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| Title: | 健康生活型態與兩性憂鬱情緒落差之分析
Health Lifestyles and Gender Differences in Distress in Taiwan |
| Authors: | 林孟瑢
Lin, Meng Jung |
| Contributors: | 張峰彬
Chang, Fengbin
林孟瑢
Lin, Meng Jung |
| Keywords: | 憂鬱情緒
健康生活型態
性別
脆弱差異性假設
暴露差異性假設
Distress
Health Lifestyle
Gender
Differential Vulnerability Hypothesis
Differential Exposure Hypothesis |
| Date: | 2015 |
| Issue Date: | 2015-07-27 11:32:58 (UTC+8) |
| Abstract: | 長久以來，憂鬱情緒一直是自然科學與社會科學界關注的重要議題，而其中女性較男性憂鬱的現象也受到重視。雖然自然科學界的研究一再指出健康行為對減輕憂鬱情緒的幫助，但並不是每個人都有機會擁有健康的生活型態。尤其在性別方面，性別間的健康行為差異是否能解釋兩性的憂鬱情緒落差即是本研究的課題。本文將透過檢驗暴露差異性以及脆弱差異性假設，了解性別間的憂鬱情緒落差是如何由本身脆弱差異性，以及兩性暴露的風險不同所造成。本研究使用「台灣社會變遷基本調查計畫」在2005年以及2010年的資料，以吸菸、喝酒、運動，三個健康行為作為健康生活型態的指標，對此問題進行分析。研究結果發現，健康生活型態對台灣民眾的憂鬱情緒有影響，吸菸有增加憂鬱情緒的效果，而運動則有減輕憂鬱情緒的效果。將吸菸、喝酒加入模型後，性別落差會增加，而運動的加入則有助於降低性別落差，支持暴露差異性假設。在性別上，吸菸對於男性有顯著增加憂鬱情緒的效果，對女性則無；而運動對於女性降低憂鬱情緒的效果則較大。然而，兩指標的性別差異並沒有達到統計上的顯著水準，因此只能部分支持脆弱差異性假設。希望本文的研究結果有助於了解兩性間的憂鬱情緒落差，並提供憂鬱情緒的影響機制更完整的圖像。
Gender differences in distress has been well documented in literatures. However, it is unclear about the effect of health lifestyles on gender disadvantage in mental health. To explain the gender gap in distress, there are two hypotheses: differential exposure hypothesis and differential vulnerability hypothesis. In this study, the data are from Taiwanese Social Change Survey conducted in 2005 and 2010. The three indices I choose are the frequency of smoking, drinking, and exercising. The two main findings are: (1) Smoking deteriorates distress while exercising ameliorates it. Also, adding smoking and drinking into the predicting model increases the gender gap in distress, whereas adding exercising decreases the gap. These findings support the differential exposure hypothesis; (2) the effect of smoking is significant for men but not for women. However, the effect of exercising is more important to women. Although the gender differences in smoking and exercising effects are not significant, the findings support the differential vulnerability hypothesis partially. |
| Reference: | 內政部統計處，2015，戶政統計。http://statis.moi.gov.tw/micst/stmain.jsp?sys=100，取用日期：2015年6月14日。
台灣自殺防治學會，2007，〈自殺與精神疾病〉。http://www.tspc.doh.gov.tw/tspc/portal/howdo/index.jsp?sno=78，取用日期：2013年02月18日。
行政院主計總處，2015，人力資源主要指標。http://statdb.dgbas.gov.tw/pxweb/Dialog/varval.asp?ma=LM0107A1M&ti=%A4H%A4O%B8%EA%B7%BD%A5D%ADn%AB%FC%BC%D0-%A4%EB&path=../PXfile/LaborForce/&lang=9&strList=L，取用日期：2015年6月14日。
行政院體育委員會，2005-2012，《運動城市調查報告》。
周玉慧、朱瑞玲，2008。〈變遷中的台灣民眾心理需求疏離感與身心困擾〉。《台灣社會學刊》41：59-95。
東森新聞雲，2013，〈台灣女性最不愛動！運動不足率高居34個先進國家之冠〉。http://www.ettoday.net/news/20130806/251531.htm，取用日期：2015年3月24日。
胡凱揚、莊睿宸，2011，〈運動與憂鬱症〉。《大專體育》，112：40-46。
范綱華，2010，〈台灣勞動人口憂鬱情緒與社經地位關聯的變遷（1990~2005）〉。頁399-420，於王宏仁、龔宜君主編，《台灣的社會學想像》。台北：巨流圖書。
