期刊目錄列表 - 64卷(2019) - 【教育科學研究期刊】64(1)三月刊
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青少年健康素養：由健康促進觀點建構定義與能力指標
作者:義守大學健康管理學系廖梨伶、國立臺灣師範大學健康促進與衛生教育學系劉潔心、美國密西根大學健康管理與政策研究所施淑芳、輔仁大學公共衛生學系鄭其嘉、國立臺灣師範大學環境教育研究所張子超
卷期：64卷第1期
日期：2019年3月
頁碼：25-51
DOI：10.6209/JORIES.201903_64(1).0002
摘要：
健康素養對健康狀態、健康不平等、醫療支出、醫療照護可近性、健康資訊的理解及醫療場域中的決定行為皆有重要影響。然而，目前健康素養的相關研究卻仍存在以醫療場域為背景及以成人為對象的問題，因此，本研究旨在以健康促進觀點建構青少年健康素養之定義與能力指標。本研究以國中三年級學生及高中職三年級學生為指標發展之目標對象，為能建 立青少年健康生活情境之基礎資料，故訪談青少年及與其生活情境相關之重要他人，共 85 名 青少年、23 名家長與 34 名教師，並同步參酌國中與高中職健康教育教學相關能力指標，發展 青少年健康素養之定義與能力指標，由 8 位健康教育相關背景之專家學者及 8 位資深的健康 教育教師，進行兩回合的德懷術後定稿。本研究發展出青少年功能性、互動性及批判性健康 素養之定義，並依其定義發展出青少年健康素養能力指標共 56 項；在個別指標部分，適用國 中階段之指標 13 項，適用高中職階段之指標 18 項，共用指標部分共 25 項，指標內容共涵蓋 10 個健康議題。由於本研究之健康素養定義與能力指標之發展乃依據青少年之真實生活情 境，也同步考量國家健康教育課程綱要，故可作為健康素養測量工具發展及教學介入策略之 重要參考依據。
關鍵詞：青少年、指標、健康素養、德懷術
《詳全文》
參考文獻：
- 王理（2008）。青少年菸害知識、態度及環境影響之研究。中山醫學雜誌，19（1），39-50。doi:10.30096/CSMJ.200806.0004 【Wang, L. (2008). Smoking in adolescents: Knowledge, attitude and environmental influences. Chung Shan Medical Journal, 19(1), 39-50. doi:10.30096/CSMJ.200806.0004】
- 李景美、張鳳琴、賴香如、江振東、李碧霞、陳雯昭、張瑜真（2008）。台北縣市高職學生開始使用成癮物質之危險與保護因子追蹤研究。台灣公共衛生雜誌，27（5），399-410。doi:10.6288/TJPH2008-27-05-05 【Lee, C.-M., Chang, F.-C., Lai, H.-R., Chiang, J.-T., Lee, P.-H., Chen, W.-J., & Chang, Y.-C. (2008). A prospective study of the risk and protective factors of substance use among vocational high school students in Taipei. Taiwan Journal of Public Health, 27(5), 399-410. doi:10.6288/TJPH2008-27-05-05】
- 林育陞（2016）。青少年青春期生、心理健康之探究。諮商與輔導，364，5-8。 【Lin, Y.-S. (2016). Investigation of physical and mental health during adolescences. Counseling & Guidance, 364, 5-8.】
- 范信賢（2016）。核心素養與十二年國民基本教育課程綱要：導讀《國民核心素養：十二年國教課程改革的DNA》。教育脈動，5，1-7。 【Fan, S.-S. (2016). Core literacy and national core competencies in 1-12 national basic education curriculum guideline: Guided reading on “National Core Competencies: DNA of 12 Year National Education Curriculum Reform”. Pulse of Education, 5, 1-7.】
- 晏涵文、劉潔心、李思賢、馮嘉玉（2009）。臺灣國小、國中、高中職學校性教育成果調查研究。臺灣性學學刊，15（2），65-80。doi:10.6784/FJS.200910.0065 【Yen, H.-W., Liu, C.-H., Lee, T. S.-H., & Ferng, J.-Y. (2009). A study of the outcomes on sexuality education of elementary, junior high, senior high and vocational schools in Taiwan. Formosan Journal of Sexology, 15(2), 65-80. doi:10.6784/FJS.200910.0065】
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- 王理（2008）。青少年菸害知識、態度及環境影響之研究。中山醫學雜誌，19（1），39-50。doi:10.30096/CSMJ.200806.000 【Wang, L. (2008). Smoking in adolescents: Knowledge, attitude and environmental influences. Chung Shan Medical Journal, 19(1), 39-50. doi:10.30096/CSMJ.200806.0004】
