動理論與自我效能探討某大學學生從事規律運動
之意圖‧國立臺灣大學護理學研究所碩士論文。
童淑琴(民80)‧工作場所健康促進計劃之實驗研究──以臺電總公司體適
能計畫為例‧國立臺灣師範大學衛生教育研究所碩士論文。
黃雅文、姜逸群、藍忠孚、方進隆、劉貴雲(民80)‧中老年人健康行為之
探討.公共衛生,18(2),133-146。
楊宜川(民84)‧社區民眾從事體能活動的情形及其認知之研究‧行政院衛
生署八十四年度委託研究計畫。
潘美玉(民85)‧某公司中年白領階級男性規律運動習慣及其相關因素之研
究‧國立臺灣大學護理學研究所碩士論文。
楊亮梅(民82)‧中年女性身體活動狀況及健康體能與血脂肪之比較研究‧
國立臺灣師範大學體育研究所碩士論文。
蔡佳倫(民87)‧臺灣地區30至59歲成年人之社會角色與運動行為‧國立臺
灣大學公共衛生學研究所碩士論文。
蔡美月(民85)‧臺北市某活動中心六十歲以上老人運動行為及其影響因素
之研究‧國立臺灣師範大學衛生教育研究所碩士論文。
蔡淑菁(民85)‧臺北市國小學童體能活動量及其影響因素之研究‧國立臺
灣師範大學衛生教育研究所碩士論文。
蔡錦雀、陳麗華、王俊明(民87)‧國人身體活動程度及健康體能之比較研
究,體育學報,26,153-160。
劉翠薇(民84)‧北縣某商專學生運動行為及其影響因素之研究‧國立臺灣
師範大學衛生教育研究所碩士論文。
藍辰聿(民87)‧臺北市某國小學童中重度體能活動及其影響因素之研究‧
國立臺灣師範大學衛生教育學系碩士論文。
龍炳峰(民89)‧國民小學學童規律運動行為及其相關因素之研究‧體育學
報,29,81-91。
賴曉蓉(民85)‧國小學童健康體能及其相關因素之探討‧高雄醫學院護理
學研究所碩士論文。
蘇振鑫(民88)‧運動健康信念與運動行為之關係研究‧國立體育學院體育
研究所碩士論文。
鐘東蓉(民89)‧臺北市立高中導師運動行為及其影響因素調查研究‧國立
臺灣師範大學衛生教育研究所碩士論文。
鐘嫈嫈(民82)‧國民住宅之社區醫學流行病學調查與參加健康體能活動後
之效益評估‧行政院衛生署八十二年度委託研究計畫。
American College of Sports Medicine (2000). ACSM’s guidelines
for exercise testing and prescription.(6th ed.)
Philadelphia:Lippincott Williams & Wilkins.
Andrew, G.M., Oldridge, N.B., Parker,J.O., Cunningham, D.A.,
Rechnitzer, P.A., Jones, N.L., Buck,C., Kavanagh,T.,
Shephard,R.J., & Sutton,J.R. (1981). Reasons for dropout from
exercise programs in post-coronary patients. Medicine &
Science in Sports & Exercise, 13(3),164-168.
Bandura, A. (1977). Social Learning Theory. N. J.: Prentice-
Hall.
Bandura, A. (1986). Social Foundations of Thought and Action.
N. J.: Prentice-Hall.
Barke, C.R., & Nichols,P.P.R. (1990). Physical activity in
older adults: the stage of change. Journal of Applied
Gerontology, 9,216-230.
Bernstein, L., Henderson, B. E., Hanisch, R., Sullivan-Halley,
J., & Ross, R. K. (1994). Physical exercise and reduced risk
of breast cancer in young women. Journal of the National
Cancer Institute, 86(18), 1403-1408.
Blair, S.N. (1984). How to assess exercise habits and physical
fitness. In J.D. Matarazzo, S.M. Weiss, J.A. Herd, N.E.
Miller, & S.M. Weiss (Eds.), Behavioral health: A handbook of
health enhancement and disease prevention. (PP.424-447). New
York : John Wiley & Sons.
