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題名 愛滋感染者權能增強影響因素之研究
The empowerment factors of people living with HIV/AIDS作者 莊登閔
Chuang, Deng Min貢獻者 宋麗玉
Song, Li Yu
莊登閔
Chuang, Deng Min關鍵詞 增強權能
愛滋感染者
愛滋病
影響因素
empowerment
PLWHA
HIV
factor日期 2011 上傳時間 4-Sep-2013 09:51:53 (UTC+8) 摘要 愛滋感染者為深受社會烙印且處於社會邊緣的族群,在面對自身權力遭受侵犯時,往往難以看到該人口群為自己或社群發聲與行動,因此,本研究希冀瞭解愛滋感染者的權能表現以及可能的影響因素,藉此達致感染者權能的激發。本研究採取問卷調查法,以目前台灣的愛滋感染者為主要的受訪者,抽樣方法為立意抽樣,主要透過非營利組織、監所等管道發放問卷,整份問卷主要由受訪者自填或訪員協助填答的方式進行,共回收379份有效問卷。而納入檢驗愛滋感染者權能表現的相關因素主要有個人基本資料、生活滿意度、愛滋內在烙印、參與類型、愛滋知識與服藥狀況;本研究透過獨立樣本T檢定與變異數分析檢驗自變項與依變項的雙變項相關,並透過多元迴歸分析的方式,進行多變項的檢定。研究結果發現:一、愛滋感染者整體權能表現分布在尚可至中度,且社會政治權能表現最高,但實踐權能的參與行動卻偏低。二、愛滋感染者的生活滿意度位於稍微不滿意至中立的分配,且對於整體生活狀態滿意,但是不滿意過去的生命經驗。三、愛滋感染者的內在烙印程度較高,深受愛滋內在烙印影響者,權能相對較低。四、讓感染者自覺能夠影響他人者,權能表現相對較高。五、愛滋感染者對於愛滋知識的認識有助於權能提昇。六、多元迴歸分析當中,生活滿意度、社區代表參與、愛滋知識與服藥順從度為主要影響感染者權能的因素,共能解釋36%的變異量。本研究依據研究結果,針對實務工作者、未來研究者以及愛滋感染者進行相關的建議。期許實務工作者能協助感染者權能提昇的執行,研究者能夠繼續探索相關影響因素,而愛滋感染者可以相信自己具有權能的能力。
People living with HIV/AIDS(PLWHA) are marginalized by HIV social stigma, and we are hardly to see this population speak and act for their right, even through their right or power is violated. For this reason, I hope to find out the performances and the factors of empowerment of PLWHA. As the results, we can empower this population by the right strategies.The method to carry out this study was using a survey, which held by purposive sampling. People who infected HIV in Taiwan are the main sample size. The participation in this study was contacted by Non-government organizations, prisons and drug abuser center of correction agency, expecting to respond anonymously by them or interviewer. In the end, 379 questionnaires were analyzed. The instrument consist of six main parts, including demographic, satisfaction with life scale, HIV internal stigma, participation types, HIV/AIDS knowledge scale and reported compliance with medication. To address this issue, t-test and analyses of variance were used to detect bivariate analysis between dependent and independent variables. In order to clarify the explanatory power of variables, a multiple regression analysis was done.All research revealed, the total empowerment is moderate, and social-political empowerment is the highest, but PLWHA seldom participate in activities. Second, participation didn’t satisficate with their life, especially what they got in the past. Third, PLWHA had higher internal stigma score, which was negatively correlated with lower empowerment. Forth, PLWHA who can affect others had higher empowerment score. Fifth, HIV/AIDS knowledge was shown significant associated with empowerment of PLWHA. Sixth, multiple regression analysis shows that satisfaction with life scale, community participation, HIV/AIDS knowledge and reported compliance with medication were important factors of empowerment, accounting for 36% variance. 