研究生: |
周小琪 Chou, Hsiao-Chi |
---|---|
論文名稱: |
新住民女性健康資訊需求與資訊行為研究 A Study on Health Information Needs and Information Behaviors of Female New Immigrants |
指導教授: |
邱銘心
Chiu, Ming-Hsin |
口試委員: |
蔡天怡
Tsai, Tien-I 陳世娟 Chen, Shih-Chuan |
口試日期: | 2021/07/20 |
學位類別: |
碩士 Master |
系所名稱: |
圖書資訊學研究所 Graduate Institute of Library and Information Studies |
論文出版年: | 2021 |
畢業學年度: | 109 |
語文別: | 中文 |
論文頁數: | 157 |
中文關鍵詞: | 新住民 、健康資訊需求 、健康資訊行為 |
英文關鍵詞: | new Immigrant, health information need, health information behavior |
研究方法: | 半結構式訪談法 |
DOI URL: | http://doi.org/10.6345/NTNU202101211 |
論文種類: | 學術論文 |
相關次數: | 點閱:314 下載:64 |
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新住民女性為社會中的健康高危險族群,她們的身分對其健康有很大的影響。本研究以新住民女性為對象,透過訪談法來蒐集資料,研究結果發現:新住民女性關心的健康資訊需求主題,包含預防保健資訊、疾病治療資訊、醫療提供者與醫療協助資訊,以及生育與育兒資訊。新住民女性的健康資訊尋求管道可分為人際管道、網路資源及其他傳統媒介資源;健康資訊尋求管道選擇考量因素,主要基於資訊可近性、個人背景及經驗相似性、資訊內容豐富性、資訊來源權威性,以及資訊新穎性。新住民女性在健康資訊尋求過程遭遇的困難,包括性別障礙、語言障礙、社會文化障礙、健康素養障礙及數位落差障礙,其所採取的解決方式主要有比較對照及尋求他人幫助。
根據前述研究結果整理出一個新住民女性健康資訊需求與資訊行為架構,並提出結論如下:新住民女性隨著年齡階段有不同的健康資訊需求,年輕時多具有生育及育兒資訊需求;新住民女性的健康資訊尋求管道以人際管道為優先,資訊可近性是重要的健康資訊尋求管道選擇考量因素;不同國籍、中文語言程度及資訊能力程度的新住民,在人際管道及網路資源的使用上可能有所差異;新住民女性使用網路資源採取雙語檢索比對,並運用跨國兩地的資源;新住民女性在健康資訊尋求過程遭遇困難時,主要透過比較對照及尋求他人幫助來解決;新住民女性會透過考量資訊權威性、資訊比對、參考他人評價、使用個人經驗及使用網路訊息查證工具策略來辨識健康資訊的正確性;新住民女性會透過閱讀摘要及整合健康資訊、採取實際行動來進行資訊使用;新住民女性以各種社群通訊軟體及面對面聊天為主分享健康資訊。最後針對新住民女性、新住民女性配偶、政府機構及醫療院所分別提出實務及未來研究建議。
Female new immigrants is a high-risk group in the society, and her status has a huge influence on her health. This research uses interviews to collect data for female new immigrants. The results of the study found that the topics of health information needs that female new immigrants concerns include preventive health information, disease treatment information, medical provider and medical assistance information, and fertility and parenting information. The channels for seeking health information for female new immigrants can be divided into interpersonal channels, online resources and other traditional media resources. The factors for choosing health information seeking channels are mainly based on the accessibility of information, the similarity of personal background and experience, the richness of information content, and the authority of information sources, and the novelty of information. The difficulties encountered by female new immigrants in the process of seeking health information include gender barriers, language barriers, sociocultural barriers, health literacy barriers, and digital gap barriers. The main solutions they adopt are comparison and seeking help from others.
According to the research results, a framework for the health information needs and information behaviors of female new immigrants was compiled, and the following conclusions were drawn. Female new immigrants have different health information needs according to their ages, and they often have "fertility and parenting information" needs when they are young. Interpersonal channels are the priority for female new immigrants’s health information seeking channels, and information accessibility is an important factor for choosing health information seeking channels. Female new immigrants of different nationalities, Chinese language proficiency and information skills may differ in their use of interpersonal channels and online resources. Female new immigrants use online resources to conduct bilingual search and comparison, and use resources from both countries and regions. When female new immigrants encounter difficulties in the process of seeking health information, they are mainly resolved by comparison and seeking help from others. Female new immigrants will identify the correctness of health information by considering the authority of information, comparing information, referring to others' evaluations, using personal experience, and using online information verification tools. Female new immigrants will use information by reading abstracts, integrating health information, and taking practical actions. Female new immigrants share health information mainly through various social communication software and face-to-face chat. Finally, this study puts forward practical and future research recommendations for female new immigrants, spouse of female new immigrants, government agencies and medical institutions.