- 李景美、張鳳琴、賴香如、江振東、李碧霞、陳雯昭、張瑜真（2008）。台北縣市高職學生開始使用成癮物質之危險與保護因子追蹤研究。台灣公共衛生雜誌，27（5），399-410。doi:10.6288/TJPH2008-27-05-0 【Lee, C.-M., Chang, F.-C., Lai, H.-R., Chiang, J.-T., Lee, P.-H., Chen, W.-J., & Chang, Y.-C. (2008). A prospective study of the risk and protective factors of substance use among vocational high school students in Taipei. Taiwan Journal of Public Health, 27(5), 399-410. doi:10.6288/TJPH2008-27-05-05】
- 林育陞（2016）。青少年青春期生、心理健康之探究。諮商與輔導，364，5-8。 【Lin, Y.-S. (2016). Investigation of physical and mental health during adolescences. Counseling & Guidance, 364, 5-8.】
- 范信賢（2016）。核心素養與十二年國民基本教育課程綱要：導讀《國民核心素養：十二年國教課程改革的DNA》。教育脈動，5，1-7。 【Fan, S.-S. (2016). Core literacy and national core competencies in 1-12 national basic education curriculum guideline: Guided reading on “National Core Competencies: DNA of 12 Year National Education Curriculum Reform”. Pulse of Education, 5, 1-7.】
- 晏涵文、劉潔心、李思賢、馮嘉玉（2009）。臺灣國小、國中、高中職學校性教育成果調查研究。臺灣性學學刊，15（2），65-80。doi:10.6784/FJS.200910.006 【Yen, H.-W., Liu, C.-H., Lee, T. S.-H., & Ferng, J.-Y. (2009). A study of the outcomes on sexuality education of elementary, junior high, senior high and vocational schools in Taiwan. Formosan Journal of Sexology, 15(2), 65-80. doi:10.6784/FJS.200910.0065】
- 曾治乾、黃禎貞、葉國樑、蘭淑貞、胡嘉容、石玲如…李映秋（2015）。探討台灣地區高中生性知識來源與其性知識、性態度之關係。健康促進暨衛生教育雜誌，39，1-17。 【Tseng, C.-C., Huang, J.-J., Yeh, G.-L., Lan, S.-J., Hu, C.-J., Shih, L.-J., …Lee, Y.-C. (2015). Exploring the relationships between high school students’ sexual knowledge, sexual attitude and sources of sexual knowledge in Taiwan. Health Promotion & Health Education Journal, 39, 1-17.】
- 葉美玉、陳雅欣（2007）。原住民青少年飲酒的認知模式─飲酒效果預期與拒酒自我效能的影響。衛生教育學報，27，177-193。doi:10.7022/JHE.200706.0177 【Yeh, M.-Y., & Chen, Y.-S. (2007). A cognitive model of drinking among Taiwanese indigenous adolescents: The influence of alcohol expectancies and drinking refusal self-efficacy. Journal of Health Education, 27, 177-193. doi:10.7022/JHE.200706.0177】
- 楊錦登（2011）。談青少年性教育。國教新知，58（1），96-103。doi:10.6701/TEEJ.201103_58(1). 0007 【Yang, J.-D. (2011). Adolescent sex education. The Elementary Education Journal, 58(1), 96-103. doi:10.6701/ TEEJ.201103_58(1).0007】
- 鄧鳳苓、瞿馥苓、羅于惠、黃寶玉、史麗珠（2006）。桃園縣國中生性知識與性教育需求。健康促進暨衛生教育雜誌，26，109-122。 【Deng, F.-L., Chu, F.-L., Lo, Y.-H., Huang, B.-Y., & See, L.-C. (2006). Sexual knowledge, education and needs among Taoyuan junior high students. Health Promotion & Health Education Journal, 26, 109-122.】
