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應用健康信念模式探討南投縣中高齡者施打流行性感冒疫苗的意願

林清壽

應用健康信念模式探討南投縣中高齡者施打流行性感冒疫苗的意願

紀錄類型:	書目-語言資料,印刷品 : 單行本
作者:	蘇美后,
其他作者:	林清壽,
出版地:	[南投縣]
出版者:	南開科技大學長期照顧與管理系福祉科技與服務管理研究所;
出版年:	民115[2026]
面頁冊數:	67葉 : 圖,表 ; 31公分+1張光碟
標題:	健康信念模式
標題:	Health Belief Model
電子資源:	https://hdl.handle.net/11296/3shcbc
電子資源:	https://hdl.handle.net/11296/x35ubb
附註:	指導教授: 林清壽
附註:	參考書目: 葉60-62
摘要註:	隨著臺灣進入超高齡社會，流行性感冒對中高齡族群的健康威脅日益嚴峻，施打流感疫苗雖為有效防治手段，但在南投縣高齡人口比例較高且醫療資源分布不均的地區，該族群心理決策歷程與意願動機仍缺乏深入研究。本研究旨在應用健康信念模式（Health Belief Model, HBM）探討南投縣中高齡者施打流行性感冒疫苗之意願及影響因素。研究對象為南投縣45歲以上之中高齡者，以透過結構式問卷調查法進行作資料蒐集，共獲得403份有效樣本，並運用描述性統計、獨立樣本t檢定、單因子變異數分析（One-way ANOVA）及多元迴歸分析等方法進行統計處理。研究結果顯示：現況認知方面：受訪者在「知覺嚴重性」與「知覺利益」展現有較高的認同感，顯示該族群有已具備良好的防疫意識。背景差異分析：性別在「知覺罹患性」與「施打意願」上存在顯著差異；教育程度則顯著影響個體對「知覺嚴重性」與「知覺利益」的判斷，大學以上程度者對疾病嚴重性的警覺性最高。年齡變項則在各構面上均未達顯著差異。影響疫苗施打意願因素分析：多元迴歸分析結果指出，健康信念模式對於施打意願具備高度解釋力（Adjusted R2 = 0.806）。其中，「行動線索」的預測力最強，其次為「自我效能」與「知覺利益」行動線索（如醫護建議、家人提醒）是驅動中高齡者施打疫苗的最關鍵因素。建議公共衛生相關單位應強化「主動式促發機制」，並針對不同教育程度族群作精準衛教，以提升整體覆蓋率。With the arrival of a super-aged society, the health threat posed by influenza to middle-aged and elderly populations has become increasingly severe. Although vaccination is an effective prevention and control measure, in regions like Nantou County, where there is a high proportion of elderly residents and unevenly distributed medical resources, the psychological decision-making processes and motivations of this demographic still lack in-depth research. This study aims to apply the Health Belief Model (HBM) to investigate the intention and influencing factors of influenza vaccination among middle-aged and elderly adults in Nantou County. The subjects of the study were middle-aged and elderly people aged 45 and over in Nantou County; data were collected through a structured questionnaire survey, resulting in 403 valid samples, which were then processed using descriptive statistics, independent samples t-test, one-way ANOVA, and multiple regression analysis. The research results indicate that in terms of current perceptions, respondents showed high levels of identification with "Perceived Severity" (M=4.02) and "Perceived Benefits" (M=3.99), showing that this demographic already possesses sound epidemic prevention awareness. Regarding demographic analysis, gender showed significant differences in "Perceived Susceptibility" and "Vaccination Intention," while education level significantly influenced individual judgments of "Perceived Severity" and "Perceived Benefits," with those having a university degree or higher exhibiting the highest alertness toward disease severity. The age variable did not reach a level of significant difference across any of the dimensions. In the analysis of factors influencing vaccination intention, multiple regression analysis results pointed out that the Health Belief Model has a high degree of explanatory power for vaccination intention (Adjusted R2=0.806). Among these factors, "Cues to Action" (β=.432) had the strongest predictive power, followed by "Self-efficacy" (β=.287) and "Perceived Benefits" (β=.222). The study concludes that cues to action (such as medical advice and family reminders) are the most critical factors driving middle-aged and elderly people to receive vaccinations. It is recommended that public health authorities strengthen "proactive trigger mechanisms" and implement precision health education for groups of different educational levels to improve the overall vaccination coverage rate.

應用健康信念模式探討南投縣中高齡者施打流行性感冒疫苗的意願
蘇, 美后

應用健康信念模式探討南投縣中高齡者施打流行性感冒疫苗的意願 / 蘇美后 - [南投縣] : 南開科技大學長期照顧與管理系福祉科技與服務管理研究所, 民115[2026]. - 67葉 ; 圖,表 ; 31公分.
指導教授: 林清壽參考書目: 葉60-62.
健康信念模式Health Belief Model

林, 清壽

應用健康信念模式探討南投縣中高齡者施打流行性感冒疫苗的意願
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