高宗熹，1997，《客家人：東方的猶太人》。台灣：武陵出版。
康健雜誌，2012，〈愛運動 找到妳的新力量〉。2013年2月，第171期：165-172。
張家銘，2006，〈正視憂鬱症所造成的社會經濟負擔〉。http://www1.cgmh.org.tw/intr/intr2/c3360/E_CCM(Depression_ec).htm，取用日期：2015年3月29日。
張淑紅、蕭芝殷、吳思儀、張嫚純、林婉如，2005，〈運動與憂鬱症狀相關之研究－以台大學生為例〉。《醫護科技學刊》7(3)：258-266。
黃毅志，1998，〈社會階層、社會網絡與心理幸福〉。《臺灣社會學刊》21：171-210。
劉嘉年，2009，〈社會經濟狀況、一般健康狀態、健康行為與社區成年民眾憂鬱情緒的關係〉。《臺灣公共衛生雜誌》28(4)：300-311。
衛生福利部統計處，2014，103年度死因統計。
糠明珊，2006，〈個人背景與社會支持對台灣成年人心理健康影響之探討〉。《中華家政學刊》39：47-63。
羅香林，1981[1942]，《客家研究導論》。台北：眾文圖書。
蘇維杉，2009，《運動社會學》。台中：華都文化出版。
Aneshensel, C. S., and G. J. Huba, 1983, “Depression, Alcohol Use, and Smoking Over One Year: A Four-Wave Longitudinal Causal Model.” Journal of Abnormal Psychology 92(2): 134-150.
Bebbington, P. E., 1996, “The Origins of Sex Differences in Depressive Disorder: Bridging the Gap.” International Review of Psychiatry 8:295-332.
Blaxter, Mildred, 1990, Health and Lifestyles. London: Tavistock.
Boden, Joseph M., David M. Fergusson, and L. John Horwood, 2010, “Cigarette Smoking and Depression: Tests of Causal Linkages Using a Longitudinal Birth Cohort.” The British Journal of Psychiatry 196(6): 440-446.
Bouchard, C., S. Blair, and W. Haskell, eds., 2007, Physical Activity and Health. Champaign, IL: Human Kinetics.
Bourdieu, Pierre, 1984, Distinction. Translated by Richard Nice. Cambridge, MA: Harvard University Press.
Caldwell, T. M., B. Rodgers, A. F. Jorm, H. Christensen, P. A. Jacomb, A. E. Korten, and M. T. Lynskey, 2002, “Patterns of Association Between Alcohol Consumption and Symptoms of Depression and Anxiety in Young Adults.” Addiction 97(5): 583-594.
Chan, A.L., T.C. Yang, J.X. Chen, L.H. Yu, and H.W. Leung, 2006, “Cost of Depression of Adults in Taiwan.” International Journal of Psychiatry Medicine 36: 131-5.
Chen, C. S., H.Y. Tsang, M.Y. Chong, and T.C. Tang, 2000, “Validation of the Chinese Health Questionnaire (CHQ-12) in Community Elders.” Kaosiung Journal of Medical Science 16: 559-565.
Cheng, T. A., and P. Williams, 1986, “The Design and Development of a Screening Questionnaire (CHQ) for Use in Community Studies of Mental Disorders in Taiwan.” Psychological Medicine 16(2): 415-422.
Cheng, T. A., J. T. Wu, M. Y. Chong, and P. Williams, 1990, “Internal Consistency and Factor Structure of the Chinese Health Questionnaire.” Acta Psychiatrica Scandinavica 82: 304–308.
Choi, N. G., and D. M. DiNitto, 2011, “Heavy/Binge Drinking and Depressive Symptoms in Older Adults: Gender Differences.” International Journal of Geriatric Psychiatry 26(8): 860-868.
Cockerham, W. C., 2005, “Health Lifestyle Theory and the Convergence of Agency and Structure.” Journal of Health and Social Behavior 46(1): 51-67.
Cockerham, W. C., 2012, Medical Sociology, 12th ed. Upper Saddle River, NJ: Prentice Hall.
