- 研究生: 陳炳辰
- 論文名稱: 社會階層與健康關係之研究
- 論文名稱: THE RELATINOSHIP BETWEEN THE SOCIAL STRATA AND HEALTH
- 指導教授: 沈幼蓀
- 關鍵字: 健康 社會階層 性別
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[摘要]
影響健康的因素很多,大多由醫學知識出發,認為健康與個人行為有很大的關係,而本文
以為社會因素對健康產生的影響力,可能比個人行為對健康的影響更強烈。而可能對健康
造成影響的社會因素,其中包含了社會階層。由於擁有不同的資源,如教育機會、職業等
,將產生不同的社會階層,這影響著不同的健康情形。此外,健康和社會階層之間還可能
與性別形成複雜的交互關係,由於性別的不同,各階層的健康情況亦有所不同,本文便將
再觀察不同階層間男性的健康情況。
本研究所提出的研究問題為:(一)不同社會階層的健康行為與健康狀況分佈情況如何?(
二)社會階層對於健康行為與健康狀況的影響力如何?(三)男性之社會階層的健康行為與健
康狀況分佈情況如何?(四)男性之社會階層對於健康行為與健康狀況的影響力如何?我們
發現不同階層的健康行為與狀況的確有所差異,某些階層的健康的確較好,高中職與大學
以上教育程度在運動一類的健康行為表現較好﹔國小以下教育程度的健康狀況較差。而從
事專業工作者在運動一類的健康行為表現較好﹔從事農林漁牧與藍領工作者在運動方面表
現較不好。而從事農林漁牧工作者及無業者的健康狀況則較差。
另外,區分性別後,我們發現男性的確比女性更容易去使用菸酒,而且男性健康行為更容
易受到教育程度與職業有無的影響。而健康狀況方面,男性只在慢性病發生問題,相較於
頸背不適也出現問題的女性,仍呈現了健康在性別中產生的差異。而兩性在不同職業類別
的運動習慣、健康狀況,以及不同教育程度的健康狀況方面沒有很大的差異,仍由於教育
程度高低,從事何種職業,而有著不同的健康表現。
接著研究發現,不論以整體而言或是區分性別之後,健康行為與健康狀況的關係薄弱與模
糊。另外,教育程度會與抽煙習慣有所相關﹔區分性別後,男性的教育程度與職業類別則
與運動有著關聯。社會階層對於其他健康行為與健康狀況的影響有限。對於未來健康的相
關研究,若能再從更多元的社會環境或其他外在因素出發,定能呈現更好的研究結果。
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[摘要]
There are a lot of factors influencing the health, mostly coming from the
medicine knowledge, which suggest that there is a significant relationship
between personal behaviors and
health. This study supposes that the influences of social elements, including
social strata, on health are more significant than personal behaviors. The
different social strata due to the accessibility of different resources, such
as education opportunity, occupation, and so on, contribute to different
impacts on health. Besides, the gender may further cause the complicated inter-
relationship between health and social factors (i.e., gender would affect the
health of varied classes). This being the case, this study also focused the
observation on health of male among different strata.
This study found that there were difference in health behaviors and health
conditions amidst a variety of social strata. Some strata indeed have better
health. Senior high school and college education degrees hit good scores in
the behavior of sport while the education degree of or under primary school
did not have good health performance. The employees of expertise fields have
better performance in the health behavior of sport than the ones of farming,
fishing, and blue collar. In addition, the people in farming and fishing and
the unemployed have inferior health condition.
Moreover, having stratified the gender, we found that it’s easier for the
male to quit the smoking and alcohol than the female. In addition to that, the
health behaviors of male are more significantly affected by the education
degree and occupation. It also implicated the difference in health performance
among genders that the female who has additional diseases in neck and shoulder
while the male who only suffers from chronic disease. On the other hand, there
is no significant difference in sport behavior and health condition amidst
genders of different occupation and education degree, because the health
performance is due to the education degrees and occupations.
This study then found the obscure relationship between health behavior and
health performance either in the aggregate or having stratified the gender.
Additionally, the education degree is related with smoking, and having
stratified the gender, the education degree and occupation of male are related
with sporting. The social stratum does not have strong influence on other
health behavior and health condition. Therefore, there should be more
interesting findings if the future researches can emphasize in a variety of
social environment or other exterior factors.