Blair,S.N., Kohl, H.W., Gordon,N.F., & Paffenbarger,R.S.
(1992). How much physical activity is good for health?
Annual Review of Public Heallth, 13,99-26.
Blair, S. N., Jacobs, D. R., & Powell, K. E. (1985).
Relationships between exercise or physical activity and other
health behaviors. Public Health Reports, 100(2),172-180.
Booth, M.L., Macaskill,P., Owen,N., Oldenburg,B., Marcus,B.H.,
& Bauman, A. (1993). Population prevalence and correlates of
stages of change in physical activity. Health Education
Quarterly,20(3),431-440.
Booth,M.L., Owen,N., Bauman,A., Clavisi, O., & Leslie, E.
(2000). Social-cognitive and perceived environment influences
associated with physical activity in older Australians.
Preventive Medicine, 31(1), 15-22。
Bouchard,C., Tremblay,A., Leblanc,C., Lortie,G., Savard,R., &
Theriault,G. (1983). A method to assess energy expenditure in
children and adults. American Journal of Clinical Nutrition,
37(3),461-467.
Bovens, A. M., van Baak, M. A., Vrencken, J. G., Wijnen, J. A.,
Saris, W. H., & Verstappen, F. T. (1993). Physical activity,
fitness, and selected risk factors for CHD in active men and
women. Medicine and Science in Sports and Exercise, 25(5),
572-576.
Brownell, K. D., Stunkard, A. J., & Albaum, J. M. (1980).
Evaluation and modification of exercise patterns in the
natural environment. American Journal of Psychiatry,137(12),
1540-1545.
Byers,T. (1995). Body weight and mortality. New England Journal
of Medicine, 333(11), 723-724。
Cardinal,B.J. (1995). The stages of exercise scale and stages
of exercise behavior in female adults. The Journal of
Medicine and Physical Fitness, 35(2),87-92.
Cardinal,B.J. (1997). Construct validity of stages of change
for exercise behavior. American Journal of Health Promotion,12
(1), 68-74。
Carmody,T.P., Senner,J.W., Malinow,M.R., & Matarazzo,J.D.
(1980). Physical exercise rehabilitation : long-term dropout
rate in cardiac patients. Journal of Behavioral Medicine, 3
(2),163-168.
Caspersen,C.J., Powell,K.E., & Christenson,G.M. (1985).
Physical activity, exercise, and physical fitness:
definitions and distinctions for health-related research.
Public Health Reports,100(2),126-130.
Clark, D.O. (1996). Age, socioeconomic status, and exercise
self-efficacy. Gerontologist, 36(2),157-164.
Clark, D.O., Patrick, D.L., Grembowski,D., & Duram,M.L. (1995).
Socioeconomic status and exercise self-efficacy in late life.
Journal of Behavioral Medicine,18(4),355-376.
Colditz,G.A., Cannuscio,C.C., & Frazier,A.L. (1997). Physical
activity and reduced risk of colon cancer: implications for
prevention. Cancer Causes & Control, 8(4), 649-667。
Cole, G., Leonard, B., Hammond, S., & Fridinger, F. (1998).
Using “stage of behavioral change” constructs to measure
the short-term effects of a worksite-based intervention to
increase moderate physical activity. Psychological Reports, 82
(2),615-8.
Cottreau,C.M., Ness,R.B., & Kriska,A.M. (2000). Physical
activity and reduced risk of ovarian cancer. Obstetrics &
Gynecology, 96(4), 609-614。
Craighead, L. W., & Blum, M. D. (1989). Supervised exercise in
behavioral treatment for moderate obesity. Behavior Therapy,
20, 49-59.
Crespo,C.J., Ainsworth,B.E., Keteyian,S.J., Heath,G.W., &
Smit,E. (1999). Prevalence of physical inactivity and its
relation to social class in U.S. adults: results from the
Third National Health and Nutrition Examination Survey.
Medicine & Science in Sports & Exercise, 31(12), 1821-1827。
Dishman, R.K. (1982). Compliance /adherence in health-related
exercise. Health Psychology, 1(3), 237-267.
