各國年輕女性癌前病變及子宮頸癌比例逐年增加，但是使用子宮頸抹片篩檢的情形卻不如預期廣泛。本研究以計畫行為理論為基礎架構，並加入個人背景屬性以及子宮頸癌和子宮頸抹片篩檢相關認知，探討年輕女性現在/未來對子宮頸抹片篩檢之行為意向。研究對象為全台灣地區20-29歲年輕女性，透過網路問卷調查方式，共計回收416份有效問卷。研究結果發現計畫行為理論的預測因子及人口背景對現在/未來接受子宮頸抹片篩檢行為意向皆有顯著相關，知覺行為控制和主觀規範是較具有影響力的預測指標，其中又以知覺行為控制最為強烈。態度在認知和行為意向之間扮演中介角色；認知程度愈高，態度愈正向，則參與篩檢的行為意向愈高。伴侶和配偶的支持會促使年輕女性現在/未來參與子宮頸抹片篩檢之行為意向。若能將篩檢補助的年齡下修、提供免費的抹片檢查，將會增加更多年輕女性的篩檢意願。

Nowadays, cases of pre-cancer lesion and cervical cancer for young females have been increasing in every nation, however cervical cancer screenings are not prevalently as expectation. The study is based on Theory of Planed Behavior (TPB) in association of personal background property and related cognitions of cervical cancer and cervical cancer screening to explore young females’ behavior intention toward cervical cancer screening in present and future. The objective research samples are females in Taiwan and whose ages are from 20 to 29. We adopted questionnaires on web and retrieved 416 valid samples. The result indicates that TPB’s factors and personal background have significant relationship on having behavior intention of cervical cancer screening in present and future. In particular, perceived behavioral control and subjective norm are significant predictive index, and also perceived behavioral control is remarkable. Attitude plays the role of mediator between cognition and behavior intention. The higher cognition, the more positive the attitude, so it leads to higher behavior intention of having cervical cancer screening. Furthermore, young females’ mates and spouses’ supports could facilitate them to have cervical cancer screening in terms of behavior intention in present and future. If the cervical cancer screening age for providing free screening could be younger, more young females shall be willing to undergo such screening.

論文審定書 i
致謝 ii
中文摘要 iii
英文摘要 iv
目錄 v
圖次 vii
表次 viii
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的 4
第三節 研究問題 5
第四節 研究流程 6
第二章 文獻探討 7
第一節 子宮頸癌的成因與現況 7
第二節 子宮頸抹片篩檢介紹及推行概況 16
第三節 計畫行為理論與應用 30
第四節 人口背景與子宮頸抹片篩檢行為意向 38
第三章 研究方法 41
第一節 研究假設與架構 41
第二節 研究對象與抽樣方法 43
第三節 研究工具 44
第四節 資料分析與處理 57
第四章 研究結果 59
第一節 研究對象基本屬性 59
第二節 各量表之敘述性分析 62
第三節 人口背景對子宮頸抹片篩檢行為意向之影響 67
第四節 影響子宮頸抹片篩檢行為意向之預測因子 82
第五節 認知、態度與行為意向之關係 83
第六節 研究假設驗證結果 86
第五章 討論 87
第一節 研究對象屬性分析 87
第二節 人口背景與子宮頸抹片篩檢行為意向之差異化分析 89
第三節 計畫行為理論運用結果 92
第四節 態度行為意向模式運用結果 95
第六章 結論與建議 96
第一節 結論與建議 96
第二節 研究限制 98
第三節 研究貢獻 98
參考文獻 99
附錄一 問卷審查專家名單 118
附錄二 本研究問卷正式版 119

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