Covey, L. S., A. H. Glassman, and F. Stetner, 1998, “Cigarette Smoking and Major Depression.” Journal of Addictive Diseases 17(1): 35-46.
Denton, M., S. Prus, and V. Walters, 2004, “Gender Differences in Health: a Canadian Study of the Psychosocial, Structural and Behavioural Determinants of Health.” Social Science & Medicine 58(12): 2585-2600.
Doll, R., and A.B. Hill, 1954, “The Mortality of Doctors in Relation to Their Smoking Habits.” British Medical Journal 1(4877): 1451-1455.
Dunn, Andrea L., Madhukar H. Trivedi, and Heather A. O`Neal, 2001, “Physical Activity Dose-Response Effects on Outcomes of Depression and Anxiety.” Medicine & Science in Sports & Exercise 33: S587-97.
Ensel, W. M., and N. Lin, 2004, “Physical Fitness and the Stress Process.” Journal of Community Psychology 32(1), 81-101.
Fivush, Robyn, and Janine P. Buckner, 2000, “Chapter 11. Gender, Sadness, and Depression: The Development of Emotional Focus through Gendered Discourse.” Pp.232-253 in Gender and Emotion: Social Psychological Perspectives, edited by A. Fischer. London: Cambridge University Press.
Flensborg-Madsen, T., M. B. von Scholten, E. M. Flachs, E. L. Mortensen, E. Prescott, and J. S. Tolstrup, 2011, “Tobacco Smoking as a Risk Factor for Depression. A 26-Year Population-Based Follow-Up Study.” Journal of Psychiatric Research 45(2): 143-149.
Fu, T. S.T., C.S. Lee, D. Gunnell, W.C. Lee, and A. T. A. Cheng, 2012, “Changing Trends in the Prevalence of Common Mental Disorders in Taiwan: a 20-year Repeated Cross-sectional Survey.” The Lancet 381(9862): 235-41.
Garfield, C. F., A. Isacco, and T. E. Rogers, 2008, “A Review of Men`s Health and Masculinity.” American Journal of Lifestyle Medicine 2(6): 474-487.
Glassman, A. H., 1993, “Cigarette Smoking: Implications for Psychiatric Illness.” The American Journal of Psychiatry 150(4): 546-553.
Grant, B. F., D. A. Dawson, F. S. Stinson, S. P. Chou, M. C. Dufour, and R. P. Pickering, 2004, “The 12-month Prevalence and Trends in DSM-IV Alcohol Abuse and Dependence: United States, 1991–1992 and 2001–2002.” Drug and Alcohol Dependence 74(3): 223-234.
Grunberg, N. E., S. E. Winders, and M. E. Wewers, 1991, “Gender Differences in Tobacco Use.” Health Psychology 10(2): 143-153.
Gurung, Regan, 2010, Health psychology: A Cultural Approach. Belmont, CA: Wadsworth, Cengage Learning.
Hartka, E., B. Johnstone, E. V. Leino, M. Motoyoshi, M. T. Temple, and K. M. Fillmore, 1991, “A Meta-analysis of Depressive Symptomatology and Alcohol Consumption Over Time.” British Journal of Addiction 86(10): 1283-1298.
Hayes, D., and C. E. Ross, 1986, “Body and Mind: The Effect of Exercise, Overweight, and Physical Health on Psychological Well-Being.” Journal of Health and Social Behavior 27(4): 387-400.
Hillman, Charles H., Kirk I. Erickson, and Arthur F. Kramer, 2008, “Be Smart, Exercise Your Heart: Exercise Effects on Brain and Cognition.” Nature Reviews Neuroscience 9(1): 58-65.
Hochschild, A. M., and A. Machung, 1989, The Second Shift: Working Parents and the Revolution at Home. Avon Books: New York.
Holmila, M., and K. Raitasalo, 2005, “Gender Differences in Drinking: Why Do They Still Exist?” Addiction 100(12): 1763-1769.
Hopcroft, Rosemary L., and Dana Burr Bradley, 2007, “The Sex Difference in Depression Across 29 Countries.” Social Forces 85(4): 1483-1507.
House, J. S., K.R. Landis, and D. Umberson, 1988, “Social Relationship and Health.” Science 241(4865), 540-545.