- 賴香如（2006）。培養生活技能，促進青少年健康。學校體育，94，50-55。doi:10.29937/PES. 200606.0010 【Lai, H.-R. (2006). Developing life skills to improve adolescents’ health. School Physical Education, 94, 50-55. doi:10.29937/PES.200606.0010】
- Abel, T., Hofmann, K., Ackermann, S., Bucher, S., & Sakarya, S. (2015). Health literacy among young adults: A short survey tool for public health and health promotion research. Health Promotion International, 30(3), 725-735. doi:10.1093/heapro/dat096
- Ad Hoc Committee on Health Literacy for the Council on Scientific Affairs, American Medical Association. (1999). Health literacy: Report of the Council on Scientific Affairs. Journal of the American Medical Association, 281(6), 552-557. doi:10.1001/jama.281.6.552
- Appleton, A., & Litchfield, R. (2009). Health literacy and food perceptions: Barriers to positive health behaviors among adolescents. Journal of the American Dietetic Association, 109(9), A-103. doi:10.1016/j.jada.2009.06.354
- Baker, D. W., Gazmararian, J. A., Williams, M. V., Scott, T., Parker, R. M., Green, D., …Peel, J. (2002). Functional health literacy and the risk of hospital admission among medicare managed care enrollees. American Journal of Public Health, 92(8), 1278-1283. doi:10.2105/AJPH.92.8. 1278
- Chisolm, D. J., & Buchanan, L. (2007). Measuring adolescent functional health literacy: A pilot validation of the test of functional health literacy in adults. Journal of Adolescent Health, 41(3), 312-314. doi:10.1016/j.jadohealth.2007.04.015
- Davis, S. E., Osborn, C. Y., Kripalani, S., Goggins, K. M., & Jackson, G. P. (2015). Health literacy, education levels, and patient portal usage during hospitalizations. AMIA Annual Symposium Proceedings, 2015, 1871-1880.
- Davis, T. C., Crouch, M. A., Long, S. W., Jackson, R. H., Bates, P., George, R. B., & Bairnsfather, L. E. (1991). Rapid assessment of literacy levels of adult primary care patients. Family Medicine, 23(6), 433-435.
- Davis, T. C., Wolf, M. S., Arnold, C. L., Byrd, R. S., Long, S. W., Springer, T., …Bocchini, J. A. (2006). Development and validation of the Rapid Estimate of Adolescent Literacy in Medicine (REALM-Teen): A tool to screen adolescents for below-grade reading in health care settings. Pediatrics, 118(6), e1707-e1714. doi:10.1542/peds.2006-1139
- Drummond, M., & Drummond, C. (2010). Interviews with boys on physical activity, nutrition and health: implications for health literacy. Health Sociology Review, 19(4), 491-504. doi:10.5172/ hesr.2010.19.4.491
- Feldman, S. S., & Elliott, G. R. (Eds.). (1990). At the threshold: The developing adolescent. Cambridge, MA: Harvard University Press.
