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系統識別號 U0026-0508201416055500
論文名稱(中文) 通訊落差與健康不平等:以台灣偏鄉高齡者為例
論文名稱(英文) Understanding Communication Divide and Health Inequality: The Case of Aging Residents in Rural Areas of Taiwan
校院名稱 成功大學
系所名稱(中) 電信管理研究所
系所名稱(英) Institute of Telecommunications and Management
學年度 102
學期 2
出版年 103
研究生(中文) 王詩蟬
研究生(英文) Shih-Chan Wang
學號 R96011036
學位類別 碩士
語文別 英文
論文頁數 84頁
口試委員 指導教授-廖俊雄
口試委員-徐國鈞
口試委員-黃郁雯
口試委員-呂錦山
口試委員-康信鴻
中文關鍵字 通訊落差  健康不平等  高齡居民  偏鄉地區 
英文關鍵字 Communication divide  Health inequality  Aging resident  Rural area 
學科別分類
中文摘要 隨著醫療科技和生活品質的進步,高齡化已經是不可避免的現象,尤其是高齡人口在國家醫療上的費用比年輕人口的比例更高;資通訊科技在全球普及發展,但並不是所有的族群都擁有機會去使用資通訊產品及服務,以及大眾媒體依然是人們生活中重要獲取資訊的來源,其中又以高齡族群更加依賴大眾媒體;然而,大眾媒體單向傳遞訊息的方式,可能會導致偏鄉高齡族群誤聽錯誤的健康訊息,不去採用正式的醫療服務,造成健康不平等的現象發生,值得相關單位和機構深入探討並找出解決辦法。
本研究使用通訊落差來探討偏鄉高齡者是否因為社經地位的不同,而導致他們在使用數位和大眾媒體管道來接取、能力和應用的機會有所差別,進而造成健康上的不平等,在研究架構中,除了傳統的數位落差(包含資訊接取、資訊素養、資訊應用),另外再加上過去文獻甚少討論的大眾媒體落差(包含資訊接取、資訊素養、資訊應用),以及健康不平等(包含健康自評、醫療服務利用),藉此更完整的呈現出偏鄉高齡族群對於通訊落差和健康不平等之間的關係。資料的蒐集以問卷訪談的方式進行,訪問對象為60歲以上、居住在偏遠地區的高齡者,最後回收回來的樣本數為720份,其中有效樣本數為470份。所蒐集到的資料先進行變異數分析來探討群體間是否有顯著差異,之後運用迴歸分析來檢視實證分析結果,最後根據研究結果提出實際的管理意涵,希望盡可能地改善通訊落差,進而促進偏鄉高齡者的健康平等。
研究的結果顯示偏鄉高齡者傾向於每天長時間的看電視、從報紙獲取正確資訊的能力最高、較頻繁的從電視獲取健康資訊,但卻更頻繁的從電台中購買保健食品;另外,數位落差發生在區域和年紀間,而健康不平等則發生在區域間。變異數分析結果顯示大眾媒體落差和健康不平等隨著年紀增加變得更加嚴重;數位落差和健康不平等隨著可支配所得減少變得更加糟糕;數位落差、大眾媒體落差以及健康不平等隨著學歷下降變得更加糟糕。迴歸分析的結果也顯示了通訊落差和健康不平等之間有顯著的正向關係,其中,數位落差對偏鄉高齡者的健康不平等狀況影響最甚。最後,本研究根據實證數據結果對於縮短數位落差、大眾媒體落差及健康不平等提供了相關的管理意涵,以供相關機構或單位參考。

英文摘要 With the advance of medical technology and life quality, a coming aged society would be inevitable, resulting in aging population accounts for the biggest proportion of a country’s healthcare cost. Information and communication technology (ICT) has rapidly diffused worldwide in recent decades, but not all groups have the opportunity to use ICT. Mass media use still plays an important role in people’s daily life especially in aging people. Also, the propagation of mistakenly healthy information resulted in the possible illness of aging residents in rural areas. The aim of this study is to understand communication divide and health inequality for aging people in the rural areas of Taiwan. Communication divide is measured by the construct of information access, literacy and application with computer, Internet, radio, TV and newspaper and health inequality is measured by the construct of self-rated health status and healthcare services utilization. Empirical data are collected via in-depth questionnaire survey from 470 aging people who age 60 years or older and live in rural areas. ANOVA analysis is conducted to test for significant differences between means within different subgroups and regression analysis is conducted to explore the relationship between communication divide and health inequality.
The results are summarized as follow. Aging residents in rural areas tend to spend more time on watching TV per day, have the ability to search correct information on newspaper, seek more frequently health information on TV, and buy more frequently functional food on radio. Digital divide exists across age and regions and health inequality exists across regions in Taiwan. Besides, mass media divide and health inequality become deepened along with the increase in age; digital divide and health inequality become worse along with the decrease in monthly disposable income; digital divide, mass media divide, and health inequality become worse along with the decrease in education level. Further, the more digital divide and the more mass media divide an aging people in rural areas has, the more severe health inequality he suffers. The impact of digital divide on health inequality is higher than that of mass media divide. In the end, some managerial implications are provided to bridge digital divide and mass media divide in rural areas, and in turn, relieve the status of health inequality.
論文目次 Table of Contents IV
List of Tables V
List of Figure VI
Chapter One Introduction 1
1.1 Background and Motivation 1
1.2 Research Objectives 5
Chapter Two Literature Review 7
2.1 Communication Divide 7
2.1.1 Digital Divide 8
2.1.2 Mass Media Divide 17
2.2 Health Inequality 23
Chapter Three Questionnaire Design and Survey 27
3.1 Questionnaire Design 27
3.1.1 Communication Divide Questionnaire 27
3.1.2 Health Inequality Questionnaire 29
3.2 Data Collection and Sampling 32
3.3 Descriptive Statistic Analysis 32
Chapter Four Empirical Results 33
4.1 Descriptive Statistics Analysis 33
4.1.1 Respondent Profile 33
4.1.2 Descriptive Statistics of Items 35
4.2 Digital Divide and Health Inequality across Region and Age 42
4.2.1 Digital Divide across Region and across Age 42
4.2.2 Health Inequality across Age 47
4.3 Analysis of Variance on Communication Divide and Health Inequality 51
4.4 The Relationship between Communication Divide and Health Inequality 59
Chapter Five Conclusion and Discussion 62
5.1 Summary of the Results 62
5.2 Managerial Implication 63
5.3 Limitation and Future Research 66
References 68
Appendix A: Items in Questionnaire 76
Appendix B: Items in Chinese Questionnaire 79
Appendix C: Regression for Health Inequality to Communication Divide 84
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