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| Title | 健康相關當局信任感與民眾資料保密性的關連:以台灣HIV/AIDS與男同性戀為例 Trust in officialdom as it relates to confidentiality: HIV/AIDS and men who have sex with men in Taiwan |
| Creator | 雷凱仁 Callum John Sawatzky |
| Contributor | 湯京平 雷凱仁 Callum John Sawatzky |
| Key Words | 信任 |
| Date | 2009 |
| Date Issued | 8-Dec-2010 02:05:14 (UTC+8) |
| Summary | Newly diagnosed cases of AIDS in Taiwan among men who have sex with men are increasing despite the island’s free access to HIV medications and treatment which slow and often prevent HIV from becoming AIDS. These increases are not matched by increases in newly diagnosed HIV cases. This suggests that MSM in Taiwan are not seeking testing and/or treatment until the disease has significantly progressed. The author theorizes that Taiwan’s MSM’s need for confidentiality and their lack of trust in health officials to maintain confidentiality is the source of this delay in taking action. A questionnaire given to 152 MSM living in Taiwan suggested that there was lack of trust, but that trust was largely centered around the system itself and the capability of higher level health officials they never come in contact with, rather than doctors, nurses and related social workers. The questionnaire suggested a positive correlation between trust and anonymous testing, as opposed to non-anonymous testing. The questionnaire also suggested older MSM are more likely to get tested regularly and younger MSM are more likely to get tested because of unsafe sex. The results of the questionnaire were supported by interviews. Eleven MSM who had undergone HIV tests were interviewed, including 3 HIV positive interviewees, 2 of whom having AIDS. The interviews affirmed a strong need for confidentiality and illustrated misconceptions, doubts, lack of knowledge and hearsay were inhibitors to trust in health officials. The need for confidentiality was especially strong in relation to family and work. The interviews also suggested that the environment they were tested and treated in raised concerns about ability to remain confidential. |
| 參考文獻 | Allmark, P. (1995). HIV and the boundaries of confidentiality, Journal of Advanced Nursing, 21(1), 158-163. AVERT. (2008) Worldwide Statistics (Data files). Retrieved from http://www.avert.org/aids-statistics.htm Ban, K. M. (2010, June 9). Noting progress to date, Ban urges greater efforts against HIV/AIDS . UN News Center. Retrieved from http://www.un.org/apps/news/story.asp?NewsID=34977 BBC News. (2003, November 1). Taiwan holds its first gay pride parade. BBC News. Retrieved from http://news.bbc.co.uk/2/hi/asia-pacific/3233905.stm Brockner, J and Siegel, P. (1997) When Trust Matters: the moderating effect of outcome favorability. Administrative Science Quarterly, 43, 555-583. Center for Disease Control. (2010) 2010 March Accumulated Data (Data files). Retrieved from http://www.cdc.gov.tw/public/Attachment/04814513971.xls Cohen, M. S., Gay, C., and Kashuba, A.D. (2007). Narrative review: antiretroviral therapy to prevent the sexual transmission of HIV-1. Ann Intern Med, 146, 591-601. Daar, E., Lynn, H., Donfield, S., Gomperts, E., O’Brien S., Hilgartner, M., Hoots, W., Chernoff D., Arkin, S., Wong, W. and Winkler, C. (2001). Hepatitis C Virus Load is Associated with Human Immunodeficiency Virus Type 1 Disease Progression in Hemophiliacs. The