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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 江東亮 | |
| dc.contributor.author | Guan-Hsiung Chen | en |
| dc.contributor.author | 陳冠雄 | zh_TW |
| dc.date.accessioned | 2021-06-08T06:56:26Z | - |
| dc.date.copyright | 2009-09-16 | |
| dc.date.issued | 2009 | |
| dc.date.submitted | 2009-07-24 | |
| dc.identifier.citation | 中文部分
世界衛生組織：世界衛生組織對健康的定義，1948。http://www.who.int/suggestions/faq/zh/index.html. 白珊綺：地區收入不平等、個人社經地位與自評健康。國立臺灣大學衛生政策與管理研究所碩士論文，2002。 李宜家：社區剝奪程度與個人社經地位對吸菸行為之影響。國立臺灣大學衛生政策與管理研究所碩士論文，1999。 李禹陞：臺灣地區鄰里型態與個人社會經濟地位對個人健康之影響。臺北醫學大學公共衛生學系碩士論文，2006。 邱皓政：脈絡變數的多層次潛在變數模式分析：口試評分者效應的多層次結構方程模式應用。中華心理學刊，4，383-405，2007。 胡淑貞：社區鄰里環境對健康的影響：文獻回顧。健康城市學刊，4，31-37，2005。 郭怡汾：社經地位、地區剝奪與老人存活狀況。國立臺灣大學衛生政策與管理研究所碩士論文，2000。 劉介修：經濟成長、所得不平等與人口健康：跨國研究1980-2000。國立臺灣大學衛生政策與管理研究所碩士論文，2008。 蔡琬瑛：臺灣地區社會指標建構之研究。國立中山大學公共事務管理研究所碩士論文，2004。 蕭文萱：母親國籍與嬰幼兒健康。國立臺灣大學衛生政策與管理研究所碩士論文，2006。 羅子淇：社會不平等、社會階級與社會階層化關係，2004。http://hk.geocities.com/chikeiproject/sociology-stratification.html 蘇珮榕：社區剝奪、個人社經地位與非致命事故傷害。國立臺灣大學衛生政策與 管理研究所碩士論文，2003。 英文部分 Benyamini, Y., & Idler, E. L. (1997). Self-Rated Health and Mortality: A Review of Twenty-Seven Community Studies. Journal of Health and Social Behavior, 38(1), 21-37. Benyamini, Y., & Idler, E. L. (1999). Community Studies Reporting Association between Self-Rated Health and Mortality: Additional Studies, 1995 to 1998. Research on Aging, 21(3), 392-401. Bentley, R., Kavanagh, A. M., Subramanian, S. V., Turrell, G., Bentley, R., Kavanagh, A. M., et al. (2008). Area disadvantage, individual socio-economic position, and premature cancer mortality in Australia 1998 to 2000: a multilevel analysis. Cancer Causes & Control, 19(2), 183-193. Blakely, T. A., Lochner, K., & Kawachi, I. (2002). Metropolitan area income inequality and self-rated health--a multi-level study. Social Science & Medicine, 54(1), 65-77. Brown, A. F., Ang, A., & Pebley, A. R. (2007). The relationship between neighborhood characteristics and self-rated health for adults with chronic conditions. American Journal of Public Health, 97(5), 926-932. Callahan, L. F., Shreffler, J., Mielenz, T. J., Kaufman, J. S., Schoster, B., Randolph, R., et al. (2009). Health-related quality of life in adults from 17 family practice clinics in North Carolina. Preventing Chronic Disease, 6(1), A05. Carstairs, V., & Morris, R. (1989). Deprivation and health.[comment]. BRITISH MEDICAL JOURNAL, 299(6713), 1462. Chen, D. R., Chang, L. Y., Yang, M. L., Chen, D.-R., Chang, L.-Y., & Yang, M.-L. (2008). Gender-specific responses to social determinants associated with self-perceived health in Taiwan: a multilevel approach. Social Science & Medicine, 67(10), 1630-1640. Cummins, S., Stafford, M., Macintyre, S., Marmot, M., & Ellaway, A. (2005). Neighbourhood environment and its association with self rated health: evidence from Scotland and England. Journal of Epidemiology & Community Health, 59(3), 207-213. Datta, G. D., Subramanian, S. V., Colditz, G. A., Kawachi, I., Palmer, J. R., & Rosenberg, L. (2006). Individual, neighborhood, and state-level predictors of smoking among US Black women: a multilevel analysis. Social Science & Medicine, 63(4), 