臺灣博碩士論文加值系統

近年來國內外出現了另一種測量健康的方式，就是以主觀的自評健康狀態去替代客觀的身體檢查，便可在醫療支付制度的成本壓力下節約某些成本支出的一種測量方式，本研究目的是瞭解社經地位對於自評健康狀態的影響，自評健康狀態在不同性別、年齡上是否有差異存在，並探討教育程度、職業層級、個人收入三個社經地位指標何者對於預測自評健康狀態是較為有力的指標。本研究以次級資料方式進行分析，資料來自中央研究院社會學研究所「台灣地區社會變遷基本調查計畫」2005年第五期第一次問卷中含有自評健康狀態資料，研究母群體為18歲以上之成人。在雙變項分析中，性別、年齡、教育程度、職業層級、個人收入對於自評健康狀態都有顯著性差異存在；邏輯式迴歸中，容易自評為不健康的為女性、教育程度為國小以下、職業層級為重度勞動程度的藍領階級，而在三個社經地位指標中又以教育程度對自評健康狀態的預測最有預測力。本研究可提供相關衛生單位針對日後民眾促進健康政策上的擬定與參考。

There is a new method to measure health in international country recently. It is using subjective self-rated health (SRH) to replace objective physical examination. The object of this study is to know the effect of socioeconomic status (SES) on s SRH and examine if gender and age will affect self-rated health. Another object is to examine education, occupation, income which one is a powerful index on self-rated health. Secondary data analysis uses for the study. Data is source from Taiwan Social Change Survey of Institute of Sociology, Academia Sinica in 2005 and study population is adult of age more then 18 years old. In bi-variation analysis, gender, age, education, occupation, income that all have significance to SRH. In logic regression, women, blow elementary school, heavy worker of blue collar is easy to rate their health in bad. Education is the most powerful index of the three indexes of SES. The study could offer some suggestions when government make health policy in future.

第一章 緒論 ……………………………………………………………1
第一節 研究背景 ……………………………………………………1
第二節 研究目的 ……………………………………………………3
第二章 文獻探討 ………………………………………………………4
第一節 健康狀況與自評健康狀態 …………………………………4
第二節 社經地位與自評健康狀態 …………………………………8
第三節 性別、年齡、社經地位與自評健康狀態……………………13
第四節 不同國家自評健康狀態比例的比較………………………17
第五節 變項的定義與測量…………………………………………20
第六節 研究架構與假設……………………………………………31
第三章 研究設計………………………………………………………33
第一節 各研究的研究方法差異……………………………………33
第二節 資料與分析方法……………………………………………37
第四章 研究結果………………………………………………………45
第一節 樣本特質……………………………………………………45
第二節 影響自評健康狀態的因素：雙變項分析…………………49
第三節 影響自評健康狀態的因素：多變項分析…………………64
第五章 結論與建議……………………………………………………70
第一節 研究結論與討論……………………………………………70
第二節 理論與實務的意涵…………………………………………77
第三節 研究限制與後續研究建議…………………………………79
參考文獻 ………………………………………………………………80
一、中文部分…………………………………………………………80
二、英文部分…………………………………………………………81

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