研究目的：參考計畫行為理論探討 C 型肝炎預防行為之預測因素。研究方法：採橫斷性相關性設計；參考計畫行為理論為架構；進行本研究。研究對象來自台灣西南部某高盛行 C 型肝炎偏遠地區，20 歲以上成人，徵得其個人同意後，納為研究對象共 238 位，實際參與者共 193 位，回訪率 81.1%。自擬結構式問卷收集人口學特徵、C 型肝炎疾病知識、態度、社會對預防行為規範、自我察覺預防行為控制力，預防行為意圖、預防行為等資料。問卷效度以內容效度驗證，平均 CVI 為.9，同時以表面效度修訂不適切語句，信度則檢測其內在一致性，各因素 Cronbac』s Alpha 值.5~.9。
與當地衛生機構合作，在社區關懷中心辦理活動時，進行問卷訪視收集資料。資料分析以線性複迴歸，分析各預測因素與 C 型肝炎預防行為執行項目多寡之影響。研究結果：經逐步複迴歸模式調整年齡因素，依預測解釋力大小，C 型肝炎預防行為意圖欲強，家人支持度愈高，察覺控制力愈強，執行愈多項 C 型肝炎預防行為，各預測變項解釋力分別為 49%、12.8%與，1.2%。結論：於偏遠地區提升 C 型肝炎預防行為之執行時，首要從增進其預防行為意圖著手，同時鼓勵其家人支持並共同參與相關健康活動。

Purpose: The theory of planned behavior was applied to frame and determine the correlates, in order to predict the behaviors required for preventing hepatitis C virus (HCV) infection. Method: The cross-sectional design used to survey related information. We recruited 238 residents who were aged above 20, from a remote rural area with HCV endemic in northern area of southern Taiwan. After informed consent given, 193 subjects completed the survey. The response rate was 81.1%. The structured questionnaire, which was well developed and examined for content validity and internal consistency reliability, was used to generate data, collected by a well-trained interviewer in a community activity center. The predictors of behaviors for HCV prevention were determined by stepwise multiple linear regression. Results: After adjusting for age, the indicators and the power estimated including: intentions at 49%, family support at 12.8% and perceived behavioral controls at 1.2% could significantly predict the behaviors for preventing HCV infection, respectively. Conclusion: We suggest that intention be promoted firstly; it would effectively improve residents』 execution of activities related to the prevention of behaviors related to HCV infection. Family support is positively effective as well, in regard to HCV prevention.

王瑞霞、陳彰惠 (2003) ．由文獻回顧檢視潘得健康促進模式．護理雜誌．50(6) ，62-67。
何淑敏 (2008)．胰島素治療之第二型糖尿病病人定期血糖自我監測行為意圖的相關因素探討．未發表的碩士論文，台北：台灣大學。
李柏慧、劉淑燕 (2005)．民眾從事健走行為意圖之研究．大專體育學刊，7 (1)，147-156。
余宗龍 (2004)．大學生從事規律運動行為意圖之研究-以淡江大學學生為例．未發表的論文．台北：台北市立體育學院。
林淑敏 (2004)．醫療資源與國人健康的關聯．未發表的碩士論文，桃園：國立中央大學。
林志陵、高嘉宏(2008)．肝癌流行病學．中華癌醫會誌，24(5)，277-281。
周郁文、陳敏麗(2002) ．健康促進模式於健康行為-規律運動之應用．長庚科技學刊，1，187-198。
官蔚菁 (2004)．台灣健康信念模式研究之統合分析．未發表的碩士論文，台南：國立成功大學。
袁美珍 (2008)．運用計畫行為理論探討台北市某美沙冬門診男性藥物成癮之共用針頭行為意圖．未發表的碩士論文，台北：台灣大學。
陳義隆、盧勝男、吳正禮 (1999)．B型及C型肝炎盛行鄉內各村之間的盛行率差異：高雄縣梓官鄉之社區研究．中華公共衛生雜誌，18(5)，313-318。
陳寶妃、紀廣明、陳耀德、蔡玲珊、施伶宜、林麗珠、陳秀熙、盧勝男 (2006)．慢性B型肝炎、C型肝炎盛行率及ALT 異常率之村裡別分佈及地理差異:台南縣520個村裡之成人健檢分析．內科學誌，17(6)，276-290。
張定宗、王琪珍、葉莉莉、邱明源(2001)．南台灣地區C型肝炎防治模式之建立與評估．90年度行政院衛生署疾病管制局研究計畫結果報告，未出版。
趙運植 (2003)．以計畫行為理論探討某單位士官兵的愛滋相關知識與保險套使用行為意向．未發表的碩士論文，台北：國防醫學院。
趙文杏 (2008) ．以健康信念模式探討某醫療機構B肝帶原員工肝癌篩檢行為之預測因子．未發表的碩士論文，台南：成功大學。
孫懷德、黃奕清(2003)．臨床護理人員下背痛之探討．醫護教育學刊，2，61-68。
謝佩真、郭行道、卓文春、廖永樑、林靖南 (2009)．C型肝炎病毒基因分型及其臨床重要性．內科學誌，20(4)，309-319。
行政院衛生署 (2010，7月6日)．98年度死因統計．2010年10月20日取自
http://www.doh.gov.tw/CHT2006/DM/DM2_2_p02.aspx?class_no=440&now_fod_list_no=11397&level_no=4&doc_no=76512
行政院內政部 (無日期)．內政部統計年報．2010年10月20日取自http://sowf.moi.gov.tw/stat/Year/list.htm
衛生署疾病管制局 (2009，5月1日)．防疫專區疾病介紹．2010年4月1日取自 http://www.cdc.gov.tw/sp.aspxdurl=disease/disease
_content.asp&id=788&mp=1&ctnode=1498
台南縣政府全球資訊網(無日期) ．行政區域．2010年10月20日取自http://www.tainan.gov.tw/cp/10151/organization.aspx
龍崎鄉公所(無日期) ．自然環境與產業概況．2010年10月20日取自http://web2.tainan.gov.tw/Longci/
Ajzen, I., & Fishbein, M. (1975). Bayesian Analysis of Attribution Processes. Psychological Bulletin, 82(2), 261-277.