Dishman, R.K., Sallis, J.F., & Orenstein, D.R. (1985). The
determinants of physical activity and exercise. Public Heath
Reports, 100(2), 158-171.
Drygas, W., Kostka, T., Jegier, A., & Kunski, H. (2000). Long-
term effects of different physical activity levels on
coronary heart disease risk factors in middle-aged men.
International Journal of Sports Medicine, 21(4), 235-241.
Ellekjaer,H., Holmen,J., Ellekjaer,E., & Vatten,L. (2000).
Physical activity and stroke mortality in women. Ten-year
follow-up of the Nord-Trondelag health survey, 1984-1986.
Stroke, 31(1), 14-18。
Emmons,K. M., Marcus,B. H., Linnan,L., Rossi,J. S., & Abrams,D.
B. (1994). Mechanisms in multiple risk factor interventions :
smoking, physical activity, and dietary fat intake among
manufacturing workers. Preventive Medicine, 23(4), 481-489.
Expert Panel (1998). Executive summary of the clinical
guidelines on the identification, evaluation, and treatment
of overweight and obesity in adults. Archies of Internal
Medicine,158(17),1855-1867.
Eyler,A.A., Baker, E., Cromer, L., King, A.C., Brownson,R.C., &
Donatelle, R.J. (1998). Physical activity and minority women:
a qualitative study. Health Education & Behavior, 25(5),640-
652.
Feskens,E.J.M., Loeber,J.G., & Kromhout,D. (1994). Diet and
physical activity as determinants of hyperinsulinemia: the
Zutphen elderly study. American Journal of Epidemiology, 140
(4), 350-360。
Fitzgerald, S.J., Kriska, A.M., Pereira, M.A., & de Courten,
M.P. (1997). Associations among physical activity, television
watching, and obesity in adult Pima Indians. Medicine &
Science in Sports & Exercise, 29(7), 910-5.
Folsom,A. R., Caspersen, C. J., Taylor, H. L., Jacob,D. R.,
Luepker,R.V., Gomez-Marin,O., Gillum,R. F., & Blackburn, H.
(1985). Leisure time physical activity and its relationship
to coronary risk factors in a population-based sample. The
Minnesota Heart Survey. American Journal of Epidemiology, 121
(4), 570-579.
Folsom, A. R., Cook, T. C., Sprafka, J. M., Burke, G. L.,
Norsted, S. W., & Jacobs, D. R. (1991). Differences in
leisure-time physical activity levels between blacks and
whites in population based samples: the Minnesota Heart
Survey. Journal of Behavioral Medicine. 14(1), 1-9.
Fox, K.R. (1999). The influence of physical activity on mental
well-being. Public Health Nutrition, 2(3A), 411-418。
Gionet, N.J., & Godin, G. (1989). Self-reported exercise
behavior of employees : a validity study. Journal of
Occupational Medicine,31(12), 969-973.
Gorely, T., & Gordon, S. (1995). An examination of the
Transtheoretical Model and exercise behavior in older adults.
Journal of Sports & Exercise Psychology, 17, 312-324.
House, J.S., Robbins, C., & Metzner,H.L. (1982). The
association of social relationships and activities with
mortality : prospective evidence from the Tehcumseh Community
Health Study. American Journal of Epidemiology, 116(1),123-
140.
Hu,F.B., Stampfer,M.J., Colditz,G.A., Ascherio,A.,
Rexrode,K.M., Willett,W.C., & Manson,J.E. (2000). Physical
activity and risk of stroke in women. JAMA, 283(22), 2961-
2967。
Jakicic,J.M., Wing,R.R., Butler,B.A., & Jeffery,R.W. (1997).
The relationship between presence of exercise equipment in
the home and physical activity level. American Journal of
Health Promotion, 11(5),363-365.
Janz, N.K., & Becker, M.H. (1984). The health belief model: A
decade later. Health Education Quarterly, 11(1), 1-47.
Kearney,J.M., de Graaf,C., Damkjaer,S., & Engstrom,L.M. (1999).