內政部移民署(2008)。 人口政策白皮書 : 少子女化、高齡化及移民。取自 https://www.immigration.gov.tw/media/2710/%E4%BA%BA%E5%8F%A3%E6%94%BF%E7%AD%96%E7%99%BD%E7%9A%AE%E6%9B%B8-%E6%A0%B8%E5%AE%9A%E6%9C%AC.pdf
內政部移民署(2019)。 民108年12月外籍配偶人數與大陸(含港澳)配偶人數統計資料。取自 https://www.immigration.gov.tw/5385/7344/7350/8887/
王素美、林育秀、李卓倫、陳文意、梁亞文 (2011)。 台灣新移民女性與醫療衛生需要。澄清醫護管理雜誌, 7(1), 19-31。 doi: 10.30156/ccmj.201101.0004
王琪珍、王靜枝、楊雅萍 (2013)。 社區新移民婦女自覺健康狀況與健康資訊需求調查。慈濟護理雜誌, 12(5), 62-72。
王雲東(2007)。社會研究方法 : 量化與質性取向及其應用。臺北縣深坑鄉:威仕曼文化。
江馥名、梁蕙芳、邱慧洳、鄭夙芬、黃美華 (2010)。 台灣東南亞籍女性配偶的健康概念、自覺健康狀態及健康促進生活型態之研究。長庚護理, 21(1), 12-24。
呂靜妮、李怡賢 (2009)。 東南亞新移民女性文化適應之經驗歷程。耕莘學報, 7, 55-63。 doi: 10.29855/jctcn.200906.0006
李慧貞、蘇秀娟、許芷音 (2004)。 外籍新娘的健康評估-以新店市為例。護理雜誌, 51(4), 88 - 93。 doi: 10.6224/JN.51.4.88
李慧琦、王秀紅、許敏桃 (2013)。 以女性主義的觀點評論新移民女性所面臨的健康議題。榮總護理, 30(3), 221-226。 doi: 10.6142/vghn.30.3.221
卓玉聰、林千鈺 (2004)。 消費者健康資訊網路資源之探討。圖書資訊學刊, 2(2), 57-85。 doi: 10.6182/jlis.2004.2(2).057
林素真 (2012)。 高雄市新移民女性的媒體使用與健康資訊需求。廣播與電視, 34, 55-92。
林淑玲、蕭伃伶 (2007)。 台灣之女性新移民健康照護的社群隔離現象。護理雜誌, 54(4), 67-72。 doi: 10.6224/jn.54.4.67
邱培源(2002)。病患健康資訊需求與尋求行為之研究(未出版之碩士論文)。淡江大學資訊與圖書館學系,新北市。
邱淑媞、麥可馬穆(2007)。臺灣健康不平等報告。臺北市:衛生福利部國民健康署。
邱銘心、吳寂絹 (2012)。 健康歷程中的資訊尋求行為:以整合式ACE 架構分析社會性問答服務之健康提問。圖書資訊學研究, 7(1), 129-170。
唐文慧、王宏仁 (2011)。 結構限制下的能動性施展:台越跨國婚姻受暴婦女的動態父權協商。台灣社會研究季刊, 82, 123-170。 doi: 10.29816/tarqss.201106.0004
紐曼(Neuman, W. L.)(2014)。當代社會研究法 : 質化與量化取向(王佳煌、潘中道、蘇文賢與江吟梓譯)(第二版)。臺北市:學富文化。
高淑清 (2001)。 在美華人留學生太太的生活世界-詮釋與反思。本土心理學研究, 16, 225-285。
國家發展委員會(民106)。 106年新住民數位機會現況與需求調查報告。 臺北市: 國家發展委員會。
婦女新知基金會(2003)。 「不要叫我外籍新娘!」記者會。取自 https://www.awakening.org.tw/topic/2045
張美娟、陳月枝、章淑娟 (2009)。 健康素養的概念分析。護理雜誌, 56(5), 93-97。 doi: 10.6224/JN.56.5.93
張澄清(2016)。健康資訊尋求之預測因素探討與認知模型建構:統合分析之取徑(未出版之博士論文)。國立臺灣大學圖書資訊學研究所,臺北市。
陳心怡、唐宜楨 (2017)。 從健康促進觀點來看跨國婚姻移民女性的產檢與產後照護經驗。人文社會與醫療學刊, 4, 163-178。 doi: 10.6279/jhssm.2017.4(1).08
陳向明(2002)。社會科學質的研究。臺北市:五南。
陳怡如、李麗君、于漱、黃璉華 (2005)。 校園關懷-外籍配偶子女的健康照護需求與因應。護理雜誌, 52(2), 10-14。 doi: 10.6224/JN.52.2.10
陳美如、湯澡薰、鄭惠美、邱文祥 (2007)。 臺北市新移民健康宣導資訊來源管道之分析。健康促進暨衛生教育雜誌,27, 115-131。
陳燕禎 (2008)。 台灣新移民的文化認同、社會適應與社會網絡。國家與社會, 4, 43-100。
黃慕萱 (2001)。 成人讀者之資訊尋求行為 。臺北市立圖書館館訊, 19(2), 8-23。
楊誠恕(2006)。岡山地區軍人健康資訊需求與就醫選擇之研究(未出版之碩士論文)。高雄醫學大學公共衛生學研究所碩士在職專班,高雄市。