Journal of Infectious Diseases, 183(4), 589-595. Dong, Q. and Lee, Y. (2007). The Chinese Concept of Face: A Perspective for Business Communicators. Journal of Business and Society, 20, 204-216. Donnell, D., Baeten, J. M., Kiarie, J., Thomas, K. K., Stevens, W., Cohen, C. R., Mclntyre, J., Lingappa, J. R. and Celum, C. (2010). Heterosexual HIV-1 transmission after initiation of antiretroviral therapy: a prospective cohort analysis. The Lancet, 375, 2092-2098. Fang C. (2004) Decreased HIV Transmission after a Policy of Providing Free Access to Highly Active Antiretroviral Therapy in Taiwan. Retrieved from http://www.who.int/hiv/events/artprevention/fang.pdf Gilson, L. (2000) Trust and the Development of Health Care as a Social Institution. Social Science and Medicine. 7, 1453-1468. Greco, D., et al. (2007). Differences in HIV-risk behavior of bisexual men in their relationships with men and women, Scielo Public Health. Hall, M. K, Dugan, E., Zheng, B., and Mishra, A. K.(2001) Trust in Physicians and Medical Institutions: What Is It, Can It Be Measured, and Does It Matter? The Milbank Quarterly, 79(4), 613-639. Hardin, R. (1998) Trust. New York: Russell Sage. Hsu, R. (2008) Book lauds nation’s medical tourism. Taipei Times. Retrieved from http://www.taipeitimes.com/news/taiwan/archives/2008/7/30/2003418938/print. Johnson, W. D., Diaz, R. M., Flanders, W. D., Goodman, M., Hill, A. N., Holtgrave, D., Malow, R. and McClellan, W. M. (2008). Behavioral interventions to reduce risk for sexual transmission of HIV among men who have sex with men. Cochrane Database Syst Rev., 3, CD001230. Katz, M. H., Schwarcz, S. K., and Kellogg, T. A. (2002) Impact of highly active antiretroviral treatment on HIV seroincidence among men who have sex with men. Am J Public Health, 92, 388-394. Kuo, H. S., Tsai, S. F., Huang, Y. F. (2006). Fighting a Rising Tide: The Response to AIDS in East Asia, Japan Center for International Exchange, 226-246. Malholtra, N. K. (2007) Marketing Research and Applied Orientation Fifth Edition, Pearson International Edition. Montaner, J. S. G., Hogg. R. S., and Wood, E. (2006). The case for expanding access to highly active anti-retroviral therapy to curb the growth of the HIV epidemic.The Lancet, 368, 531-536. Padian, N. (1992) Female-to-Male Transmission of the Human Immunodeficiency Virus. Obstetrical & Gynecological Survey, 47 (3), 170-172. UNAIDS. (2008) Country Reports (Data files). Retrieved from http://www.unaids.org/en/CountryResponses/Countries/ Utopia Asia. (2002) Asian AIDS/HIV Information Archive (Data files). Retrieved from http://www.utopia-asia.com/aids.htm Vernazza, P., Hirschel, B., Bernasconi, E. (2008). Les personnes séropositives ne souffrant d`aucune autre MST et suivant un traitement antirétroviral efficace ne transmettent pas le VIH par voie sexuelle. Bulletin des médecins suisses. 89, 165-169. 楚楚（2009）〈感謝大家參與，第七屆台灣同志遊行圓滿落幕！〉，《Taiwan LGBT Pride Community》，截取自http://www.twpride.info/main/?q=node/290 江思穎（2003）《基督男同志生命故事之敘說—信仰與性傾向衝突的認同歷程》。中原大學心理學研究所碩士論文。 周華山（1997）《後植民同志》。香港：香港同志研究社。 柯乃熒、鐘信心、章順仁、葛應欽（1996）〈自我效力、自覺愛滋病威脅及其性行為之相關—南台彎108例男同性戀之分析〉，《護理研究》，4(3)：285-297。 張銘峰（2001）《彩虹國度之情慾研究—以中年男同志為例》。國立高雄師範大學成人教育研究所碩士論文。 陳怡君（2006, Oct. 31）〈台灣同志婚姻立法遭立委阻擋〉，《立報》，截取自http://publish.lihpao.com/Gender/2006/10/31/1201/index.html 黃才容（2003）〈以產業結構特性看台彎同志廣播節目的生存與經營〉，《傳播與管理研究》，3(1)：101-122。 劉達臨（1999）《中國文化新論叢書—性與中國文化》。北京：人民出版社。 賴鈺麟（2001）〈2001台北同玩節—陽光、活力、同性戀〉，《婦女與兩性研究通訊》，60：43-44。 駱俊宏、林燕卿、王素女、林蕙瑛（2006）〈從異性戀霸權、父權體制觀看同性戀者之處境與污名〉，《台灣性學學刊》，11(2)：61-74。 |