1034-1044. Dayal, H. H., & Kinman, J. (1983). Social environment and cancer mortality in men. New England Journal of Medicine, 308(26), 1606. De Maio, F. G. (2008). Ecological analysis of the health effects of income inequality in Argentina. Public Health, 122(5), 487-496. DiPrete, T. A., & Forristal, J. D. (1994). Multilevel Models: Methods and Substance. Annual Review of Sociology, 20(1), 331-357. Dohrenwend, B., Levav, I., Shrout, P., Schwartz, S., Naveh, G., Link, B., et al. (1992). Socioeconomic status and psychiatric disorders: the causation-selection issue. Science, 255(5047), 946-952. Fone, D. L., Dunstan, F., Fone, D. L., & Dunstan, F. (2006). Mental health, places and people: a multilevel analysis of economic inactivity and social deprivation. Health & Place, 12(3), 332-344. Galobardes, B., Shaw, M., Lawlor, D. A., Lynch, J. W., & Davey Smith, G. (2006). Indicators of socioeconomic position (part 2). J Epidemiol Community Health, 60(2), 95-101. Glasgow, R. E., Wagner, E. H., Kaplan, R. M., Vinicor, F., Smith, L., & Norman, J. (1999). If diabetes is a public health problem, why not treat it as one? A population-based approach to chronic illness. Annals of Behavioral Medicine, 21(2), 159-170. Greenland, S., & Robins, J. (1994). Invited Commentary: Ecologic Studies--Biases, Misconceptions, and Counterexamples. Am. J. Epidemiol., 139(8), 747-760. Hyyppa Markku, T., & Maki, J. (2001). Individual-Level Relationships between Social Capital and Self-Rated Health in a Bilingual Community. Preventive Medicine, 32(2), 148-155. Kaplan, G. A., Pamuk, E. R., Lynch, J. W., Cohen, R. D., & Balfour, J. L. (1996). Inequality in income and mortality in the United States: analysis of mortality and potential pathways. BRITISH MEDICAL JOURNAL, 312(7037), 999-1003. Kawachi, I., Kennedy, B. P., & Glass, R. (1999). Social capital and self-rated health: a contextual analysis. Am J Public Health, 89(8), 1187-1193. Kawachi, I., & Subramanian, S. V. (2007). Neighbourhood influences on health. Journal of Epidemiology & Community Health, 61(1), 3-4. Kennedy, B. P., Kawachi, I., Glass, R., & Prothrow-Stith, D. (1998). Income distribution, socioeconomic status, and self rated health in the United States: multilevel analysis.[see comment]. BRITISH MEDICAL JOURNAL, 317(7163), 917-921. Krieger, N., Chen, J. T., Waterman, P. D., Soobader, M.-J., Subramanian, S. V., & Carson, R. (2002). Geocoding and Monitoring of US Socioeconomic Inequalities in Mortality and Cancer Incidence: Does the Choice of Area-based Measure and Geographic Level Matter?: The Public Health Disparities Geocoding Project. Am. J. Epidemiol., 156(5), 471-482. Krieger, N., Williams, D. R., & Moss, N. E. (1997). Measuring social class in US public health research: concepts, methodologies, and guidelines. Annual Review of Public Health, 18, 341-378. Land, K. C. (1983). Social Indicators. Annual Review of Sociology, 9(1), 1-26. Lewis, L. B., Sloane, D. C., Nascimento, L. M., Diamant, A. L., Guinyard, J. J., Yancey, A. K., et al. (2005). African Americans' Access to Healthy Food Options in South Los Angeles Restaurants. American Journal of Public Health, 95(4), 