萬文隆 (2004)。 深度訪談在質性研究中的應用。生活科技教育, 37(4), 17-23。
葉郁菁 (2010)。 跨國婚姻家庭文化與語言學習不對等現象之探討。教育資料與研究, 97, 25-42。
葉肅科 (2006)。 新移民女性人權問題:社會資本/融合觀點。應用倫理研究通訊, 39, 33-45。
詹志洋(2013)。病人的醫療資訊需求、尋求、與就醫選擇行爲(未出版之碩士論文)。國立清華大學清華大學高階主管經營管理碩士在職專班,新竹市。
廖韋淳、邱立安、岳修平 (2012)。 鄉村地區老年人健康資訊需求與尋求行為之研究。圖書資訊學刊, 10(1), 155-204。 doi: 10.6182/jlis.2012.10(1).155
潘淑滿(2003)。質性研究 : 理論與應用。臺北市:心理。
蔡佩君(2008)。新移民女性健康照顧政策之性別檢視(未出版之碩士論文)。長榮大學醫院管理學系碩士班,臺南市。
鄭惟中(2014)。我國政府衛生福利機關(構)網站消費者健康資訊之研究(未出版之碩士論文)。國立臺灣師範大學圖書資訊學研究所,臺北市。
黎雅如、沈佩瑩、廖玫涵、林宜平 (2006)。 台灣婚姻移民的人口學特性與公共衛生需求初探。台灣公共衛生雜誌, 25(6), 482-493。 doi: 10.6288/tjph2006-25-06-08
顏芳姿、吳慧敏 (2014)。 台灣新移民的健康網絡。護理雜誌, 61(4), 35-45。
魏米秀、洪文綺 (2010)。 都市與偏遠社區成人的健康資訊尋求經驗。健康促進與衛生教育學報, 34, 93-114。
魏淑慧、陳燕菁、陳玉麗、張家豪、陳美燕 (2010)。 北部地區新移民婦女健康促進行為之探討。長庚護理, 21(2), 141-151。
American Medical Association. (1999). Health literacy: report of the Council on Scientific Affairs. Journal of the American Medical Association, 281(6), 552-557.
Bao, X., & Bouthillier, F. (2007). Information Sharing: As a Type of Information Behavior. Paper presented at the In Proceedings of the 35th Annual Conference of the Canadian Association forInformation Science, McGill University, Montreal. https://journals.library.ualberta.ca/ojs.cais-acsi.ca/index.php/cais-asci/article/view/198/160
Barclay, D. A., & Halsted, D. (2001). The Medical Library Association consumer health reference service handbook. New York: Neal-Schuman Pubs.
Bousmah, M.-a.-Q., Combes, J.-B. S., & Abu-Zaineh, M. (2019). Health differentials between citizens and immigrants in Europe: A heterogeneous convergence. Health policy, 123, 235-243. doi: 10.1016/j.healthpol.2018.12.005
Brashers, D. E., Goldsmith, D. J., & Hsteh, E. (2002). Information Seeking and Avoiding in Health Contexts. Human Communication Research, 28(2), 258-271. doi: 10.1093/hcr/28.2.258
Caphis/MLA. (1996). The librarian's role in the provision of consumer health information and patient education. Bulletin - Medical Library Association, 84(2), 238-239.
Dervin, B. (1992). From the mind’s eye of the user: The Sense-Making qualitative-quantitative methodology. In I. J. D. G. R. R. P. (Eds.) (Ed.), Qualitative research in information management (pp. 61-84). Englewood, CO: Libraries Unlimited.