Stages of change towards physical activity in a nationally
representative sample in the European Union. Public Health
Nutrition,2(1A), 115-124。
King,A.C., Carl,F., Birkel,L., & Haskell,W.L. (1988).
Increasing exercise among blue-collar employees: the
tailoring of worksite programs to meet specific needs.
Preventive Medicine, 17(3), 357-365。
King, A.C., Frey-Hewitt, B., Dreon, D.M., & Wood, P.D. (1989).
Diet vs. exercise in weight maintenance: The effects of
minimal intervention strategies on long-term outcomes in men.
Archives of Internal Medicine, 149(12), 2741-2746。
King, A. C., Taylor, C. B., & Haskell, W. L. (1993). Effects of
differing intensities and formats of 12 months of exercise
training on psychological outcomes in older adults. Health
Psychology, 12(4), 292-300.
Kleinbaum, D.C., Kupper,L.L., & Muller,K.E.(1988). Applied
regression analysis and other multivariable methods. Duxbury
Press.
Kohl, H. W., Laporte, R. E., & Blair, S. N. (1988). Physical
activity and cancer. An epidemiological perspective. Sports
Medicine, 6(4), 222-237.
Krzewinski-Malone, J.A. (1998). Do American adults know how to
exercise for a health benefit. Unpublised Master Thesis,
University of North Texas.
Laporte,R.E., Montoye,H.J., & Caspersen,C.J. (1985). Assessment
of physical activity in epidemiologic research : problems and
prospects. Public Health Reports, 100 (2),131-146.
Laforge, R.G., Rossi, J.S., Prochaska, J.O., Velicer, W.F.,
Levesque, D.A., & McHorney, C.A. (1999). Stage of regular
exercise and health-related quality of life. Preventive
Medicine,28(4),349-360.
Laforge,R.G., & Velicer,W.F. (1999). Stage distributions for
five health behaviors in the united states and australia.
Preventive Medicine,28(1), 61-74。
Marcus,B.H., Banspach,S.W., Lefebvre,R.C., Rossi,J.S.,
Carleton,R.A., & Abrams,D.B. (1992).Using the stages of
change model to increase the adoption of physical activity
among community participants. American Journal of Health
Promotion, 6(6),424-429.
Marcus,R., Drinkwater,B., Dalsky,G., Dufek,J., Raab,D.,
Slemenda,C., & Snow-Harter,C. (1992). Osteoporosis and
exercise in women. Medicine and Science in Sports and
Exercise, 24(6 suppl),S301-307.
Marcus, B.H., & Eaton, C.A. (1994). Self-efficacy, decision-
making, and stages of change: an integrative model of
physical exercise. Journal of Applied Social Psychology, 24
(6),489-508.
Marcus,B.H., & Owen,N. (1992). Motivational readiness, self-
efficacy and decision –making for exercise. Journal of
Applied Social Psychology, 22(1),3-16.
Marcus, B. H., Pinto, B. M., Simkin, L. R., Audrain, J. E., &
Taylor, E. R. (1994). Application of theoretical models to
exercise behavior among employed women. American Journal of
Health Promotion, 9(1), 49-55.
Marcus,B.H., Rossi,J.S., Selby,V.C., Niaura,T.S., & Abrams,D.B.
(1992). The stages and processes of exercise adoption and
maintenance in a worksite sample. Health Psychology, 11
(6):386-395.
Marcus,B.H., Selby,V.C., Niaura,R.S., & Rossi,J.S. (1992). Self-
Efficacy and the stages of exercise behavior change .Research
Quarterly for Exercise and Sport, 63(1),60-66.
Marcus, B.H., & Simkin, L.R. (1993). The stage of exercise
behavior. The Journal of Sport Medicine and Physical Fitness,
33(1), 83-88.
Margetts,B.M., Rogers,E., Widhal, K., Remaut de Winter, A.M., &
Zunft, H.J. (1999). Relationship between attitudes to health,
body weight and physical activity and level of physical
activity in a nationally representative sample in the
European Union. Public Health Nutrition, 2(1A), 97-103。
Melnyk, K.A. (1988). Barriers: a critical review of recent
literature. Nursing Research, 37(4),196-201,
Morgan, D. L. (1988). Focus group as qualitative research.