| Description | 碩士 國立政治大學 亞太研究英語碩士學位學程(IMAS) 95924012 98 |
| 資料來源 | http://thesis.lib.nccu.edu.tw/record/#G0095924012 |
| Type | thesis |
| dc.contributor.advisor | 湯京平 | zh_TW |
| dc.contributor.author (Authors) | 雷凱仁 | zh_TW |
| dc.contributor.author (Authors) | Callum John Sawatzky | en_US |
| dc.creator (作者) | 雷凱仁 | zh_TW |
| dc.creator (作者) | Callum John Sawatzky | en_US |
| dc.date (日期) | 2009 | en_US |
| dc.date.accessioned | 8-Dec-2010 02:05:14 (UTC+8) | - |
| dc.date.available | 8-Dec-2010 02:05:14 (UTC+8) | - |
| dc.date.issued (上傳時間) | 8-Dec-2010 02:05:14 (UTC+8) | - |
| dc.identifier (Other Identifiers) | G0095924012 | en_US |
| dc.identifier.uri (URI) | http://nccur.lib.nccu.edu.tw/handle/140.119/49319 | - |
| dc.description (描述) | 碩士 | zh_TW |
| dc.description (描述) | 國立政治大學 | zh_TW |
| dc.description (描述) | 亞太研究英語碩士學位學程(IMAS) | zh_TW |
| dc.description (描述) | 95924012 | zh_TW |
| dc.description (描述) | 98 | zh_TW |
| dc.description.abstract (摘要) | Newly diagnosed cases of AIDS in Taiwan among men who have sex with men are increasing despite the island’s free access to HIV medications and treatment which slow and often prevent HIV from becoming AIDS. These increases are not matched by increases in newly diagnosed HIV cases. This suggests that MSM in Taiwan are not seeking testing and/or treatment until the disease has significantly progressed. The author theorizes that Taiwan’s MSM’s need for confidentiality and their lack of trust in health officials to maintain confidentiality is the source of this delay in taking action. A questionnaire given to 152 MSM living in Taiwan suggested that there was lack of trust, but that trust was largely centered around the system itself and the capability of higher level health officials they never come in contact with, rather than doctors, nurses and related social workers. The questionnaire suggested a positive correlation between trust and anonymous testing, as opposed to non-anonymous testing. The questionnaire also suggested older MSM are more likely to get tested regularly and younger MSM are more likely to get tested because of unsafe sex. The results of the questionnaire were supported by interviews. Eleven MSM who had undergone HIV tests were interviewed, including 3 HIV positive interviewees, 2 of whom having AIDS. The interviews affirmed a strong need for confidentiality and illustrated misconceptions, doubts, lack of knowledge and hearsay were inhibitors to trust in health officials. The need for confidentiality was especially strong in relation to family and work. The interviews also suggested that the environment they were tested and treated in raised concerns about ability to remain confidential. | en_US |
| dc.description.tableofcontents | Acknowledgements---ii Abstract---iii 1.Introduction---1 2.Literary Review---3 2.1 HIV/AIDS in Taiwan---3 2.2 Male Homosexuality in Taiwan---9 2.3 Trust and Health Care---12 3.Methodology---14 3.1 Research Framework---14 3.2 Methodology Selection---14 3.3 Sources---16 3.4 Participants---18 3.5 Content of Questionnaire and In-depth Interview Guidelines---20 4.Results and Analysis---22 4.1 Survey---22 4.2 In-depth Interviews---37 5.Findings---55 5.1.Conclusions and Implications---55 5.2 Future Research---60 5.3 Limitations---63 References---65 Appendix I: Questionnaire---69 Appendix II: In-depth Interview Transcription---72 | zh_TW |