- Frol, A. B., Vasquez, A., Getahun, Y., Pacheco, M., Khan, D. A., & Brown, E. S. (2013). A comparison of clinician-rated neuropsychological and self-rated cognitive assessments in patients with asthma and rheumatologic disorders. Allergy and Asthma Proceedings, 34(2), 170-175. doi:10.2500/aap.2013.34.3642
- Gazmararian, J. A., Williams, M. V., Peel, J., & Baker, D. W. (2003). Health literacy and knowledge of chronic disease. Patient Education and Counseling, 51(3), 267-275. doi:10.1016/S0738- 3991(02)00239-2
- Hanson-Divers, E. C. (1997). Developing a medical achievement reading test to evaluate patient literacy skills: A preliminary study. Journal of Health Care for the Poor and Underserved, 8(1), 56-69. doi:10.1353/hpu.2010.0304
- Howard, D. H., Gazmararian, J., & Parker, R. M. (2005). The impact of low health literacy on the medical costs of medicare managed care enrollees. The American Journal of Medicine, 118(4), 371-377. doi:10.1016/j.amjmed.2005.01.010
- Ishikawa, H., Nomura, K., Sato, M., & Yano, E. (2008). Developing a measure of communicative and critical health literacy: A pilot study of Japanese office workers. Health Promotion International, 23(3), 269-274. doi:10.1093/heapro/dan017
- Jordan, J. E., Buchbinder, R., & Osborne, R. H. (2010). Conceptualising health literacy from the patient perspective. Patient Education and Counseling, 79(1), 36-42. doi:10.1016/j.pec.2009. 10.001
- Liao, L.-L., Liu, C.-H., Cheng, C.-C., & Chang, T.-C. (2017). Defining Taiwanese children’s health literacy abilities from a health promotion perspective. Global Health Promotion, 24(4), 69-80. doi:10.1177/1757975915626114
- Liu, C.-H., Liao, L.-L., Cheng, C.-C. J., & Chang, T.-C. (2016). Development and validation of the Taiwan children’s health literacy test. Global Health Promotion, 25(2), 34-46. doi:10.1177/ 1757975916656365
- Manganello, J. A. (2008). Health literacy and adolescents: A framework and agenda for future research. Health Education Research, 23(5), 840-847. doi:10.1093/her/cym069
- Manganello, J. A., Colvin, K. F., Chisolm, D. J., Arnold, C., Hancock, J., & Davis, T. (2017). Validation of the Rapid Estimate for Adolescent Literacy in Medicine Short Form (REALM-TeenS). Pediatrics, 139(5), e20163286. doi:10.1542/peds.2016-3286
- McDonald, F. E. J., Patterson, P., Costa, D. S. J., & Shepherd, H. L. (2016). Validation of a health literacy measure for adolescents and young adults diagnosed with cancer. Journal of Adolescent and Young Adult Oncology, 5(1), 69-75. doi:10.1089/jayao.2014.0043
- Morris, C., Liabo, K., Wright, P., & Fitzpatrick, R. (2007). Development of the Oxford ankle foot questionnaire: Finding out how children are affected by foot and ankle problems. Child: Care, Health and Development, 33(5), 559-568. doi:10.1111/j.1365-2214.2007.00770.x
- Murphy, D. A., Lam, P., Naar-King, S., Harris, D. R., Parsons, J. T., & Muenz, L. R. (2010). Health literacy and antiretroviral adherence among HIV-infected adolescents. Patient Education and Counseling, 79(1), 25-29. doi:10.1016/j.pec.2009.07.014
- Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259-267. doi:10.1093/heapro/15.3.259
- Nutbeam, D. (2008). The evolving concept of health literacy. Social Science & Medicine, 67(12), 2072-2078. doi:10.1016/j.socscimed.2008.09.050
- Peerson, A., & Saunders, M. (2011). Men’s health literacy in Australia: In search of a gender lens. International Journal of Men’s Health, 10(2), 111-135. doi:10.3149/jmh.1002.111
- Pleasant, A., & Kuruvilla, S. (2008). A tale of two health literacies: Public health and clinical approaches to health literacy. Health Promotion International, 23(2), 152-159. doi:10.1093/ heapro/dan001
- Ratzan, S. C. (2001). Health literacy: Communication for the public good. Health Promotion International, 16(2), 207-214. doi:10.1093/heapro/16.2.207
- Scott, T. L., Gazmararian, J. A., Williams, M. V., & Baker, D. W. (2002). Health literacy and preventive health care use among medicare enrollees in a managed care organization. Medical Care, 40(5), 395-404. doi:10.1097/00005650-200205000-00005
- Shavelson, R. J., McDonnell, L. M., & Oakes, J. (1991). What are educational indicators and indicator systems? Practical Assessment, Research & Evaluation, 2(11), 1-3.