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Psychological empowerment: issue and Illustrations. American Journal of Community Psychology, 23:5, pp581-599. 描述 碩士
國立政治大學
社會工作研究所
98264012
100資料來源 http://thesis.lib.nccu.edu.tw/record/#G0982640121 資料類型 thesis dc.contributor.advisor 宋麗玉 zh_TW dc.contributor.advisor Song, Li Yu en_US dc.contributor.author (Authors) 莊登閔 zh_TW dc.contributor.author (Authors) Chuang, Deng Min en_US dc.creator (作者) 莊登閔 zh_TW dc.creator (作者) Chuang, Deng Min en_US dc.date (日期) 2011 en_US dc.date.accessioned 4-Sep-2013 09:51:53 (UTC+8) - dc.date.available 4-Sep-2013 09:51:53 (UTC+8) - dc.date.issued (上傳時間) 4-Sep-2013 09:51:53 (UTC+8) - dc.identifier (Other Identifiers) G0982640121 en_US dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/59945 - dc.description (描述) 碩士 zh_TW dc.description (描述) 國立政治大學 zh_TW dc.description (描述) 社會工作研究所 zh_TW dc.description (描述) 98264012 zh_TW dc.description (描述) 100 zh_TW dc.description.abstract (摘要) 愛滋感染者為深受社會烙印且處於社會邊緣的族群,在面對自身權力遭受侵犯時,往往難以看到該人口群為自己或社群發聲與行動,因此,本研究希冀瞭解愛滋感染者的權能表現以及可能的影響因素,藉此達致感染者權能的激發。本研究採取問卷調查法,以目前台灣的愛滋感染者為主要的受訪者,抽樣方法為立意抽樣,主要透過非營利組織、監所等管道發放問卷,整份問卷主要由受訪者自填或訪員協助填答的方式進行,共回收379份有效問卷。而納入檢驗愛滋感染者權能表現的相關因素主要有個人基本資料、生活滿意度、愛滋內在烙印、參與類型、愛滋知識與服藥狀況;本研究透過獨立樣本T檢定與變異數分析檢驗自變項與依變項的雙變項相關,並透過多元迴歸分析的方式,進行多變項的檢定。研究結果發現:一、愛滋感染者整體權能表現分布在尚可至中度,且社會政治權能表現最高,但實踐權能的參與行動卻偏低。二、愛滋感染者的生活滿意度位於稍微不滿意至中立的分配,且對於整體生活狀態滿意,但是不滿意過去的生命經驗。三、愛滋感染者的內在烙印程度較高,深受愛滋內在烙印影響者,權能相對較低。四、讓感染者自覺能夠影響他人者,權能表現相對較高。五、愛滋感染者對於愛滋知識的認識有助於權能提昇。六、多元迴歸分析當中,生活滿意度、社區代表參與、愛滋知識與服藥順從度為主要影響感染者權能的因素,共能解釋36%的變異量。本研究依據研究結果,針對實務工作者、未來研究者以及愛滋感染者進行相關的建議。期許實務工作者能協助感染者權能提昇的執行,研究者能夠繼續探索相關影響因素,而愛滋感染者可以相信自己具有權能的能力。 zh_TW dc.description.abstract (摘要) People living with HIV/AIDS(PLWHA) are marginalized by HIV social stigma, and we are hardly to see this population speak and act for their right, even through their right or power is violated. For this reason, I hope to find out the performances and the factors of empowerment of PLWHA. As the results, we can empower this population by the right strategies.The method to carry out this study was using a survey, which held by purposive sampling. People who infected HIV in Taiwan are the main sample size. The participation in this study was