Hunter, David, 2009, But Smoking Makes Me Happy: The Link Between Nicotine and Depression. Broomall, PA.: Mason Crest Publishers.
Husky, M. M., C. M. Mazure, P. Paliwal, and S. A. McKee, 2008, “Gender Differences in the Comorbidity of Smoking Behavior and Major Depression.” Drug and Alcohol Dependence 93(1): 176-179.
Inaba, A., P. A. Thoits, K. Ueno, W. R. Gove, R. J. Evenson, and M. Sloan, 2005, “Depression in the United States and Japan: Gender, Marital Status, and SES Patterns.” Social Science & Medicine 61(11): 2280-2292.
Kelly, John Robert, 1987, Freedom to Be: A New Sociology of Leisure. NY: Macmillan.
Kessler, R. C., P. Berglund, O. Demler, R. Jin, D. Koretz, K. R. Merikangas, ... & P. S. Wang, 2003. “The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R).” JAMA, 289(23): 3095-3105.
Kessler, Ronald C., K. A. McGonagle, M. Swartz, D. G. Blazer, and C. B. Nelson, 1993, “Sex and Depression in the National Comorbidity Survey I: Lifetime Prevalence, Chronicity and Recurrence.” Journal of Affective Disorders 29(2): 85-96.
Kessler, Ronald C., R.M. Crum, L.A. Warner, C.B. Nelson, J. Schulenberg, and J.C. Anthony, 1997, “Lifetime Co-occurrence of DSM-III-R Alcohol Abuse and Dependence with Other Psychiatric Disorder in the National Comorbidity Survey.” Archives of General Psychiatry 54: 313-321.
Klungsøyr, O., J. F. Nygård, T. Sørensen, and I. Sandanger, 2006, “Cigarette Smoking and Incidence of First Depressive Episode: An 11-Year, Population-based Follow-up Study.” American Journal of Epidemiology 163(5): 421-432.
Li, P. L., S. Logan, L. Yee, and S. Ng, 1999, “Barriers to Meeting the Mental Health Needs of the Chinese Community.” Journal of Public Health 21(1): 74-80.
Lin, Linda, R.P. Halgin, A.D. Well, and I. Ockene, 2008, “The Relationship between Depression and Occupational, Household, and Leisure-time Physical Activity.” Journal of Clinical Sport Psychology 2(2): 95-107.
Manninen, L., K. Poikolainen, E. Vartiainen, and T. Laatikainen, 2006, “Heavy Drinking Occasions and Depression.” Alcohol and Alcoholism 41(3): 293-299.
McTeer, W., and J. Curtis, 1993, “Sport and Physical Activity and Subjective Well Being: National Panel Data for the U.S.” International Review for the Sociology of Sport 28(4): 397-412.
Mirowsky, J., 1996, “Age and the Gender Gap in Depression.” Journal of Health and Social Behavior 37: 362–380.
Mirowsky, J., and C. E. Ross, 2003, Social Causes of Psychological Distress (2 ed.). New York: Walter de Gruyter, Inc.
Morris, J. N., A. Kagan, D. C. Pattison, M. J. Gardner, and P. A. B. Raffle, 1966, “Incidence and Prediction of Ischaemic Heart-disease in London Busmen.” The Lancet 2: 553–559.
Muraki, Satoshi, Maehara T, Ishii K, Ajimoto M, Kikuchi K, 1993, “Gender Difference in the Relationship between Physical Fitness and Mental Health.” The Annals of Physiological Anthropology 12(6): 379-384.
National Center for Health Statistics, 2007, Health, United States, 2007, With Chartbook on Trends in the Health of Americans. Hyattsville, MD.
National Institute on Alcohol Abuse and Alcoholism, 1996, “Alcohol and Stress.” Alcohol Alert, 32: 363.
Nettleton, Sarah, 2006, The Sociology of Health and Illness, 2nd ed. Cambridge: Polity Press.
Nixon, Howard L., and James H. Frey, 1996, A Sociology of Sport. Cengage Learning.
Nolen-Hoeksema, S., 1987, “Sex-differences in Unipolar Depression--Evidence and Theory.” Psychological Bulletin 101(2): 259-282.
Nomaguchi, K. M., and S. M. Bianchi, 2004, “Exercise Time: Gender Differences in the Effects of Marriage, Parenthood, and Employment.” Journal of Marriage and Family 66(2): 413-430.