- Shone, L. P., Doane, C., Blumkin, A. K., Klein, J., & Wolf, M. S. (2010). Performance of ‘health literacy’ tools among adolescents and young adults. Journal of Adolescent Health, 46(2), S11-S12. doi:10.1016/j.jadohealth.2009.11.027
- Wiley, D. C., James, G., Jonas, J., & Crosman, E. D. (1991). Comprehensive school health programs in Texas public schools. Journal of School Health, 61(10), 421-425. doi:10.1111/j.1746-1561. 1991.tb05989.x
- Wolf, M. S., Gazmararian, J. A., & Baker, D. W. (2005). Health literacy and functional health status among older adults. Archives of Internal Medicine, 165(17), 1946-1952. doi:10.1001/archinte. 165.17.1946
- World Health Organization. (1998). Health promotion glossary. Geneva, Switzerland: Author.
| 中文APA引文格式 | 廖梨伶、劉潔心、施淑芳、鄭其嘉、張子超（2019）。青少年健康素養：由健康促進觀點建構定義與能力指標。教育科學研究期刊，64(1)，25-51。doi: 10.6209/JORIES.201903_64(1).0002 |
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| APA Format | Liao, L.-L., Liu, C.-H., Shih, S.-F., Cheng, C.-C., & Chang, T.-C. (2018). Defining adolescent health literacy and constructing its indicators from a health promotion perspective. Journal of Research in Education Sciences, 64(1), 25-51. doi: 10.6209/JORIES.201903_64(1).0002 |
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Journal directory listing - Volume 64 (2019) - Journal of Research in Education Sciences【64(1)】March
Directory
Defining Adolescent Health Literacy and Constructing Its Indicators From a Health Promotion Perspective
Author: Li-Ling Liao (Department of Health Management, I-Shou University), Chieh-Hsing Liu (Department of Health Promotion and Health Education, National Taiwan Normal University), Shu-Fang Shih (Department of Health Management and Policy, University of Michigan), Chi-Chia Cheng(Department of Public Health, Fu Jen University), Tzu-Chau Chang(Graduate Institute of Environmental Education, National Taiwan Normal University)
Vol.&No.：Vol. 64, No.1
Date：March 2019
Pages：25-51
DOI：10.6209/JORIES.201903_64(1).0002
Abstract：
Research has demonstrated that health literacy significantly affects health status, health inequality, medical expenses, accessibility of medical care, understanding of health information, and decision-making behavior. However, most studies on the topic of health literacy have focused on adults and are based on a medical perspective. This study proposed a definition of health literacy and an ability indicator for adolescents. The target study population were students in their third year of junior and senior high school. Thirty-four teachers, 23 parents, and 85 adolescents were interviewed to collect data concerning the real-life context of adolescents. The collected data and national health education curriculum guildines were used as a reference to develop health literacy definitions and abilities. Eight health education experts and eight senior teachers were invited to conduct a two-round Delphi survey. Based on the 3 types of adolescent health literacy (functional, interactive, and critical health literacy), this study developed health literacy definitions and 56 abilities (10 for the junior high indicator, 18 for the senior high indicator, and 28 for the junior and senior high indicator) covering 10 issues. The definitions and ability indicators in this study were developed on the basis of real-life adolescent contexts and considered Taiwan’s health education guildines. Therefore, the results can serve as a valuable reference for developing health literacy measurement instruments or intervention programs.
Keywords：adolescent, Delphi, health literacy, indicator