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研究生: 高翰立
Gao, Han-Li
論文名稱: 以潛在類別法探討酒精成癮與身心健康的關係
An Investigation of the Relationship between Alcohol Addiction and Physical, Mental Health Status – a Latent Class Analysis
指導教授: 田維華
Tian, Wei-Hua
學位類別: 碩士
Master
系所名稱: 社會科學院 - 經濟學系
Department of Economics
論文出版年: 2017
畢業學年度: 105
語文別: 中文
論文頁數: 58
中文關鍵詞: 酒精成癮SF-36健康量表簡短版密西根酒癮量表潛在類別模式身心健康
外文關鍵詞: Key word: alcohol addiction, short form 36 health survey, latent class analysis, brief Michigan Alcoholism Screening Test, physical and mental health
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  • 本研究主要探討臺灣地區酒精成癮與身心健康狀況的關係,使用簡短版密西根酒癮量表(brief Michigan Alcoholism Screening Test, bMAST)來探討樣本是否有酒精成癮,與SF-36健康量表來衡量身心健康狀態。第一步使用潛在類別模式(Latent Class Analysis)將樣本分成不同的組別進行探討分析,用SF-36健康量表的八大面向指標,將樣本區分成三種不同的身心健康潛在類別族群,分別為:第一組,身心皆不健康組;第二組,身心皆健康組;第三組,身體不健康但心理健康組。第二步驟再以Logistic模型分析來分析酒精成癮與各組別與外生控制變數對台灣地區民眾酒精成癮的關係。

    研究結果發現,以第二組身心健康接健康之組別當作對照組,第一組與第三組的酒精成癮的機率接顯著較高,其中,第一組民眾身心皆不健康的組別,其酒精成癮機率為所有組別中最高。此外第三組為最特別之組別,其身體健康狀態較差,但心理健康狀態反而正常,建議政府投入資源來幫助其提升身體健康狀態,相信能達成事半功倍的效果,或可降低其酒精成癮的機率。

    The main purpose of this study is to investigate factors that are associated with alcohol addiction and physical, mental health status for the people in Taiwan. This study uses the brief Michigan Alcoholism Screening Test (bMAST) to measure alcohol addiction degree, and the short form 36 health survey (SF-36) to measure physical and mental health status of each interviewee. Considering the heterogeneity of each interviewee and utilizing indicators based on their physical and mental health status, a Latent Class Analysis (LCA) model was first adopted to identify heterogeneous subgroups. There are three classes were identified: “physically and mentally unhealthy,” “physically and mentally healthy,” and “physically unhealthy but mentally healthy.” Subsequently, a logistic model was used to analyze the relationship between each of the heterogeneous classes and alcohol addiction for the people in Taiwan.

    Results indicated that “physically and mentally unhealthy” and “physically unhealthy but mentally healthy” classes tended to have higher probabilities suffer from alcohol addiction compared to that with “physically and mentally healthy” class. Moreover, the “physically and mentally unhealthy” class showed the highest probabilities to have alcohol addiction. In addition, it is recommended that the government may specifically provide resources to help improve individuals in “physically unhealthy but mentally healthy” class’s physical health and possibly reduce the chance of their alcohol addiction.

    第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究流程 5 第二章 文獻回顧 6 第一節 酒精成癮之相關文獻 7 第二節 酒精成癮與身心健康之相關文獻 11 第三節 酒精成癮量表之相關文獻 12 第四節 身心健康量表相關文獻 13 第三章 資料出處與變數設定 14 第一節 研究架構 14 第二節 研究方法 15 第三節 資料來源與問卷說明 18 第四章 資料分析與實證結果 28 第一節 變數定義與敘述統計 28 第二節 迴歸結果 40 第五章 結論與建議 49 第一節 結論 49 第二節 政策建議 52 參考文獻 54

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