Thousand Oaks, California: SAGE.
Myers, A.M., Weigel, C., & Holliday,P.J. (1989). Sex- and age-
linked determinants of physical activity in adulthood.
Canadian Journal of Public Health, 80(4),256-260.
Nigg,C.R., Burbank, P.M., Padula,C., Dufresne,R., Rossi,J.S.,
Velicer,W.F., Laforge, R.G., & Prochaska,J.O. (1999). Stages
of change across ten health risk behaviors for older
adults. The Gerontologist, 39(4), 473-482。
Paluska, S.A., & Schwnek, T.L. (2000). Physical activity and
mental health: current concepts. Sports Medicine, 29(3), 167-
80.
Pappas, G. P., Golin, S., & Meyer, D. L.(1990). Reducing
symptoms of depression with exercise. Psychosomatics, 31(1),
112-113.
Perry, I.J., Wannamethee,S.G., Walker,M.K., Thompson,A.G.,
Whincup, P.H., & Shaper, A.G.(1995). Prospective study of
risk factors for development of non-insulin dependent
diabetes in middle aged British men. British Medicine Journal
,310(6979), 560-564。
Pinto, B. M., & Marcus, B. H. (1994). Physical activity,
exercise and cancer in women. Medicine, Exercise, Nutrition
and Health, 3, 102-111.
Prochaska,J.O., & DiClemente, C.C. (1983). Stages and processes
of self-change of smoking: toward an integrative model of
chang. Journal of Consulting and Clinical Psychology, 51
(3),390-395.
Prochaska,J.O.,Velicer,W.F., Rossi,J.S., Goldstein, M.G.,
Marcus, B.H., Rakowski,W., Fiore, C., Harlow, L.L., Redding,
C.A., Rosenbloom,D., & Rossi,S.R. (1994). Stages of change
and decisional balance for 12 problem behaviors. Health
Psychology ,13(1),39-46.
Prochaska,J.O., & Velicer,W.F. (1997). The transtheoretical
model of health behavior change. American Journal of Health
Promotion, 12(1),38-48.
Raglin, J. S. (1990). Exercise and mental health: Beneficial
and detrimental effects. Sports Medicine, 9(6), 323-329.
Reed, G.R., Velicer, W.F., Prochaska,J.O., Rossi,J.S., &
Marcus,B.H. (1997). What makes a good staging algorithm:
examples from regular esercise. American Journal of Health
Promotion, 12(1),57-66.
Resenstock, I.M. (1974). Historical origins of the health
belief model. Health Education Monograph, 2, 328-335.
Sallis,J.F., Grossman,R.M., Pinski,R.B., Patterson,T.L., &
Nader,P.R. (1987). The development of scales to measure
social support for diet and exercise behaviors. Prevention
Medicine, 16(6), 825-36.
Sallis, J. F., Haskell, W. L., Wood, P. D., Fortmann, S.P.,
Rogers, T., Blair,S.N., & Paffenbarger,R.S. (1985). Physical
activity assessment methodology in the five-city project.
American Journal of Epidemiology, 121(1), 91-106.
Sallis, J.F., Hovell, M.F., & Hofstetter, C.R. (1992).
Predictors of adoption and maintenamce of vigorous physical
activity in men and womwn. Preventive Medicine, 21(2), 237-
251.
Sallis, J.F., Hovell, M.F., Hofstetter, C.R., Faucher,P.,
Elder,J.P., Blanchard, J., Caspersen,C.J., Powell,K.E., &
Christenson,G.M. (1989). A multivariate study of determinants
of vigorous exercise in a community sample. Preventive
Medicine, 18(1), 20-34.
Sallis,J.F., Johnson, M.F., Calfas, K.J., Caparosa, S., &
Nichols,J.F. (1997). Assessing perceived physical
environmental variables that may influence physical activity.
