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系統識別號 U0026-0812200911414591
論文名稱(中文) 台灣南部大學生使用搖頭丸心理因子探討
論文名稱(英文) Cognitive determinants of MDMA use among college students in southern Taiwan
校院名稱 成功大學
系所名稱(中) 行為醫學研究所
系所名稱(英) Institute of Behavioral Medicine
學年度 93
學期 2
出版年 94
研究生(中文) 余睿羚
研究生(英文) Rwei-Ling Yu
電子信箱 argumentsethic@yahoo.com.tw
學號 s8691405
學位類別 碩士
語文別 中文
論文頁數 84頁
口試委員 口試委員-程炳林
召集委員-董旭英
指導教授-柯慧貞
中文關鍵字 社會影響  拒用自我效能  效果預期  搖頭丸  大學生 
英文關鍵字 MDMA  college students  outcome expectancy  MDMA refusing self-efficacy  social influence 
學科別分類
中文摘要 研究背景
國外研究指出大學生使用搖頭丸盛行率逐年升高,而國內搖頭丸查緝量與精神醫療院所通報搖頭丸濫用人數也逐年增加。國外報告已指出大學生使用搖頭丸盛行率逐年上升,而國內則尚未有相關調查,故本研究於2003年調查台灣南部大專院校學生搖頭丸使用盛行率;此外,國外研究多為盛行率調查,較缺乏相關因子之探討。理論上,社會學習理論重視以效果預期和自我效能來預測個體行為,而理性行為理論則強調以社會影響和行為意圖來預測個體行為,此兩理論廣被運用於預測個體行為研究上,本研究同時整合上述理論來探討效果預期、自我效能感、社會影響及意圖等認知因子對大學生使用搖頭丸之意圖與行為的預測力。

研究目的
本研究的目的有(一)調查2003年南部大專院校學生搖頭丸使用之盛行率;(二)以Attitude-Social influence-Efficacy模式(ASE Model)為基礎,探討大專院校學生使用搖頭丸之認知因子。

研究方法
(1)受試者:以南部大專院校學生為母群體,依學院、學制分層,再以叢集抽樣法抽取系級,共抽出5,137人,其中,3,741名參與研究(回收率73%)。(2)研究工具:個人資料表、使用搖頭丸意圖、搖頭丸正向效果預期、拒用搖頭丸自我效能(含朋友邀約、忘掉負面情緒及追求刺激)、社會影響(包含重要他人是否使用搖頭丸及知覺週遭使用盛行率)及搖頭丸使用等量表。(3)研究程序:2003年11月至12月間對抽樣學生進行問卷施測,施測前強調資料保密性,資料分析後給予參與研究同學結果回饋、毒品衛教單及紀念小禮物。(4)統計方法:由描述性統計之次數分配表得知南部大專院校學生搖頭丸使用之盛行率。再利用結構方程模式分析模式資料,探討南部大專院校學生使用搖頭丸之認知因子。

研究結果
分析無遺漏值(完整填答)之3,090份問卷得知,搖頭丸使用盛行率為1.0%(32人)。研究提出之模式有理想的整體適配度,適合用來解釋大學生使用搖頭丸資料。結果顯示正向效果預期對使用搖頭丸意圖與行為均無顯著影響;拒用搖頭丸自我效能與社會影響透過意圖影響使用搖頭丸行為,也能夠直接影響使用搖頭丸行為;使用搖頭丸意圖越高者越可能使用搖頭丸。本研究提出之模式解釋大學生搖頭丸使用意圖與行為之解釋量分別為16%與18%。

結論與建議
拒用自我效能與社會影響為預測大學生使用搖頭丸之重要因素,而正向效果預期則透過上述兩因素來影響使用搖頭丸意圖與行為,未來研究可進行模式之修正,深入探討拒用自我效能、社會影響及正向效果預期三者間之關係。此外,建議大專院校應積極落實校園毒品防治計畫,並利用縱貫性研究追蹤調查大學生搖頭丸使用盛行率資料,進而探討相關危險因子之因果關係與歷年盛行率之改變。藉由相關單位多方努力共同降低搖頭丸使用盛行率並矯正使用搖頭丸之偏差行為,例如法務部與警察相關單位可加強搖頭丸走私之查緝與搖頭店之取締;教育部可推動大學校園毒品防治計畫與成效評估方案;立法院可修訂學校衛生法,明定大學校園內應設置專業校園心理師以有效推動與執行校園毒品三級預防計畫。




英文摘要   This study was aimed to examine the Attitudes-Social influence-Efficacy Model for the use of MDMA among college students in Taiwan. A representative sample of 3,743 college students participated in this study. Each participant completed a comprehensive survey and 3,090 valid data were collected. Correlation analyses displayed that either positive outcome expectancy or social influence were positively related to intention while refusal self-efficacy was negatively associated with intention. The results using the Structural Equation Model showed that the model fitted the data well. Intention for using MDMA affected MDMA use. Refusing self-efficacy and social influence had a direct impact on intention or MDMA use as well as indirect effect on MDMA use via intention. However, positive outcome expectancy did not have an effect on both intention and the use of MDMA. Our results suggested that preventive programs in colleges for the MDMA use should focus on developing strategies in decreasing the social influence and enhancing the refusal self-efficacy.



論文目次 中文摘要………………………………………………I
英文摘要………………………………………………III
目錄……………………………………………………V
附錄……………………………………………………VI
表目錄…………………………………………………VII
圖目錄…………………………………………………VIII

第一章 緒論……………………………………………01
 第一節、何謂搖頭丸…………………………………01
 第二節、搖頭丸對人類身心健康影響之相關研究…02
 第三節、國內外搖頭丸濫用情形……………………03
 第四節、大學生搖頭丸濫用嚴重……………………04
 第五節、從認知因子探討大學生使用搖頭丸行為…07
 第六節、研究目的……………………………………12
第二章 研究方法………………………………………14
 第一節、研究架構……………………………………14
 第二節、研究樣本……………………………………14
 第三節、研究工具……………………………………15
 第四節、研究程序……………………………………18
 第五節、資料處理……………………………………19
第三章 研究結果………………………………………21
 第一節、基本資料之分析……………………………21
 第二節、量表相關變項分析…………………………21
 第三節、南部大專院校學生使用搖頭丸盛行率……22
 第四節、有無使用搖頭丸之南部大學生在認知因子
     上的差異……………………………………24
 第五節、模式結果……………………………………27
第四章 討論、結論及建議……………………………30
 第一節、討論…………………………………………30
 第二節、結論與建議…………………………………36
第五章 參考文獻………………………………………39
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