contacted by Non-government organizations, prisons and drug abuser center of correction agency, expecting to respond anonymously by them or interviewer. In the end, 379 questionnaires were analyzed. The instrument consist of six main parts, including demographic, satisfaction with life scale, HIV internal stigma, participation types, HIV/AIDS knowledge scale and reported compliance with medication. To address this issue, t-test and analyses of variance were used to detect bivariate analysis between dependent and independent variables. In order to clarify the explanatory power of variables, a multiple regression analysis was done.All research revealed, the total empowerment is moderate, and social-political empowerment is the highest, but PLWHA seldom participate in activities. Second, participation didn’t satisficate with their life, especially what they got in the past. Third, PLWHA had higher internal stigma score, which was negatively correlated with lower empowerment. Forth, PLWHA who can affect others had higher empowerment score. Fifth, HIV/AIDS knowledge was shown significant associated with empowerment of PLWHA. Sixth, multiple regression analysis shows that satisfaction with life scale, community participation, HIV/AIDS knowledge and reported compliance with medication were important factors of empowerment, accounting for 36% variance. Suggestions were given to pratical workers, future researchers and PLWHA: we hope pratical worker can help to raise the empowerment of PLWHA, researcher can keep finding more empowerment factors in the future, and PLWHA can believe they have empower ability to strive for their right. en_US dc.description.tableofcontents 目錄………………………………………………………………………… Ⅰ表目錄……………………………………………………………………… Ⅱ圖目錄……………………………………………………………………… I第一章 緒論……………………………………………………….. 1 第一節 研究背景與研究動機…………………. 1 第二節 研究目的與研究問題………………… 8 第三節 名詞解釋……………………………………………… 8第二章 文獻探討………………………………………………… 10 第一節 愛滋感染者脈絡簡介………………… 10 第二節 增強權能的內涵…………………………… 22 第三節 增強權能的測量與影響因素……… 39第三章 研究方法………………………………………………… 62 第一節 研究問題……………………………………… 62 第二節 研究樣本……………………………………… 62 第三節 測量工具………………………………………… 66 第四節 研究假設………………………………………… 75 第五節 資料分析方法………………………………… 75 第六節 研究倫理………………………………………… 76第四章 研究發現…………………………………………… 77 第一節 愛滋感染者資料描述…………………… 77 第二節 影響愛滋感染者權能表現之相關分析…………… 92 第三節 權能表現與影響因素之多元迴歸分析…………… 103第五章 討論與建議……………………………………………………… 111 第一節 研究摘要……….………………………………………… 111 第二節 研究討論…………………………………………………. 112 第三節 研究建議…………………………………………………. 116 第四節 研究限制…………………………………………………. 121參考文獻…………………………………………………………………… 124 中文部分………………………………………………………….. 