Ajzen,I.(1985).From intention to action:A theory of planned behavior.In J.kuhl& J.Beckmann(Eds),Action-control:From cognition to behavior(pp.11-39).Heidelberg:Springer.
Ajzen,I.(1991). The Theory of Planned Behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211.
Alter,M.J.(2007).Epidemiology of hepatitis C virus infection. World J Gastroenterol,13(17),2436-2441.
Armstrong, G. L., Wasley, A., Simard, E. P., McQuillan, G. M., Kuhnert, W. L., & Alter,M. J. (2006). The prevalence of hepatitis C virus infection in the United States, 1999 through 2002. Annals of Internal Medicine, 144(10), 705-714.
Bonkovsky, H. L., & Savant, M. (2001). Hepatitis C: A review and update. Journal Of American academy of dermatology, 44(2), 159-158.
Choo, Q. L., Kuo, G., Weiner, A. J., Overby, L. R., Bradley, D. W., & Houghton, M. (1989). Isolation of a cDNA clone derived from a blood-borne non-A, non-B viral hepatitis genome. Science, 244(4902), 359-362.
Donahue, J. G., Munoz, A., Ness, P. M., Brown, D. E., Jr., Yawn, D. H., McAllister, H. A., Jr., et al. (1992). The declining risk of post-transfusion hepatitis C virus infection. N Engl J Med, 327(6), 369-373.
Gu, J., Lau, J. T. F., Chen, X., Liu, C. L., Liu, J., Chen, H. Y., et al. (2009). Using the Theory of Planned Behavior to investigate condom use behaviors Among female
injecting drug users who are also sex workers in China. Aids Care-Psychological and Socio-Medical Aspects of Aids/Hiv, 21(8), 967-975.
Guvenc, G., Akyuz, A., & Acikel, C. H. (2010). Health Belief Model Scale for Cervical Cancer and Pap Smear Test: psychometric testing. J Adv Nurs.
Jamner, M. S., Wolitski, R. J., Corby, N. H., & Fishbein, M. (1998). Using the theory of planned behavior to predict intention to use condoms among female sex workers.
Psychology & Health, 13(2), 187-205.
Kam, J. A., Matsunaga, M., Hecht, M. L., & Ndiaye, K. (2009). Extending the Theory of Planned Behavior to Predict Alcohol, Tobacco, and Marijuana Use Among Youth of Mexican Heritage. Prevention Science, 10(1), 41-53.
Kathleen,J.D.(1999).Predicting intentions to obtain a pap smear among African American and Latina woman:testing the theory of planned behavior.Nursing Research.48 (4)
,198-205.
Lavanchy, D. (2009). The global burden of hepatitis C. Liver International，29(s1),74-81.
Lai, H. W., Hsiung, H. Y., Tai, J. J., Chen, S. I., Chang, H. C., & Chen, T. H. H. (2009).Ethnic-Specific Prevalence of Hepatitis B/C Virus Infection in Pin-Jen, Taiwan.
Ethnicity & Disease, 19(4), 384-389.
Lee, H. C., Ko, N. Y., Lee, N. Y., Chang, C. M., & Ko, W. C. (2008). Seroprevalence of viral hepatitis and sexually transmitted disease among adults with recently
diagnosed HIV infection in Southern Taiwan, 2000-2005: Upsurge in hepatitis C virus infections among injection drug users. Journal of the Formosan Medical
Association, 107(5), 404-411.
Lehman, E. M., & Wilson, M. L. (2009). Epidemic hepatitis C virus infection in Egypt:estimates of past incidence and future morbidity and mortality. J Viral Hepat,16(9)
, 650-658.