Research Quarterly for Exercise and Sport,68(4),345-351.
Sarkin,J., Campbell,J., Gross, L., Roby, J., Bazzo, S., Sallis,
J.F., & Calfas,K.J. (1997). Seven-day physical activity
recall. Medicine and Science in Sports and Exercise, 29
(supp6),S89-103.
Scharff, D.P., Homan, S., Kreuter, M., & Brennan, L. (1999).
Factors associated with physical activity in women across the
life span: implications for program development. Women &
Health, 29(2),115-34.
Schoenborn, C. A. (1986). Health habits of U.S. adults,1985 :
the“Alameda 7”revisited. Public Health Reports, 101(6), 571-
80.
Slenker, S.E., Price, J.H., Roberts, S.M., & Jurs, S.G. (1984).
Joggers versus nonexercise: An analysis of knowledge,
attitudes and beliefs about jogging. Research Quarterly for
Exercise and Sport, 55, 371-378.
Stephens, T., Jacob, D.R., & White, C.C. (1985). A descriptive
epidemiology of leisure-time physical activity. Public Health
Reports, 100(2), 147-158.
Steptoe,A., Rink,E., & Kerry,S. (2000). Psychosocial predictors
of changes in physical activity in overweight sedentary
adults following counseling in primary care. Preventive
Medicine, 31(2 Pt 1), 183-194。
Sternfeld,B., Cauley,J., Harlow,S., Liu,G., & Lee, M. (2000).
Assessment of physical activity with a single global question
in a large, multiethnic sample of midlife women. American
Journal of Epidemiology, 152(7), 678-687。
Tavani,A., Braga,C., La Vecchia,C., Conti, E., Filiberti,R.,
Montella, M., Amadori, D., Russo,A., & Franceschi,S. (1999).
Physical activity and risk of cancers of the colon and
rectum: an Italian case-control study. British Journal of
Cancer, 79(11-12), 1912-1916。
Thune, I., Brenn, T., Lund, E., & Gaard, M. (1997). Physical
activity and the risk of breast cancer. New England Journal
of Medicine, 336(18), 1269-1275。
Tortolero,S.R., Masse,L.C., Fulton,J.E., Torres,I., & Kohl,
H.W. (1999). Assessing Physical activity among minority
women: focus group results. Women’s Health Issues, 9(3),135-
142.
U.S. Department of Health and Human Services. (1991). Healthy
People 2000 : National Health Promotion and Disease
Prevention Objective. Washington, DC: Public Health Service.
U.S. Department of Health and Human Services. (2000). Healthy
People 2010 : Understanding & Improving Health. Washington,
DC: Public Health Service.
Verhoef, M. J., & Love, E. J. (1992). Women’s exercise
participation: The relevance of social roles compared to non-
role-related determinants. Canadian Journal of Public Health,
83(5), 367-370.
Verloop, J., Rookus, M.A., van der Kooy, K., & van Leeuwen,
F.E. (2000). Physical activity and breast cancer risk in
women aged 20-54 years. Journal of the National Cancer
Institute, 92(2), 128-135。
Verschuur,R., & Kemper,H.C.G. (1985). The pattern of daily
physical activity. Medicine Sport Science,20, 169-186.
Walton,J., Hoerr,S., Heine,L., Frost,S., Roisen,D., &
Berkimer,M. (1999). Physical activity and stages of change in
fifth and sixth graders. Journal of School Health,69(7), 285-
289。
Wannamethee, S.G., Shaper, A.G., & Walker, M. (2000). Physiacl
activity and mortality in older men with diagnosed coronary
heart disease. Circulation, 102(12), 1358-1363.
White,C. C., Powell,K. E., Hogelin,G. C., Gentry,E. M., &
Forman,M.R. (1987). The behavioral risk factor surveys: Ⅳ.
The descriptive epidemiology of exercise. American Journal of
Preventive Medicine, 3(6), 304 –310.
Zollner, G.A. (1998). How old people watch television.
Telemetric data on the TV use in Germany in 1996.
Gerontology, 44(3) ,176-181.