| dc.language.iso | en_US | - |
| dc.source.uri (資料來源) | http://thesis.lib.nccu.edu.tw/record/#G0095924012 | en_US |
| dc.subject (關鍵詞) | 信任 | zh_TW |
| dc.title (題名) | 健康相關當局信任感與民眾資料保密性的關連:以台灣HIV/AIDS與男同性戀為例 | zh_TW |
| dc.title (題名) | Trust in officialdom as it relates to confidentiality: HIV/AIDS and men who have sex with men in Taiwan | en_US |
| dc.type (資料類型) | thesis | en |
| dc.relation.reference (參考文獻) | Allmark, P. (1995). HIV and the boundaries of confidentiality, Journal of Advanced Nursing, 21(1), 158-163. | zh_TW |
| dc.relation.reference (參考文獻) | AVERT. (2008) Worldwide Statistics (Data files). Retrieved from http://www.avert.org/aids-statistics.htm | zh_TW |
| dc.relation.reference (參考文獻) | Ban, K. M. (2010, June 9). Noting progress to date, Ban urges greater efforts against HIV/AIDS . UN News Center. Retrieved from http://www.un.org/apps/news/story.asp?NewsID=34977 | zh_TW |
| dc.relation.reference (參考文獻) | BBC News. (2003, November 1). Taiwan holds its first gay pride parade. BBC News. Retrieved from http://news.bbc.co.uk/2/hi/asia-pacific/3233905.stm | zh_TW |
| dc.relation.reference (參考文獻) | Brockner, J and Siegel, P. (1997) When Trust Matters: the moderating effect of outcome favorability. Administrative Science Quarterly, 43, 555-583. | zh_TW |
| dc.relation.reference (參考文獻) | Center for Disease Control. (2010) 2010 March Accumulated Data (Data files). Retrieved from http://www.cdc.gov.tw/public/Attachment/04814513971.xls | zh_TW |
| dc.relation.reference (參考文獻) | Cohen, M. S., Gay, C., and Kashuba, A.D. (2007). Narrative review: antiretroviral therapy to prevent the sexual transmission of HIV-1. Ann Intern Med, 146, 591-601. | zh_TW |
| dc.relation.reference (參考文獻) | Daar, E., Lynn, H., Donfield, S., Gomperts, E., O’Brien S., Hilgartner, M., Hoots, W., Chernoff D., Arkin, S., Wong, W. and Winkler, C. (2001). Hepatitis C Virus Load is Associated with Human Immunodeficiency Virus Type 1 Disease Progression in Hemophiliacs. The Journal of Infectious Diseases, 183(4), 589-595. | zh_TW |
| dc.relation.reference (參考文獻) | Dong, Q. and Lee, Y. (2007). The Chinese Concept of Face: A Perspective for Business Communicators. Journal of Business and Society, 20, 204-216. | zh_TW |
| dc.relation.reference (參考文獻) | Donnell, D., Baeten, J. M., Kiarie, J., Thomas, K. K., Stevens, W., Cohen, C. R., Mclntyre, J., Lingappa, J. R. and Celum, C. (2010). Heterosexual HIV-1 transmission after initiation of antiretroviral therapy: a prospective cohort analysis. The Lancet, 375, 2092-2098. | zh_TW |
| dc.relation.reference (參考文獻) | Fang C. (2004) Decreased HIV Transmission after a Policy of Providing Free Access to Highly Active Antiretroviral Therapy in Taiwan. Retrieved from http://www.who.int/hiv/events/artprevention/fang.pdf | zh_TW |
| dc.relation.reference (參考文獻) | Gilson, L. (2000) Trust and the Development of Health Care as a Social Institution. Social Science and Medicine. 7, 1453-1468. | zh_TW |
| dc.relation.reference (參考文獻) | Greco, D., et al. (2007). Differences in HIV-risk behavior of bisexual men in their relationships with men and women, Scielo Public Health. | zh_TW |
| dc.relation.reference (參考文獻) | Hall, M. K, Dugan, E., Zheng, B., and Mishra, A. K.(2001) Trust in Physicians and Medical Institutions: What Is It, Can It Be Measured, and Does It Matter? The Milbank Quarterly, 79(4), 613-639. | zh_TW |
