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從SARS防疫經驗初探人民防疫素養
(碩專班:蔡明憲)(指導教授:楊文山)

刊登日期:2023-03-08  
友善列印
  • 研究生:蔡明憲
  • 論文名稱:從SARS防疫經驗初探人民防疫素養
  • 指導教授:楊文山
  • 關鍵字:風險感知、風險因應

  • 論文中文摘要
2019年12月底中國大陸湖北省武漢市發生COVID-19疫情,後於2020年出席捲全球,在全世界造成數億人感染及百萬人死亡,而在COVID-19疫期初期臺灣有效控制疫情爆發,並創造連續253天本土0確診的紀錄,更被國際喻為防疫典範。
許多學者開始研究臺灣能在疫情初期能有效控制的原因,而其中之一的原因在於2003年SARS疫情,臺灣政府因防疫經驗缺乏成為全球第3大確診數與死亡數最多的國家,這慘痛的經驗,推動了政府一連串的醫療制度及政策上改革,且同時培養了國人一定的防疫素養,以致臺灣能在COVID-19疫情爆發前超前部屬,而國人也高度配合政府政策並做好自我防疫及風險控管,在制度改革上已有諸多文獻探討,而本研究想要探討的是,國人優質的防疫素養是否真如許多研究所說與SARS疫情經驗有關。
本研究使用中央研究院社會學研究所於2003年5月針對SARS第一次的臺灣社會意向調查(Taiwan Social Image Survey),探究臺灣國人於SARS疫情間之防疫素養,主要分析的項目有對中央政府的信任程度、對衛生署長的信任程度及風險因應行為,並使用Scheffe及線性回歸的分析方式來探討哪個自變項因素能影響對政府信程度及風險因應行為。
研究結果顯示,國人在SARS疫情間確實尚未具備一定之防疫素養,在SARS疫期間國人對於政府的信任度普遍偏高,卻無相對應的風險感知及對應之行為,此外在SARS疫期間高防疫知識、高風險感知或心理狀態差的人,較能誘發避免染疫之因應行為,此外研究發現如村里長積極協助地區防疫,可能淡化政府的角色促使當區民眾對於政府信任度降低。
  • 論文英文摘要

At the end of December 2019, the COVID-19 epidemic broke out in Wuhan City, Hubei Province, Mainland China, and then participated in the global scale in 2020, causing hundreds of millions of infections and millions of deaths around the world. In the early stage of the COVID-19 epidemic, Taiwan effectively controlled the epidemic It broke out and set a record of 253 consecutive days with zero confirmed cases in the local area. It has been hailed as a model of epidemic prevention by the world.

Many scholars began to study the reasons why Taiwan was able to effectively control the epidemic in the early stage, and one of the reasons for its success was the SARS epidemic in 2003. Due to the lack of experience in epidemic prevention, the Taiwan government became the country with the third largest number of confirmed cases and the largest number of deaths in the world. This is a tragic situation. Experience has promoted a series of reforms in the government's medical system and policies, and at the same time cultivated a certain degree of epidemic prevention literacy in Taiwan, so that Taiwan was able to lead its subordinates before the outbreak of the COVID-19 epidemic, and the people in Taiwan also highly cooperated with government policies and did a good job in self-epidemic and epidemic prevention. Risk control has been discussed in many literatures on institutional reforms, but what this study wants to explore is whether the high-quality epidemic prevention literacy of Chinese people is really related to the SARS epidemic experience as many studies have said.

This study uses the first Taiwan Social Image Survey conducted by the Institute of Sociology of Academia Sinica in May 2003 on SARS to explore the anti-epidemic literacy of Taiwanese people during the SARS epidemic. The degree of trust in the government, the degree of trust in the Director of Health and the risk response behavior, and use Scheffe and linear regression analysis methods to explore which independent variable factors can affect the degree of trust in the government and risk response behavior.

The research results show that people did not have a certain degree of epidemic prevention literacy during the SARS epidemic. During the SARS epidemic, people generally had a high degree of trust in the government, but they did not have corresponding risk perception and corresponding behavior. People with poor risk perception or psychological state are more likely to induce coping behaviors to avoid the epidemic. In addition, the study found that if the village head actively assists the region in epidemic prevention, it may weaken the role of the government and reduce the local people's trust in the government.