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  1. NTU Theses and Dissertations Repository
  2. 公共衛生學院
  3. 健康行為與社區科學研究所
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/94815
完整後設資料紀錄
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dc.contributor.advisor張齡尹zh_TW
dc.contributor.advisorLing-Yin Changen
dc.contributor.author吳沛璟zh_TW
dc.contributor.authorPei-Ching Wuen
dc.date.accessioned2024-08-19T16:51:45Z-
dc.date.available2024-08-20-
dc.date.copyright2024-08-19-
dc.date.issued2024-
dc.date.submitted2024-05-21-
dc.identifier.citation中文文獻
柯澍馨、陳怡文(2007)。父母婚姻關係、父母控制對青少年子女婚前性行為影響之研究。台灣性學學刊,13 (1),31-50。https://doi.org/10.6784/FJS.200704.0031
徐美雯、魏希聖(2015)。華人文化教養信念、教養行為對青少年憂鬱及偏差行為之影響。家庭教育與諮商學刊,(18),35-63
陳曉郁(2015)。父母心理控制與青少年自尊、心理分離-個體化及解釋風格之關係研究〔碩士論文〕國立臺灣師範大學。https://doi.org/10.6345/NTNU202205368
梁(艹嘉)鎂、吳志文、程景琳(2021)。父母心理控制與成年初顯期子女之社交焦慮:自我分化的中介影響。教育心理學報,53(2),359-382。https://doi.org/10.6251/BEP.202112_53(2).0005
彭玉章、蘇千田、呂淑妤、游伯村(2007)。探討醫學院學生性行為與接觸色情資訊經驗之相關性。北市醫學雜誌,4(5),393-402。https://doi.org/10.6200/TCMJ.2007.4.5.06
詹宜華、張楓明、董旭英(2012)。國中生接觸偏差同儕在其衝動性格、知覺父母監督與偏差行為間關聯性之中介效果。犯罪與刑事司法研究,(18),89-123。https://doi.org/10.29861/CCJI.201203.0004
衛生福利部國民健康署(2013)。102年「高中、高職、五專學生健康行為調查報告」。
衛生福利部國民健康署(2022)。110年「青少年健康行為調查報告」。
聶西平(2017)。男生及女生於國中到高中階段色情媒體接觸與親密行為的發展〔博士論文〕國立臺灣大學。https://doi.org/10.6342/NTU201701225

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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/94815-
dc.description.abstract背景:隨著時代的變遷和性觀念的改變,青少年的過早初次行為是全球公共衛生的重要議題。國內外的許多文獻指出,青少年過早初次性行為會導致未來罹患性傳染病的風險增加、造成非預期懷孕,也會影響青少年未來的行為與發展。父母教養對於青少年的健康及健康行為扮演重要角色,且父母教養方式會隨著不同的生命歷程而有所變化,然而目前針對教養方式與青少年過早初次性行為的研究,缺乏教養方式發展軌跡與青少年過早初次性行為關係的探討。

目的:本研究希望透過次級資料分析,探討父母教養方式,包括:監督與心理控制,在樣本9–15歲時的發展軌跡樣貌,並檢驗不同教養軌跡間的關連性。此外,本研究進一步分析父母教養方式發展軌跡與青少年在16歲時過早初次性行為的關聯性及其中的性別差異。

方法:本研究的資料來源為「兒童與青少年行為之長期發展研究」(Child and Adolescent Behaviors in Long-term Evolution,簡稱CABLE),取用其2001年就讀小一的第一世代樣本,並使用2003–2010年有完整追蹤的資料進行分析,共2,618名。主要統計分析方法為群組化軌跡模型 (Group-based trajectory modeling) 以及多元邏輯斯迴歸 (Multiple logistic regression)。

結果:根據群組化軌跡模型的結果,父母監督發展軌跡可以分為四種軌跡類型:低緩降組 (18.30%)、先升後持 (25.29%)、高下降組 (33.27%) 和持續高組 (23.41%);父母心理控制發展軌跡也可以分為四種軌跡類型:低持平組 (36.17%)、中持平組 (48.70%)、高下降組 (5.84%) 和中上升組 (9.28%)。進一步比較父母監督與父母心理控制的關係,發現父母監督軌跡與父母心理控制軌跡呈現負相關。
根據邏輯斯回歸的結果,與父母監督發展軌跡「低緩降組」相比,「先升後持」與「持續高組」的青少年在過早初次性行為的可能性顯著較低,勝算比分別為0.46(95%信賴區間介於0.25至0.85)、0.45(95%信賴區間介於0.22至0.93)。然而,與父母心理控制發展軌跡為「低持平組」者相比,「中持平組」、「高下降組」和「中上升組」的青少年在過早初次性行為的可能性皆沒有統計的顯著差異。此外,本研究發現父母監督發展軌跡與過早初次性行為的關係並無性別差異。最後,在其他因素方面,有性活躍同儕、有飲酒經驗和非雙親的家庭結構,亦是青少年過早初次性行為的危險因子。

結論:本研究發現父母教養方式在孩子9 - 15歲之間會有不同的發展軌跡,此外維持一定程度的父母監督對青少年的過早初次性行為有保護效果,且並不存在性別間的差異。根據本研究結果,建議更多關注青少年過早初次性行為議題。另外,應協助兒童、青少年父母持續給予孩子適當的監督,有助於預防過早初次性行為。
zh_TW
dc.description.abstractBackground: Adolescent early sexual debut (ESD) have been an important public health issue worldwide. Research has shown that adolescent ESD increases the risk of acquiring sexually transmitted diseases, unintended pregnancy, and affect adolescents' behavior development. Parenting practice may change across the different life stages and play an important role in adolescents’ health and health behavior. However, research examining the associations between trajectories of parenting practice and ESD among adolescents remains limited.