Ewles, L., & Simnett, I. (1985). Promoting health : a practical guide to health education. Chichester; New York: Wiley.
Glanz, K., Rimer, B. K., & Viswanath, K. (2008). Health behavior and health education : theory, research, and practice (4th ed.). San Francisco: Jossey-Bass.
Kreps, G. L., & Sparks, L. (2008). Mini-review: Meeting the health literacy needs of immigrant populations. Patient Education and Counseling, 71(3), 328-332.
Lambert, S. D., & Loiselle, C. G. (2007). Health information-seeking behavior. Qualitative Health Research, 17(8), 1006-1019. doi: 10.1177/1049732307305199
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.
Lee, H. S. (2018). A Comparative Study on the Health Information Needs, Seeking and Source Preferences among Mothers of Young Healthy Children: American Mothers Compared to Recent Immigrant Korean Mothers. Information Research: An International Electronic Journal, 23(4), 1-35.
Longo, D. R. (2005). Understanding health information, communication, and information seeking of patients and consumers: A comprehensive and integrated model. Health Expectations, 8(3), 189-194. doi: 10.1111/j.1369-7625.2005.00339.x
Lu, Y., & Racine, L. (2015). Reviewing Chinese immigrant women's health experiences in English-speaking Western Countries: a postcolonial feminist analysis. Health Sociology Review, 24(1), 15-28. doi: 10.1080/14461242.2015.1006656
Nguyen, A., Mosadeghi, S., & Almario, C. V. (2017). Persistent digital divide in access to and use of the Internet as a resource for health information: Results from a California population-based study. International Journal of Medical Informatics, 103, 49-54. doi: 10.1016/j.ijmedinf.2017.04.008
Ray, R., Sewell, A. A., Gilbert, K. L., & Roberts, J. D. (2017). Missed Opportunity? Leveraging Mobile Technology to Reduce Racial Health Disparities. Journal of Health Politics, Policy and Law, 42(5), 901-924. doi: https://read.dukeupress.edu/jhppl/list-of-years
Rioux, K. S. (2005). Information acquiring-andsharing theory. In S. E. In K. E. Fisher, & L. Mckechnie (Eds.) (Ed.), Theories of information behavior (pp. 169-172). Asist,NJ: Information Today Press.
Selsky, C., Luta, G., Noone, A.-M., Huerta, E. E., & Mandelblatt, J. S. (2013). Internet Access and Online Cancer Information Seeking Among Latino Immigrants From Safety Net Clinics. Journal of Health Communication, 18(1), 58-70.
Tichenor, P. J., Donohue, G. A., & Olien, C. N. (1970). Mass Media Flow and Differential Growth in Knowledge. Public Opinion Quarterly, 34(2), 159-170. doi: 10.1086/267786
Tsai, T.-I., & Lee, S.-Y. D. (2016). Health literacy as the missing link in the provision of immigrant health care: A qualitative study of Southeast Asian immigrant women in Taiwan. International Journal of Nursing Studies, 54, 65-74. doi: 10.1016/j.ijnurstu.2015.03.021
Wang, W., & Yu, N. (2015). Coping with a New Health Culture: Acculturation and Online Health Information Seeking Among Chinese Immigrants in the United States. Journal of Immigrant and Minority Health, 17(5), 1427-1435. doi: 10.1007/s10903-014-0106-8
WHO. (2002). Constitution of the World Health Organization. 1946. Bulletin Of The World Health Organization, 80(12), 983-984.
Wilson, T. D. (1981). On user studies and information needs. Journal of Documentation, 37(1), 3-15.
Wilson, T. D. (2000). Human Information Behavior. Informing Science, 3(2), 49-56.
Yang, Y.-M., & Wang, H.-H. (2003). Life and Health Concerns of Indonesian Women in Transnational Marriages in Taiwan. The Journal of Nursing Research, 11(3), 167-176.
Yi, Y. J., Stvilia, B., & Mon, L. (2012). Cultural influences on seeking quality health information: An exploratory study of the Korean community. Library and Information Science Research, 34(1), 45-51. doi: 10.1016/j.lisr.2011.06.001
Yoon, J., Huang, H., & Soojung, K. (2017). Trends in Health Information-Seeking Behaviour in the U.S. Foreign-Born Population Based on the Health Information National Trends Survey, 2005-2014. Information Research: An International Electronic Journal, 22(3), 760.
Zhu, Y. (2016). Immigration policy, settlement service, and immigrant mothers in neoliberal Canada: a feminist analysis. Canadian Ethnic Studies Journal, 48(2), 143-156.