668-673. Lynch, J., Smith, G. D., Harper, S., Hillemeier, M., Ross, N., Kaplan, G. A., et al. (2004). Is income inequality a determinant of population health? Part 1. A systematic review. Milbank Quarterly, 82(1), 5-99. Lynch, J. W., Smith, G. D., Kaplan, G. A., & House, J. S. (2000). Income inequality and mortality: importance to health of individual income, psychosocial environment, or material conditions. BRITISH MEDICAL JOURNAL, 320(7243), 1200-1204. Malmstrom, M., Sundquist, J., & Johansson, S. E. (1999). Neighborhood environment and self-reported health status: a multilevel analysis. American Journal of Public Health, 89(8), 1181-1186. Marmot, M., & Wilkinson, R. G. (2001). Psychosocial and material pathways in the relation between income and health: a response to Lynch et al. BRITISH MEDICAL JOURNAL, 322(7296), 1233-1236. Marmot, M. G., & Smith, G. D. (1989). Why are the Japanese living longer?[see comment][erratum appears in BRITISH MEDICAL JOURNAL 1990 Jan 27;300(6719):226]. BRITISH MEDICAL JOURNAL, 299(6715), 1547-1551. McKeown, T., Record, R. G., & Turner, R. D. (1975). An interpretation of the decline of mortality in England and Wales during the twentieth century. Population Studies, 29(3), 391-422. McKinlay, J., & Marceau, L. (2000). US public health and the 21st century: diabetes mellitus. The Lancet, 356(9231), 757-761. Mowafi, M., & Khawaja, M. (2005). Poverty. J Epidemiol Community Health, 59(4), 260-264. Oakes, J. M. (2004). The (mis)estimation of neighborhood effects: causal inference for a practicable social epidemiology.[see comment]. Social Science & Medicine, 58(10), 1929-1952. Patel, K. V., Eschbach, K., Rudkin, L. L., Peek, M. K., & Markides, K. S. (2003). Neighborhood context and self-rated health in older Mexican Americans. Annals of Epidemiology, 13(9), 620-628. Pickett, K. E., & Pearl, M. (2001). Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review.[see comment]. Journal of Epidemiology & Community Health, 55(2), 111-122. Robert, S. A. (1999). SOCIOECONOMIC POSITION AND HEALTH: The Independent Contribution of Community Socioeconomic Context. Annual Review of Sociology, 25(1), 489-516. Robert, S. A., Strombom, I., Trentham-Dietz, A., Hampton, J. M., McElroy, J. A., Newcomb, P. A., et al. (2004). Socioeconomic risk factors for breast cancer: distinguishing individual- and community-level effects. Epidemiology, 15(4), 442-450. Ross, C. E., & Wu, C. L. (1996). Education, age, and the cumulative advantage in health. Journal of Health & Social Behavior, 37(1), 104-120. Roux, A. V. D. (1998). Bringing context back into epidemiology: variables and fallacies in multilevel analysis. American Journal of Public Health, 88(2), 216-222. Roux, A. V. D. (2000). Multilevel analysis in public health research. Annual Review of Public Health, 21, 171-192. Roux, A. V. D. (2008). Next steps in understanding the multilevel determinants of health. Journal of Epidemiology & Community Health, 62(11), 957-959. Roux, A. V. D., Merkin, S. S., Arnett, D., Chambless, L., Massing, M., Nieto, F. J., et al. (2001). Neighborhood of Residence and Incidence of Coronary Heart Disease. N Engl J Med, 345(2), 99-106. Roux, A. V. D., Nieto, F. J., Muntaner, C., Tyroler, H. A., Comstock, G. W., Shahar, E., et