124 英文部分…………………………………………………………... 125附錄………………………………………………………………………….. 134 訪員注意事項…………………………………………………….. 134 正式施測問卷……………………………………………………... 136 zh_TW dc.format.extent 1040388 bytes - dc.format.mimetype application/pdf - dc.language.iso en_US - dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0982640121 en_US dc.subject (關鍵詞) 增強權能 zh_TW dc.subject (關鍵詞) 愛滋感染者 zh_TW dc.subject (關鍵詞) 愛滋病 zh_TW dc.subject (關鍵詞) 影響因素 zh_TW dc.subject (關鍵詞) empowerment en_US dc.subject (關鍵詞) PLWHA en_US dc.subject (關鍵詞) HIV en_US dc.subject (關鍵詞) factor en_US dc.title (題名) 愛滋感染者權能增強影響因素之研究 zh_TW dc.title (題名) The empowerment factors of people living with HIV/AIDS en_US dc.type (資料類型) thesis en dc.relation.reference (參考文獻) (中文部分)王麗雲、潘慧玲(2000)。教師彰顯益能的概念與實施策略。教育研究季刊。44,173-200。古力巴(2006)。台灣地區愛滋病患之需求評估。陽明大學公共衛生研究所碩士論文。史麗珠、羅于惠、黃翠咪、陳佳伶、黃惠鈞、林雪蓉(2010)。愛滋知識量表建立及信效度評估。疫情報導。26:22,頁304-311。台灣露德協會(2011),認識愛滋,http://www.lourdes.org.tw/#,瀏覽時間2011/05/30。行紅芳(2007)。熟人社會的污名與污名控制策略:以愛滋病為例。青年研究,2。行政院衛生署疾病管制局(2011)愛滋虛擬博物館統國內疫情計資料。http://www.cdc.gov.tw/ct.asp?xItem=11234&CtNode=1095&mp=220 瀏覽時間向德平、韓孟杰(2009)。困境與出路-愛滋病患者的社會處境研究。北京:社會科學文獻出版社。余漢儀(1996)。兒童虐待-現象檢視與問題反思。台北:巨流。李開敏(2003)。性犯罪問題面面觀─受害兒少的創傷與輔導。月旦法學,96,頁54-74。宋麗玉(2006)。增強權能量表之發展與驗證。社會政策與社會工作學刊,10:2頁49-86。金毓慶(2006)。愛滋病毒感染者的社會支持、非理性信念與情緒困擾之關係研究。高雄師範大學輔導與諮商研究所碩士論文。林正鄆(2010)。男同性戀愛滋感染者就醫就業障礙與因應方式之初探。台灣師範大學社會工作研究所碩士論文。施侒玓(1999)。台灣地區HIV 感染者生活適應之探討。中華醫務社會工作學刊,8,127-144。洪怡菁(2007)。HIV感染受刑人的人格特質、社會支持與希望感之相關研究。高雄師範大學輔導與諮商研究所碩士論文。國家衛生研究院(2009)。我國愛滋病防治政策建議書。陳怡芳(2003)。疾病污名的社會表徵-一項多元尺度法的研究。高雄醫學大學行為科學研究所碩士論文。陳怡伶(2008)。毒癮愛滋感染者社會網絡與社會適應之探討。暨南國際大學社會政策與社會工作學系碩士論文。陳琦(2009)。邊緣與迴歸-愛滋病患者的社會排斥研究。北京:社會科學文獻出版社。陳盈智(2009)。賦權(Empowerment)思想之儒家省察-以社會工作實務為中心 。南華大學哲學系碩士論文。陳寬裕、王正華,(2010),論文統計分析實務:SPSS與Amos的運用,台北:五南圖書。莫藜藜、鍾道詮(2006)。從愛滋社工者的工作經驗初探「部分社工者不願提供服務給愛滋感染者或病患」之現象。台灣社會工作學刊,6:1-31。莊苹、劉仲冬(1997)。愛滋風暴—愛滋之烙印對感染者及一般民眾之意義。護理研究。5:1,頁52-64。張麗玉(2002)。愛滋病患社會心理調適之探討。愛滋病照護學理論與實務之應用, 頁183-196。張麗玉、楊宗憲、林佳諺、周玲玲、莊哲彥(2003)。愛滋病患配偶或伴侶的壓力、社會支持與因應策略之研究。臺灣醫界,46:6,頁28-33。張麗玉、黃椿玲(2008)。發現復原力:愛滋患者的社會工作處遇實務探討。臺灣健康照顧研究學刊,27:2 ,頁118-126。葉肅科(2008)。健康、疾病與醫療:醫療社會學新論。臺北:三民。楊美紅(1998)。台灣北部地區愛滋病毒感染者生活品質及其相關因素之探討。國防醫學院護理學研究所碩士論文。楊靖慧、郭旭崧(2006)。愛滋病之流行病學。愛滋病學第二版。台北:健康文化。鄭麗珍(2003)。<增強權能理論與倡導>,載於宋麗玉、曾華源、施教裕、鄭麗珍編著,《社會工作理論-處遇模式與案例分析》,頁407-440。台北:洪葉出版社。趙善如(1999)。「增強力量」觀點之社會工作實務要素與處遇策略。台大社會工作學刊,1,231-262。潘淑滿(2000)。社會個案工作。臺北市:心理出版社。鐘道詮(1998)。男同志在面對愛滋烙印與防治政策的壓力及其因應策略。台灣性學學刊,4:1,頁16-27。鍾佳伶(2010)。精神障礙者家屬社會支持、權能感與烙印感之相關性探討,台灣大學社會工作研究所碩士論文。簡春安、鄒平儀(2004)。社會工作研究法。台北:巨流。(英文部分)Apinundecha C, Laohasiriwong W, Cameron M. 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