Aims: This study aims to identify trajectories of parental monitoring and psychological control among adolescents aged 9–15 years old and examine the interrelationships among different trajectories of parenting practices. In addition, the associations between trajectories of parenting practices and adolescents’ ESD at the age of 16 were investigated as well as the potential sex differences in these associations.

Method: Data were obtained from the Child and Adolescent Behaviors in Long-term Evolution project. Analysis included 2,618 participants from cohort one, spanning the years 2003 to 2010. Group-based trajectory modeling and multiple logistic regression were conducted to test study hypotheses.

Result: Four distinct trajectories of parental monitoring were observed; low-descent group (18.30%), rising-then-maintain group (25.29%), high-descent group (33.27%), and persistent-high group (23.41%). Likewise, four trajectories of parental monitoring were identified: low-stable group (36.17%), moderate-stable group (48.70%), high-descent group (5.84%), and moderate-ascent group (9.28%). Furthermore, parental monitoring was found to be negatively associated with parental psychological control.

The results of multiple logistic regression showed that compared to adolescents in the "low-descent group" of parental monitoring trajectory, those in the "rising-then-maintain group" and "persistent-high group" had significantly lower likelihoods of ESD. No sex differences were found in the observed associations. Unexpectedly, there was no statistically significant association between trajectories of parental psychological control and ESD. Finally, having sexually active peers, drinking experience, and single-parent household were also identified as risk factors of ESD.

Conclusion: This study identified distinct trajectories of parenting practices among children aged 9 – 15. Additionally, parental monitoring emerged as a protective factor of ESD. These findings underscore the importance of addressing the issue of adolescent ESD and emphasize the necessity of assisting parents in maintaining a certain level of monitoring over their children to prevent ESD.
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dc.description.tableofcontents口試委員會審定書 i
誌謝 ii
摘要 iii
Abstract v
目次 vii
圖次 ix
表次 x
第一章、緒論 1
第一節、研究背景與動機 1
第二節、研究目的 3
第三節、研究重要性 4
第二章、文獻回顧 5
第一節、青少年過早初次性行為的定義與內涵 5
第二節、青少年危險性行為的多系統觀點 7
第三節、教養方式的定義與內涵 10
第四節、教養方式與青少年過早初次性行為的關係 13
第五節、青少年過早初次性行為、父母教養方式之性別差異 14
第六節、其他影響變項 16
第三章、研究方法 18
第一節、研究架構 18
第二節、研究假設 19
第三節、研究材料與對象 20
第四節、研究變項之定義與測量 23
第五節、資料分析 29
第四章、研究結果 33
第一節、樣本基本特性 33
第二節、父母教養方式分佈與發展軌跡 36
第三節、父母監督發展軌跡與父母心理控制發展軌跡之關係 44
第四節、父母教養方式發展軌跡各分組之基本特性 48
第五節、青少年過早初次性為之雙變項分析 52
第六節、父母教養方式發展軌跡與青少年過早初次性行為之關係 54
第五章、討論 58
第ㄧ節、青少年過早初次性行為之盛行率 59
第二節、父母教養方式發展軌跡之類型 60
第三節、父母監督發展軌跡與父母心理控制發展軌跡之關係 63
第四節、父母教養方式發展軌跡與青少年過早初次性行為之關係 64
第五節、父母監督發展軌跡與青少年過早初次性行為關係之性別差異 67
第六節、研究限制 68
第六章、結論與建議 69
第ㄧ節、結論 69
第二節、建議 71
第七章、參考文獻 73
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dc.language.isozh_TW-
dc.subject青少年zh_TW
dc.subject過早初次性行為zh_TW
dc.subject父母監督zh_TW
dc.subject父母心理控制zh_TW
dc.subject長期追蹤研究zh_TW
dc.subjectParental psychological controlen
dc.subjectEarly sexual debuten
dc.subjectParental monitoringen
dc.subjectLongitudinal studyen
dc.subjectAdolescentsen
dc.title父母教養方式發展軌跡與青少年過早初次性行為之關係zh_TW
dc.titleAssociations between trajectories of parenting practice and early sexual debut among adolescentsen
dc.typeThesis-
dc.date.schoolyear112-2-
dc.description.degree碩士-
dc.contributor.oralexamcommittee張弘潔;聶西平zh_TW
dc.contributor.oralexamcommitteeHung-Chieh Chang;Hsi-Ping Niehen
dc.subject.keyword青少年,過早初次性行為,父母監督,父母心理控制,長期追蹤研究,zh_TW
dc.subject.keywordAdolescents,Early sexual debut,Parental monitoring,Parental psychological control,Longitudinal study,en
dc.relation.page86-
dc.identifier.doi10.6342/NTU202400976-
dc.rights.note同意授權(全球公開)-
dc.date.accepted2024-05-22-
dc.contributor.author-college公共衛生學院-
dc.contributor.author-dept健康行為與社區科學研究所-
顯示於系所單位:健康行為與社區科學研究所

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