al. (1997). Neighborhood environments and coronary heart disease: a multilevel analysis. American Journal of Epidemiology, 146(1), 48-63. Sanderson, M., Coker, A. L., Perez, A., Du, X. L., Peltz, G., & Fadden, M. k. (2006). A Multilevel Analysis of Socioeconomic Status and Prostate Cancer Risk. Annals of Epidemiology, 16(12), 901-907. Sarah Curtis, I. R. J. (1998). Is There a Place for Geography in the Analysis of Health Inequality? Sociology of Health & Illness, 20(5), 645-672. Schootman, M., Jeffe, D. B., Lian, M., Gillanders, W. E., Aft, R., Schootman, M., et al. (2009). The role of poverty rate and racial distribution in the geographic clustering of breast cancer survival among older women: a geographic and multilevel analysis. American Journal of Epidemiology, 169(5), 554-561. Schulz, A. J., Williams, D. R., Israel, B. A., Lempert, L. B., Schulz, A. J., Williams, D. R., et al. Racial and spatial relations as fundamental determinants of health in Detroit. Milbank Quarterly, 80(4), 677-707. Schwartz, S., & Carpenter, K. M. (1999). The right answer for the wrong question: consequences of type III error for public health research. American Journal of Public Health, 89(8), 1175-1180. Shibuya, K., Hashimoto, H., & Yano, E. (2002). Individual income, income distribution, and self rated health in Japan: cross sectional analysis of nationally representative sample.[see comment]. BRITISH MEDICAL JOURNAL, 324(7328), 16-19. Shkolnikov, V., McKee, M., & Leon, D. A. (2001). Changes in life expectancy in Russia in the mid-1990s.[see comment]. LANCET, 357(9260), 917-921. Stjarne, M. K., Fritzell, J., De Leon, A. P., Hallqvist, J., & Group, f. t. S. S. (2006). Neighborhood Socioeconomic Context, Individual Income and Myocardial Infarction. Epidemiology, 17(1), 14-23 10.1097/1001.ede.0000187178.0000151024.a0000187177. Subramanian, S. V. (2002). Social trust and self-rated health in US communities: a multilevel analysis. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 79, 21. Subramanian, S. V., Delgado, I., Jadue, L., Vega, J., & Kawachi, I. (2003). Income inequality and health: multilevel analysis of Chilean communities. Journal of Epidemiology & Community Health, 57(11), 844-848. Susser, M., & Susser, E. (1996). Choosing a future for epidemiology: I. Eras and paradigms. American Journal of Public Health, 86(5), 668-673. Torsheim, T., Currie, C., Boyce, W., Kalnins, I., Overpeck, M., & Haugland, S. (2004). Material deprivation and self-rated health: a multilevel study of adolescents from 22 European and North American countries. Social Science & Medicine, 59(1), 1-12. Townsend, P. (1987). Deprivation. Journal of social policy, 16, 125-146. Tumin, M. M. (1953). Some Principles of Stratification: A Critical Analysis American Sociological Review, 18(4), 387-394. Turrell, G., Sanders, A. E., Slade, G. D., Spencer, A. J., & Marcenes, W. (2007). The independent contribution of neighborhood disadvantage and individual-level socioeconomic position to self-reported oral health: a multilevel analysis. Community Dentistry & Oral Epidemiology, 35(3), 195-206. Vladimir Shkolnikov PhD , P. M. a. P. A. L. P. (2001). Changes in life