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研究生: 蔡蕙如
Tsai, Hui-ju
論文名稱: 大學女性教職員社會網絡與執行乳癌篩檢之關係研究
指導教授: 黃淑貞
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: 2003
畢業學年度: 91
語文別: 中文
論文頁數: 134
中文關鍵詞: 社會網絡乳癌篩檢
英文關鍵詞: social network, breast cancer screening
論文種類: 學術論文
相關次數: 點閱:327下載:49
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  • 本研究之目的在了解大學女性教職員社會網絡與乳癌篩檢行為的分佈情形,及兩者之間的相關性,以提供未來提高大學女性教職員乳癌篩檢行為之參考。以立意取樣方式,由台北市選出四所大學,以自編之結構式問卷針對女性教職員進行問卷調查。重要結果如下:
    一、 研究對象過去曾接受過臨床乳癌篩檢(乳房X光攝影、乳房超音波檢查、醫師臨床觸診)者比率超過五成,但規律接受者比率只有三成多,兩者之間有差距存在。研究對象未來兩年內願意接受臨床乳癌篩檢者接近七成,但願意規律接受乳癌篩檢的不到五成。
    二、 研究對象之社會網絡成員特質為:關係上親屬成員略多;年齡平均為中年;教育程度以高教育水準為多數;婚姻狀況以已婚同住最多;性別以女性為主;多數認為網絡成員社會地位與自己相等;多數網絡成員職業與醫學無相關;女性社會網絡成員接受過乳癌篩檢比率約佔三成。研究樣本與網絡成員關係親密,認識時間平均在20年左右,社會支持互惠性很高。年齡及婚姻狀況以同質者較多,教育程度以異質者較多。社會支持總分高。
    三、 研究對象年紀、婚姻狀況、職業、懷孕狀況、罹患乳房疾病、乳癌家族史、醫師建議狀況、網絡成員關係、網絡成員年齡、網絡成員教育程度、網絡成員婚姻狀況、網絡成員接受過乳癌篩檢、親密度、認識時間、情感性支持互惠性、教育程度同質性、所獲得的社會支持等變項不同時,研究對象過去接受臨床乳癌篩檢行為情形有顯著差異。
    四、 研究對象之網絡成員接受乳癌篩檢狀況、所獲得之社會支持等變項不同時,研究對象未來接受臨床乳癌篩檢意願有顯著差異。
    五、 年齡、職業、教育程度、婚姻狀況、醫師建議狀況、婚姻同質性、資訊性支持互惠、網絡成員社會地位等,是預測研究對象過去接受臨床乳癌篩檢行為的重要變項。
    六、 年齡、職業、婚姻狀況、過去接受臨床乳癌篩檢狀況、婚姻同質性、網絡成員年齡、與網絡成員認識時間、網絡成員為親戚之人數等,是預測研究對象未來接受臨床乳癌篩檢意圖的重要變項。
    依據研究結果,本研究針對後續研究、實務執行上提出若干建議,以作為未來類似研究與日後乳癌篩檢教育介入之參考。

    The purpose of this study was to understand social network characteris-
    tics and breast cancer screening behavior in school employees, and the relationship between them. The results of this research could be served as a reference for the promotion of school employee’s health programs. The subjects were sampled from the female employees of four universities in Taipei by using purposive sampling method, to give structured question-
    naire formulated by the author. Important findings of this study were concluded as follows:
    1. More than 50% of the subjects have received clinical breast cancer screening (mammogram, ultrasound and clinical breast examination), but only 30% have received it regularly. Near 70% of the subjects were willing to have clinical breast cancer screening in the future, but only less than 50% were willing to have it regularly.
    2. The characteristics of the subjects’ social network members are have more relatives, middle-aged, higher education, married, female, have equivalent social level, careers have no correlation with medicine, 30% of female social network members have received breast cancer screening. The subjects have strong relationship with social network members, and duration of the relation are more than 20 years. They have high social support reciprocity with their social network members. They have higher homogeneity in age and marriage, and have lower homogeneity in education. They get high score in social support.
    3. The subjects’ behavior of received clinical breast cancer screening in the past have significance different under the different variables of subjects’ age, marriage, career, pregnant, breast disease, if family members have breast cancer, if doctor’s suggestion, the relationship with social network members, social network members’ age, social network members’ education level, social network members’ marriage, if social network members have received breast cancer screening, the intimacy, the duration of relationship, reciprocity of emotion social support, homogeneity of education level, score of social support.
    4. The subjects’ intention of being willing to receive clinical breast cancer screening in the future have significance different under the different variables of social network members receive breast cancer screening or not, and score of social support.
    5. Age, career, education, marriage, doctor’s suggestion, homogeneity of marriage, reciprocity of information support, social position of net-
    work members are significance variables to predict the behavior of subjects received clinical breast cancer screening in the past.
    6. Age, career, marriage, have received clinical breast cancer screening in the past, homogeneity of marriage, age of network members, dura-
    tion of relationship, relatives numbers among network members are significance variables to predict the willing of subjects receive clinical breast cancer screening in the future.
    To sum up, this study aims to provide suggestions for the further study and practical execution, and would be a reference to the study and intervention of breast cancer screening education in the future.

    第一章 緒論 第一節 研究動機與重要性 1 第二節 研究目的 5 第三節 問題陳述 5 第四節 研究假設 6 第五節 名詞界定 6 第六節 研究限制 7 第二章 文獻探討 第一節 乳癌之流行病學 9 第二節 乳癌篩檢概況 10 第三節 國內外乳癌篩檢相關研究 12 第四節 影響乳癌篩檢行為相關因素 14 第五節 社會網絡與社會支持 16 第三章 研究方法 第一節 研究架構 25 第二節 研究對象 25 第三節 研究工具 28 第四節 實施步驟 32 第五節 資料處理與分析 33 第四章 結果 第一節 研究對象社會人口學變項及乳癌篩檢情形 39 第二節 研究對象之社會網絡特質 49 第三節 社會人口學影響網絡成員特質之情形 63 第四節 社會人口學變項與臨床乳癌篩檢 75 第五節 社會網絡特質與臨床乳癌篩檢之行為及意圖 81 第六節 社會人口學變項、社會網絡特質與臨床乳癌篩檢 92 第五章 討論、結論與建議 第一節 討論 101 第二節 結論 102 第三節 建議 105 參考文獻 中文部分 109 英文部分 113 附錄 附錄一 問卷初稿 119 附錄二 效度考驗專家名單 125 附錄三 預試問卷 126 附錄四 正式問卷 130

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