| dc.relation.reference (參考文獻) | Hardin, R. (1998) Trust. New York: Russell Sage. | zh_TW |
| dc.relation.reference (參考文獻) | Hsu, R. (2008) Book lauds nation’s medical tourism. Taipei Times. Retrieved from http://www.taipeitimes.com/news/taiwan/archives/2008/7/30/2003418938/print. | zh_TW |
| dc.relation.reference (參考文獻) | Johnson, W. D., Diaz, R. M., Flanders, W. D., Goodman, M., Hill, A. N., Holtgrave, D., Malow, R. and McClellan, W. M. (2008). Behavioral interventions to reduce risk for sexual transmission of HIV among men who have sex with men. Cochrane Database Syst Rev., 3, CD001230. | zh_TW |
| dc.relation.reference (參考文獻) | Katz, M. H., Schwarcz, S. K., and Kellogg, T. A. (2002) Impact of highly active antiretroviral treatment on HIV seroincidence among men who have sex with men. Am J Public Health, 92, 388-394. | zh_TW |
| dc.relation.reference (參考文獻) | Kuo, H. S., Tsai, S. F., Huang, Y. F. (2006). Fighting a Rising Tide: The Response to AIDS in East Asia, Japan Center for International Exchange, 226-246. | zh_TW |
| dc.relation.reference (參考文獻) | Malholtra, N. K. (2007) Marketing Research and Applied Orientation Fifth Edition, Pearson International Edition. | zh_TW |
| dc.relation.reference (參考文獻) | Montaner, J. S. G., Hogg. R. S., and Wood, E. (2006). The case for expanding access to highly active anti-retroviral therapy to curb the growth of the HIV epidemic.The Lancet, 368, 531-536. | zh_TW |
| dc.relation.reference (參考文獻) | Padian, N. (1992) Female-to-Male Transmission of the Human Immunodeficiency Virus. Obstetrical & Gynecological Survey, 47 (3), 170-172. | zh_TW |
| dc.relation.reference (參考文獻) | UNAIDS. (2008) Country Reports (Data files). Retrieved from http://www.unaids.org/en/CountryResponses/Countries/ | zh_TW |
| dc.relation.reference (參考文獻) | Utopia Asia. (2002) Asian AIDS/HIV Information Archive (Data files). Retrieved from http://www.utopia-asia.com/aids.htm | zh_TW |
| dc.relation.reference (參考文獻) | Vernazza, P., Hirschel, B., Bernasconi, E. (2008). Les personnes séropositives ne souffrant d`aucune autre MST et suivant un traitement antirétroviral efficace ne transmettent pas le VIH par voie sexuelle. Bulletin des médecins suisses. 89, 165-169. | zh_TW |
| dc.relation.reference (參考文獻) | 楚楚（2009）〈感謝大家參與，第七屆台灣同志遊行圓滿落幕！〉，《Taiwan LGBT Pride Community》，截取自http://www.twpride.info/main/?q=node/290 | zh_TW |
| dc.relation.reference (參考文獻) | 江思穎（2003）《基督男同志生命故事之敘說—信仰與性傾向衝突的認同歷程》。中原大學心理學研究所碩士論文。 | zh_TW |
| dc.relation.reference (參考文獻) | 周華山（1997）《後植民同志》。香港：香港同志研究社。 | zh_TW |
| dc.relation.reference (參考文獻) | 柯乃熒、鐘信心、章順仁、葛應欽（1996）〈自我效力、自覺愛滋病威脅及其性行為之相關—南台彎108例男同性戀之分析〉，《護理研究》，4(3)：285-297。 | zh_TW |
| dc.relation.reference (參考文獻) | 張銘峰（2001）《彩虹國度之情慾研究—以中年男同志為例》。國立高雄師範大學成人教育研究所碩士論文。 | zh_TW |
| dc.relation.reference (參考文獻) | 陳怡君（2006, Oct. 31）〈台灣同志婚姻立法遭立委阻擋〉，《立報》，截取自http://publish.lihpao.com/Gender/2006/10/31/1201/index.html | zh_TW |
| dc.relation.reference (參考文獻) | 黃才容（2003）〈以產業結構特性看台彎同志廣播節目的生存與經營〉，《傳播與管理研究》，3(1)：101-122。 | zh_TW |
| dc.relation.reference (參考文獻) | 劉達臨（1999）《中國文化新論叢書—性與中國文化》。北京：人民出版社。 | zh_TW |
| dc.relation.reference (參考文獻) | 賴鈺麟（2001）〈2001台北同玩節—陽光、活力、同性戀〉，《婦女與兩性研究通訊》，60：43-44。 | zh_TW |
| dc.relation.reference (參考文獻) | 駱俊宏、林燕卿、王素女、林蕙瑛（2006）〈從異性戀霸權、父權體制觀看同性戀者之處境與污名〉，《台灣性學學刊》，11(2)：61-74。 | zh_TW |