expectancy in Russia in the mid-1990s LANCET, 357, 917-921. Webster, T. F., Hoffman, K., Weinberg, J., Vieira, V., Aschengrau, A., Webster, T. F., et al. (2008). Community- and individual-level socioeconomic status and breast cancer risk: multilevel modeling on Cape Cod, Massachusetts. Environmental Health Perspectives, 116(8), 1125-1129. Weich, S., Lewis, G., & Jenkins, S. P. (2002). Income inequality and self rated health in Britain. Journal of Epidemiology & Community Health, 56(6), 436-441. Wen, M., Hawkley, L. C., & Cacioppo, J. T. (2006). Objective and perceived neighborhood environment, individual SES and psychosocial factors, and self-rated health: An analysis of older adults in Cook County, Illinois. Social Science & Medicine, 63(10), 2575-2590. Wilkinson, R. G. (1992). Income distribution and life expectancy.[see comment]. BRITISH MEDICAL JOURNAL, 304(6820), 165-168. Wilkinson, R. G., & Pickett, K. E. (2006). Income inequality and population health: a review and explanation of the evidence. Social Science & Medicine, 62(7), 1768-1784. Winkleby, M., Cubbin, C., Ahn, D., Winkleby, M., Cubbin, C., & Ahn, D. (2006). Effect of cross-level interaction between individual and neighborhood socioeconomic status on adult mortality rates. American Journal of Public Health, 96(12), 2145-2153. Winkleby, M. A., & Cubbin, C. (2003). Influence of individual and neighbourhood socioeconomic status on mortality among black, Mexican-American, and white women and men in the United States. Journal of Epidemiology & Community Health, 57(6), 444-452. Xu, K. T. (2006). State-level variations in income-related inequality in health and health achievement in the US. Social Science & Medicine, 63(2), 457-464. Yen, I. H., & Kaplan, G. A. (1999). Neighborhood social environment and risk of death: multilevel evidence from the Alameda County Study.[see comment]. American Journal of Epidemiology, 149(10), 898-907. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/25866 | - |
| dc.description.abstract | 目的：了解地區社經因素和個人社經地位對健康的影響程度。
研究設計與對象：橫斷式研究設計。利用政府出版資料進行多層次分析，共分成兩個階層，個人階層與地區階層。個人階層變項為教育程度、職業和平均月收入，資料來源為「民國91年臺灣地區國民健康促進知識、態度與行為調查」資料庫，代表性樣本共24120名，來自臺灣23個縣市，20歲以上成年人口；地區階層的控制變項，根據文獻回顧找出四個縣市指標(失業率、15歲以上高等教育比率、政府社會福利支出和家戶可支配所得)，經由Z值轉換計算成地區社經指標，將臺灣23個縣市分成三組進行比較，資料來自行政院主計處的「各縣市重要指標統計」資料庫。 結果：有14.0%的臺灣成人自評健康差。透過對數複迴歸同時放入地區社經因素、個人社經地位和其他控制變項，發現在控制個人社經地位後，地區社經因素對自評健康的影響仍達顯著水準。利用多層次分析探討地區社經因素與個人社經地位對自評健康之影響，ICC之結果為11.05%，表示自評健康的差異有11.05%可被地區間差異解釋，而且於控制個人層次變項後，仍顯示地區社經差異對自評健康有影響，以教育程度當指標，居住在低社經地區比居住在高社經地區自評健康差的風險為1.26 (p<0.05)；以收入當指標，居住在低社經地區比居住在高社經地區自評健康差的風險為1.35 (p=0.065)。而個人社經地位對自評健康的影響呈現梯度關係，以教育指標為例，教育程度為大專及以上者視為參考組，自評健康差的風險分別為不識字者的3.95(p<0.0001)、國中以下者的2.30 (p<0.0001)和高中程度者的1.53(p<0.001)；以收入指標為例，收入在二萬至四萬元以下者視為參考組，自評健康差的風險分別為沒有收入者的2.15 (p<0.0001)、一萬元以下者的2.23 (p<0.0001)、一萬至二萬元以下者的1.61 (p<0.05)和四萬元以上者的0.62 (p<0.05)。 結論：個人社經地位與地區社經因素對自評健康皆有顯著影響，即使在控制了個人社經地位後，地區社經因素仍對自評健康有顯著效果。然地區社經因素會透過跨層級交互作用，擴大「個人社經地位對自評健康的差距」。即居住在低社經地區，低教育或低收入對自評健康的影響會被擴大。於政策意涵上，政府應弭平地區間的社經差異，避免擴大自評健康的差異。 | zh_TW |
| dc.description.abstract | Objective: The purpose of this study is to examine the association of community- and individual-level socioeconomic status, and self-rated health in Taiwan.
