目的：
本研究目的是探討影響台灣民眾是否定期口腔檢查的因素。定期口腔檢查可以維護民眾自身的口腔健康、及早發現口腔問題並及時導正民眾對於口腔衛生的錯誤觀念，避免民眾等到口腔問題趨於嚴重時，要花更多的經費與精神來處理問題。本研究參照Andersen提出的第一階段健康服務模式，做些微的調整，希望能將影響依變項的自變項，由傾向因素、使能因素、需要因素以及健康行為因素來有效地區分，並找出影響因素。
研究方法：
本研究資料來源為國民健康訪問調查(NHIS)，2009年面訪問卷口腔健康相關內容，去除遺漏值，共計取得18,079個12-64歲以上之樣本，並操作STATA12統計軟體統計出描述性統計、Ｔ檢定、卡方檢定、邏輯斯迴歸以及層級邏輯斯迴歸，找出影響定期口腔檢查的因素。
結果：
年齡較長、無就醫障礙、自覺身體狀況普通者、自覺牙齒狀況好者均較沒有定期口腔檢查的習慣。
結論：
影響民眾是否定期口腔檢查有顯著差異的因素包括傾向因素中的年齡、使能因素中的就醫障礙、需要因素中的自覺身體及牙齒狀況。瞭解民眾不願意利用牙科醫療的因素，可以針對這幾個因素開始著手，去輔助推動口腔預防保健觀念，並有效建立民眾對於口腔保養的正確認知。

Objective:
The present research investigated the factors that affect the Taiwanese on having regularly dental check-ups. Regularly oral examination helps people maintain their own oral helath, dedects early oral problems and corrects the misconceptions of oral hygiene immediately. Avoiding the oral problems deteriorating to become the serious proplems. It’ll cause citizens to spend much more money to deal with all the problems. According to the first phase of the health service model that proposed by Andersen, the study is using the slight adjustments of the present study in order to arrange the independent variable and dependent variables efficiently. The study separates the dependent variables into tendency factor, enabling factor, needing factor and health behavioral factor.

Method:
The Research Sources is from the National Health Interview Survey (NHIS) 2009.Deleting the missing values in the dataset, 18,079 observations rest. Operating statistical software STATA12 to statistics descriptive statistics, T test, chi-square test, logic regression and hierarchical logistic regression.In order to find the factors of regular dental check-ups much more efficiently.

Results:
Non-regularly having oral examination results from elder age,without medical obstacles, perceived self general health average, conscious self dental condition good.According to the above statements that are the tendencies of non-regular dental check-ups.

Conclusion:
The factors which affecting whether citizens with regualr oral examination has significantly differences. These factors including age factor in tendency factor, medical obstacles factor in enabling factor,conscious self dental/body condition factor in needing factors. Understanding the reasons why citizens unwilling having the dental care utilizations. In connection with these factors to start oral prevention operation and aid citiznes to build the proper conception toward the oral cleaning ways.

目錄
致謝......................................................................................................................... i
中文摘要..................................................................................................................ii
英文摘要.................................................................................................................iii
內文目錄.................................................................................................................iv
表次.......................................................................................................................vi
圖次.......................................................................................................................vii


第一章 前言.............................................................................................................1
第一節 研究背景.......................................................................................................1
第二節 研究目的.......................................................................................................3

第二章 文獻探討 .....................................................................................................4
第一節 定期口腔檢查的重要性..................................................................................4
第二節 國際對口腔定期檢查的重視............................................................................7
第三節 影響定期口腔檢查的主要因素........................................................................11
第四節 健康服務利用行為模式..................................................................................22

第三章 材料與方法..................................................................................................29
第一節 研究設計與研究假設.....................................................................................29
第二節 研究架構.....................................................................................................31
第三節 研究對象與資料來源.....................................................................................32
第四節 研究變項操作型定義.....................................................................................34
第五節 資料操作與統計分析.....................................................................................40

第四章 研究分析與結果...........................................................................................41
第一節 12-65歲以上民眾樣本各類特徵之分佈情形-描述性統計.....................................41
第二節 12-65歲以上民眾對於接受定期口腔檢查的雙變項分析-T檢定與卡方檢定............46
第三節 推論性統計..................................................................................................52
一、邏輯斯迴歸分析................................................................................................52
二、層級迴歸分析...................................................................................................58


第五章 研究討論.....................................................................................................61
第一節 研究資料使用適當性.....................................................................................61
第二節 台灣是否定期接受口腔檢查民眾的人口特性與資源分佈狀況..............................62
第三節 影響台灣民眾為定期接受口腔檢查之因素........................................................67
第四節 假說驗證.....................................................................................................70
第五節 研究限制.....................................................................................................73

第六章 結論與建議.................................................................................................76
第一節 結論...........................................................................................................76
第二節 建議...........................................................................................................77
第三節 研究貢獻 ....................................................................................................79
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