Piccinelli, Marco, and Greg Wilkinson, 2000, “Gender Differences in Depression Critical Review.” The British Journal of Psychiatry 177(6): 486-492.
Pietraszek, M. H., T. Urano, K. Sumioshi, K. Serizawa, S. Takahashi, Y. Takada, and A. Takada, 1991, “Alcohol-induced Depression: Involvement of Serotonin.” Alcohol and Alcoholism 26(2): 155-159.
Poulin, C., D. Hand, B. Boudreau, and D. Santor, 2005, “Gender Differences in the Association Between Substance Use and Elevated Depressive Symptoms in a General Adolescent Population.” Addiction 100(4): 525-535.
Ransford, H. E., and B. J. Palisi, 1996, “Aerobic Exercise, Subjective Health and Psychological Well-being within Age and Gender Subgroups.” Social Science & Medicine 42(11): 1555-1559.
Read, J. G., and B. K. Gorman, 2010, “Gender and Health Inequality.” Annual Review of Sociology 36: 371-86.
Room, R., T. Babor, and J. Rehm, 2005, “Alcohol and Public Health.” The Lancet 365(9458): 519-530.
Rosenfield, S., and D. Mouzon, 2013, “Gender and Mental Health.” Pp. 277-296 in Handbook of the Sociology of Mental Health, edited by C. S. Aneshensel, J. C. Phelan and A. Bierman. Netherlands: Springer.
Ross, C. E., and C. E. Bird, 1994, “Sex Stratification and Health Lifestyle: Consequences for Men`s and Women`s Perceived Health.” Journal of Health and Social Behavior 35(2): 161-178.
Thirlaway, K., and D. Upton, 2009, The Psychology of Lifestyle: Promoting Healthy Behavior. NY: Routledge.
Tobin, J., 1958, “Estimation of Relationships for Limited Dependent Variables.” Econometrica: Journal of the Econometric Society 26(1): 24-36.
Tsai, Y.-W., T.-I. Tsai, C.-L. Yang, and K. N. Kuo, 2008, “Gender Differences in Smoking Behaviors in an Asian Population.” Journal of Women`s Health 17(6): 971-978.
U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services, and Office of Disease Prevention and Health Promotion, 2008, Physical activity guidelines for Americans. Washington, DC: HHS.
Umberson, D., M. C. D. Chen, J. S. House, K. Hopkins, and E. Slaten, 1996, “The Effect of Social Relationships on Psychological Well-being: Are Men and Women Really so Different?” American Sociological Review 61(5): 837-857.
Van de Velde, Sarah, Piet Bracke, and Katia Levecque, 2010, “Gender Differences in Depression in 23 European Countries. Cross-national Variation in the Gender Gap in Depression.” Social Science & Medicine 71(2): 305-313.
Waldron, I., 1991, “Patterns and Causes of Gender Differences in Smoking.” Social Science & Medicine 32(9): 989-1005.
Wiesbeck, G.A., H.C. Kuhl, Ö.Yaldizli, and F.M. Wurst, 2008, “Tobacco Smoking and Depression–Results from the WHO/ISBRA Study.” Neuropsychobiology 57:26–31.
Wilsnack, R. W., N. D. Vogeltanz, S. C. Wilsnack, and T. R. Harris, 2000, “Gender Differences in Alcohol Consumption and Adverse Drinking Consequences: Cross‐Cultural Patterns.” Addiction 95(2): 251-265.
World Health Organization, 1986, “Lifestyles and Health.” Social Science & Medicine 22: 117-24.
World Health Organization, 2003, “Investing in Mental Health.” Geneva, Switzerland: Department of Mental Health and Substance Dependence.
World Health Organization, 2006, “Gender Disparities in Mental Health.” Washington, DC: Department of Mental Health and Substance Dependence.
Zhang, J. and S. T. Yen, 2015, “Physical Activity, Gender Difference, and Depressive Symptoms.” Health Services Research (online version). DOI: 10.1111/1475-6773.12285 |
| Description: | 碩士
國立政治大學
社會學研究所
103254001 |
| Source URI: | http://thesis.lib.nccu.edu.tw/record/#G0103254001 |
| Data Type: | thesis |
| Appears in Collections: | [社會學系] 學位論文
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