McGilligan, C., McClenahan, C., & Adamson, G. (2009). Attitudes and Intentions to Performing Testicular Self-Examination: Utilizing an Extended Theory of Planned Behavior . Journal of Adolescent Health, 44(4), 404-406.
Morowatisharifabad, M., & Shirazi, K. K. (2007). Determinants of oral health behaviors among preuniversity (12th-grade) students in Yazd (Iran): an application of the health promotion model. Fam Community Health, 30(4), 342-350.
Medhat, A., Shehata, M., Magder, L. S., Mikhail, N., Abdel-Baki, L., Nafeh, M., et al. (2002). Hepatitis c in a community in Upper Egypt: risk factors for infection. Am J Trop Med Hyg, 66(5), 633-638.
Noroozi, A., Jomand, T., & Tahmasebi, R. (2010). Determinants of BreastSelf-Examination Performance Among Iranian Women: An Application of the Health Belief Model. J Cancer Educ.
Paintsil, E., Verevochkin, S. V., Dukhovlinova, E., Niccolai, L., Barbour, R., White, E., et al.(2009).Hepatitis
C virus infection among drug injectors in St Petersburg, Russia:social and molecular epidemiology of an endemic infection. Addiction, 104(11), 1881-1890.
Pender, N. J. (1987). Health promotion in nursing practice(2nd ed.). Norwalk, CT: Appleton & Lange.
Rosenstock,I.M.(1974).Historical origins of the health belief modle.Health Education Monographs,2(4),328-335.
Roberts, E. A., & Yeung, L. (2002). Maternal-infant transmission of hepatitis C virus infection. Hepatology, 36(5), S106-S113.
Shepard,C.W.,Finelli,L.,& Alter,M.J.(2005).Global epidemiology of hepatitis C virus infection. Lancet Infect Dis, 5(9), 558-567.
Steele, S. K., & Porche, D. J. (2005). Testing the theory of planned behavior to predict mammography intention. Nursing Research, 54(5), 332-338.
Su,W.W.,Chen,C.H.,Lin,H.H.,Yang,S.S.,Chang,T.T.,Cheng,K.S.,Wu,J.C., Wu, S. S., Lee,C. M.,Changchien, C. S., Chen, C. J., Sheu, J. C., Chen, D. S., Lu, S. N.,. (2009).
Geographic variations of predominantly hepatitis C virus associated male hepatocellular carcinoma townships in Taiwan: identification of potential high HCV endemic areas. Hepatology International, 3(4), 537-543.
Sun, C. A., Chen, H. C., Lu, S. N., Chen, C. J., Lu, C. F., You, S. L., Lin, S. H. (2001).Persistent hyperendemicity of hepatitis C virus infection in Taiwan:The important role of iatrogenic risk factors. Journal of Medical Virology, 65(1), 30-34.
Terrault, N. A. (2002). Sexual activity as a risk factor for hepatitis C. Hepatology, 36(5), S99-S105.
Wang,C.J.,Chang,Y.J.,Yeh,L.,& Chang,T.T.(2002).Endemic hepatitis C virus Infection in a seaboard village of southwestern Taiwan. Journal of Nursing Research, 10(4),
246-252.
Wasley,A.,& Alter,M.J.(2000).Epidemiology of hepatitis C: geographic differences and temporal trends. Semin Liver Dis,20(1),1-16.
Wang, J. H., Lu, S. N., Chen, Y. D., & Chen, H. H. (2006). Point incidence of recent hepatitis C virus infection: a large-scale community-based study in an endemic area of hepatitis C in Taiwan. Liver International, 26, 76-76.
WHO (1999).Global surveillance and control of hepatitis C. Report of a WHO Consultation organized in collaboration with the Viral Hepatitis Prevention Board,Antwerp, Belgium. J Viral Hepat, 6(1), 35-47.
WHO.(1998 n.d.). Hepatitis C. Retrieved April 30, 2010,from http://www.who.int/topics/hepatitis/zh/index.html
WHO. (2003 n.d.). Hepatitis C. Retrieved April 30, 2010, from http://www.who.int/csr/disease/hepatitis/whocdscsrlyo2003/en/index.html
Wu, T. C., Chuang, W. L., Dai, C. Y., Huang, J. F., Hsieh, M. Y., Hou, N. J., Lee, L. P.,Lin,W. Y., Yang, J. F., Chiu, C. C., Chen, S. C., Hsieh, M.Y., Chang, W. Y., Yu, M. L.(2008). Hepatitis C virus infection among children in aboriginal areas in Taiwan. Transactions of the Royal Society of Tropical Medicine and Hygiene, 102(9), 935-938.
Yu,M. L., Chuang,W. L., Dai,C. Y., Lu,S. N., Wang,J. H., Huang,J. F., Chen, S. C., Lin,Z. Y., Hsieh, M. Y., Tsai, J. F., Wang, L. Y., Chang, W. Y. (2001). The serological and molecular epidemiology of GB virus C/hepatitis G virus infection in a hepatitis C and B endemic area. Journal of Infection, 42(1), 61-66.