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研究生: 黃莉芸
Huang, Li-Yun
論文名稱: 以健康信念模式探討大學生接種人類乳突病毒疫苗之行為意圖及相關因素研究
Factors Associated with University Students’ Intention of Human Papillomavirus Vaccination: A Heath Belief Model Approach
指導教授: 張鳳琴
Chang, Fong-Ching
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: 2016
畢業學年度: 104
語文別: 中文
論文頁數: 118
中文關鍵詞: 健康信念模式人類乳突病毒疫苗HPV疫苗接種行為意圖大學生
英文關鍵詞: Health belief model, HPV vaccine, HPV vaccination intention, university students
DOI URL: https://doi.org/10.6345/NTNU202204478
論文種類: 學術論文
相關次數: 點閱:335下載:66
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  • 本研究旨在以健康信念模式探討大學生接種人類乳突病毒疫苗之行為意圖及相關因素。研究對象為103學年度第二學期就讀台灣北部3所大學的學生,共分析533人。以自填式問卷進行調查,重要結果如下:
    一、研究對象整體對於HPV相關知識偏中上程度。HPV行動線索主要來源是從學校、媒體及衛生單位。
    二、研究對象整體之HPV自覺罹患性、HPV疫苗自覺行動障礙、HPV疫苗自我效能、HPV疫苗行為意圖皆偏向中間程度。HPV自覺嚴重性、HPV自覺行動利益皆偏向中上程度。
    三、女性研究對象在HPV行動線索、接種HPV疫苗健康信念之「HPV自覺罹患性」、「HPV疫苗自覺行動障礙」、「HPV疫苗行動意圖」顯著高於男性。
    四、研究對象之HPV行動線索、HPV自覺罹患性、HPV疫苗自覺行動利益、HPV疫苗自我效能與HPV疫苗行動意圖呈顯著正相關。HPV疫苗自覺行動障礙與與HPV疫苗行動意圖呈顯著負相關。
    五、研究對象之HPV行動線索、HPV健康信念之「HPV自覺罹患性」、「HPV疫苗自我效能」可有效預測HPV疫苗接種行為意圖。
    本研究建議學校及衛生單位可增加HPV疫苗訊息的露出來強化HPV行動線索,及增加HPV相關教育活動來提升大學生自覺罹患性、HPV疫苗自我效能,增進學生HPV疫苗接種。

    關鍵字:健康信念模式、人類乳突病毒疫苗、HPV疫苗接種行為意圖、大學生。

    The purpose of this study was to explore factors associated with university students’ intention of human papillomavirus vaccination (HPV). The present study analyzed 533 undergraduate students from 3 northern Taiwan universities in 2015. Self-administered structured questionnaires were used. The main findings were as follows.
    1.Overall, university students’ had average/high HPV knowledge scores. HPV cues to action were mainly form schools, media and healthcare providers.
    2.Students’ perceived susceptibility to HPV, perceived barriers of HPV vaccination, self-efficacy, and HPV vaccination intention were at middle levels, while students’ perceived severity to HPV and perceived benefits of HPV vaccination were at middle/high levels.
    3.Female studnets’ perceived susceptibility to HPV, perceived barriers of HPV vaccination, and HPV vaccination intention were significantly higher than males.
    4.HPV cues to action, perceived susceptibility, perceived benefits, and self-efficacy were positively associated with HPV vaccination intention, while perceived barriers was negatively associated with HPV vaccination intention.
    5.HPV cues to action, perceived susceptibility to HPV, and self-efficacy could predict HPV vaccination intention.
    It was suggested that educational institutions and health sectors could increase HPV vaccine message exposure to increase cues to action and conduct HPV educational acitivities to improve students’ perceived susceptibility and self-efficacy of HPV vaccination.

    Key word: Health belief model, HPV vaccine, HPV vaccination intention, university students.

    第一章 緒論 1 第一節 研究動機與重要性 1 第二節 研究目的 4 第三節 研究問題 5 第四節 研究假設 6 第五節 名詞操作型定義 7 第二章 文獻探討 9 第一節 人類乳突病毒(HPV)與子宮頸癌病理 9 第二節 人類乳突病毒(HPV)疫苗 13 第三節 人類乳突病毒疫苗接種現況 17 第四節 健康信念模式 21 第五節 影響人類乳突病毒疫苗接種行為因素之相關研究 25 第三章 研究方法 33 第一節 研究架構 33 第二節 研究對象 34 第三節 研究工具 34 第四節 研究步驟 42 第五節 資料處理與統計分析 43 第四章 研究結果與討論 45 第一節 研究對象背景變項、HPV知識與HPV行動線索之分布 45 第二節 研究對象接種HPV疫苗健康信念、自我效能與行為意圖之分布 54 第三節 研究對象背景變項與HPV相關變項之分析 66 第四節 研究對象各HPV變項與HPV疫苗行為意圖之分析 73 第五節 綜合討論 87 第五章 結論與建議 93 第一節 結論 93 第二節 建議 94 參考文獻 97 附錄一 專家效度名單 107 附錄二 研究倫理審查核可證明書 108 附錄三 預試問卷 109 附錄四 正式施測問卷 113 附錄五 訪員說明 118

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