Design and Participants: Data for the study came from the 2002 National Survey of Taiwan on Knowledge, Attitude, and Practice of Health Promotion, consisting representative sample of 24120 people aged 20 and over in 23 cities and countries. Individual-level socioeconomic characteristic was measured by educational attainment, occupation, and income per month. The socioeconomic characteristic of community was measured using a mixed index. Results: 14.0% of adults reported poor health in Taiwan. In multi-level model, community- and individual-level socioeconomic status were both associated with self-rated health. The ICC indicator was 11.05%, meaning there were 11.05% of variances can be explained by community-level differences. We also found community-level effects on self-rated health even after adjusting for individual-level socioeconomic status. For example, the odds ratio for poor self-rated health was 1.26 who living in the lowest community compared with people living in the highest community. Conclusion: Although both level factors were associated with health, individual-level socioeconomic status was more powerful than community-level socioeconomic status. However, community-level socioeconomic status will medicate the effect of individual-level socioeconomic status on self-rated health. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-08T06:56:26Z (GMT). No. of bitstreams: 1 ntu-98-R96845113-1.pdf: 1774216 bytes, checksum: 83e78162cacfe1eaa94dd3ff59088710 (MD5) Previous issue date: 2009 | en |
| dc.description.tableofcontents | 摘要 ii
Abstract iv 第一章 緒論 1 第一節 研究背景 1 第二節 研究動機與重要性 3 第三節 研究目的 4 第二章 文獻探討 5 第一節 個人社經地位的概念與測量 5 第二節 地區社經因素的概念與測量 10 第三節 地區社經因素、個人社經地位與健康的研究方法 14 第四節 地區社經因素、個人社經地位與健康的實證研究 16 第三章 研究材料方法 22 第一節 研究架構 22 第二節 研究變項定義 24 第三節 研究材料 26 第四節 分析方法 29 第四章 研究結果 31 第一節 樣本特性 31 第二節 雙變項分析 34 第三節 多變項分析 37 第四節 多層次分析 42 第五章 討論 47 第一節 研究限制 47 第二節 討論 49 第三節 未來建議與政策意涵 53 參考文獻 55 附錄一 「臺灣地區國民健康促進知識、態度與行為調查」部份問卷內容 84 | |
| dc.language.iso | zh-TW | |
| dc.subject | 多層次分析 | zh_TW |
| dc.subject | 地區社經因素 | zh_TW |
| dc.subject | 交互作用 | zh_TW |
| dc.subject | 自評健康 | zh_TW |
| dc.subject | multi-level analysis | en |
| dc.subject | community-level | en |
| dc.subject | interaction | en |
| dc.subject | self-rated health | en |
| dc.title | 地區社經因素、個人社經地位與自評健康 | zh_TW |
| dc.title | Community- and Individual-level Socioeconomic Status, and Self-rated Health | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 97-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 陳端容,李宗學 | |
| dc.subject.keyword | 自評健康,多層次分析,交互作用,地區社經因素, | zh_TW |
| dc.subject.keyword | self-rated health,multi-level analysis,interaction,community-level, | en |
| dc.relation.page | 86 | |
| dc.rights.note | 未授權 | |
| dc.date.accepted | 2009-07-24 | |
| dc.contributor.author-college | 公共衛生學院 | zh_TW |
| dc.contributor.author-dept | 衛生政策與管理研究所 | zh_TW |
| 顯示於系所單位： | 健康政策與管理研究所 | |
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