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系統識別號 U0026-1908201314332300
論文名稱(中文) 臺灣地區中老年人從事志願服務對自覺健康及憂鬱的影響
論文名稱(英文) Effects of volunteering on self-reported health and depression among middle-age and elderly adults in Taiwan
校院名稱 成功大學
系所名稱(中) 公共衛生研究所
系所名稱(英) Graduate Institute of Public Health
學年度 101
學期 2
出版年 102
研究生(中文) 黃向吟
研究生(英文) Hsiang-Yin Huang
學號 T86001023
學位類別 碩士
語文別 中文
論文頁數 110頁
口試委員 指導教授-胡淑貞
口試委員-陳靜敏
口試委員-邱靜如
中文關鍵字 志願服務  中老年人  長期追蹤研究  階層線性模型 
英文關鍵字 volunteering  the middle-age and elderly  long-term follow-up study  hierarchical linear model 
學科別分類
中文摘要 中文摘要
背景: 文獻指出,中老年人參與社會活動可顯著延緩老化、減少失能;特別是從事志願服務,除了對健康有效益,更能創造社會價值。然而,過去很少有研究探討從事志願服務的動態變化,以及不同類型的社會參與對憂鬱和自覺健康的影響。
目的: 本研究目的即是探討台灣地區中老年人三種不同程度的社會參與(包括從事志願服務、只參加社團活動、及皆未參與者),及其參與時間的長短和動態變化對憂鬱和自覺健康的影響。
方法: 本研究使用台灣地區中老年身心社會生活調查長期追蹤資料庫,採用四波調查資料(1996、1999、2003、2007),並使用階層線性模型(Hierarchical Linear Modeling,HLM)的統計方法,進行重複測量之研究與分析。
結果: 有參與社會活動的人(包括從事志願服務或只參加社團活動二者),無論參加任何一波的人,在一開始以及後續追蹤的憂鬱分數及憂鬱傾向皆較從未參與者為低。但若後來停止社會參與的人,則憂鬱情形會逐漸增加,反之若是後來開始參加社會活動者,則可改善憂鬱情形。不同程度的社會參與其健康效益不同,只參加社團活動的人對憂鬱情形有效益,但對自覺健康沒有顯著效益;而從事志願服務的人,在憂鬱情形與自覺健康兩者皆具有健康效益。
討論: 從事志願服務者大多同時參加社團活動,故可獲得的社會支持較多,並透過服務他人,達到自我認同,有助於對健康的提升。建議未來的政策應持續擴大我國志願服務之量能,特別是中老年人的參與,以促進健康老化和活躍老化之目標。

英文摘要 Abstract
Background: Literature has indicated that the elderly to participate in social activities can significantly delay their aging and reduce disability. Particularly for the activity of volunteering, the elderly not only can earn health benefits, but also can create social values. However, in the past literature, little research has examined the dynamic changes in the volunteering, and the effects of different types of social participation on depression and self-reported health in elderly.

Objectives: The purposes of the study are to examine the effects of three different levels of social participation (including volunteering, participation in group activities only, and no participation), and the duration of such participation on depression and self-reported health in middle-aged and elderly adults in Taiwan.

Methods: This study used the dataset of national representative samples from Taiwan Longitudinal Study of Aging, and analyzed four waves of survey, including 1996, 1999, 2003, 2007. Also, this study used the statistical methods of hierarchical linear modeling (HLM) to analyze the long-term repeated measured data.

Results: For those who participate in any social activities (such as, volunteering or group activities), their depression score are significantly lower than non-participants, no matter in the beginning or at the follow-ups. However, if the person stops social participation later, the depression score will gradually increase. Similarly, if they start to participate in social activities later, their depression symptoms will decrease. Different types of social participation have different health benefits. For those who merely participate in group activities, only depression score but not self-rated health can be improved. However, for those who participate in volunteering, both depression score and self-rated health are significantly improved.

Discussion: Most people participate in volunteering are also participate in group activities. Therefore, they can get more social support and social resources. Also, through helping others, volunteering can enhance the level of health and increase self-recognition. Future policies are advised to encourage the middle-aged and the elderly to participate in more volunteering, in order to reach the goal of healthy and active aging.


論文目次 目錄
第壹章 前言 1
第一節 研究重要性 1
第二節 研究目的 4
第貳章 文獻回顧 8
第一節 中老年人的健康與老化過程 8
第二節 中老年人志願服務的定義、理論與現況 11
第三節 中老年人從事志願服務對自覺健康與憂鬱的影響 20
第參章 研究方法 32
第一節 資料來源與研究對象 32
第二節 研究設計與研究架構 37
第三節 研究變項定義 38
第四節 統計分析方法 40
第肆章 研究結果 44
第一節 研究整體樣本描述與變項雙變數分析 44
第二節 不同程度的社會參與之樣本描述分析 45
第三節 不同程度的社會參與和參加波數之多變量分析 48
第四節 不同程度的社會參與動態變化之多變量分析 50
第伍章 討論 94
第一節 主要發現與貢獻 94
第二節 分析結果之討論 95
第三節 本研究限制與建議 99
參考文獻 102
附件 107
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