影響國內大學生婚前健康檢查意向之調查研究

An Investigative Study on the Factors Influencing the Intention of College Students to Undergo Premarital Health Checks in Taiwan

目的：婚前健康檢查可以了解即將結婚男女雙方身體健康，以及雙方個人、家庭與家族的健康狀況，婚後較能孕育健康的下一代。故本研究旨在以健康信念模式配合消費者行為意向理論為基礎，從影響台灣大學生婚前健檢意向的重要因素來探討台灣大學生的婚前健檢意願。方法：本文以全國大學生為研究對象，進行問卷調查，共蒐集933份有效樣本，應用結構模式分析法（SEM）進行影響模式估計，依據估計後的婚前健檢意向模式分析影響台灣大學生婚前健檢意向的重要因素，並利用特定行動線索（如衛生教育、大眾傳播等）作為中介變項，探討特定行動線索所扮演的仲介角色。結果：研究結果發現：（一）影響大學生婚前健檢意向的最重要關鍵因素為婚前健檢態度，其次依序為特定行動線索、婚前健檢認知、國內婚前健檢政策訊息、自覺威脅性、國外婚前健檢政策訊息。（二）特定行動線索肩負起婚前健檢認知、自覺威脅性與婚前健檢態度非常重要的仲介角色。結論：由本研究的分析結果可瞭解，婚前健檢態度是影響大學生婚前健檢意向的最重要關鍵因素，而特定行動線索具有導引大學生婚前健檢態度的重要仲介功能，是刺激採取婚前健康檢查行動的因素。 Purposes Premarital health checks can shed light on the physical health of both partners, who are about to get married as well as the health of their families so that they can give birth to healthy offspring. This study aimed to explore the key factors influencing the intention of Taiwanese college students to undergo premarital health check-ups based on the health belief model and consumer behavioral intent theory. Methods This study recruited college students from across the country and conducted data collection through questionnaires. A total of 933 valid responses were collected. Structural equation modeling was used to estimate the impact model. The intermediary roles played by specific action cues were discussed by analyzing key factors influencing premarital health check intent among Taiwanese college students from the estimated premarital health check intent model and by using specific action cues (such as health education and mass communication) as intermediary variables. Results The results showed that attitude toward premarital health checks is the most significant factor influencing premarital health check intent among college students followed by, in descending order, specific action cues, knowledge about premarital health checks, information on domestic premarital health check policies, conscious threats, and information on foreign premarital health check policies. Moreover, specific action cues play important intermediary roles in supporting knowledge on premarital health checks, conscious threats, and attitude toward premarital health checks. Conclusions The results indicated that attitude toward premarital health checks is the most important factor influencing the intent of college students to undergo premarital health checks and that specific action cues both play important intermediary roles in guiding said attitude and represent a factor that pushes college students to undergo said checks.

Purposes Premarital health checks can shed light on the physical health of both partners, who are about to get married as well as the health of their families so that they can give birth to healthy offspring. This study aimed to explore the key factors influencing the intention of Taiwanese college students to undergo premarital health check-ups based on the health belief model and consumer behavioral intent theory. Methods This study recruited college students from across the country and conducted data collection through questionnaires. A total of 933 valid responses were collected. Structural equation modeling was used to estimate the impact model. The intermediary roles played by specific action cues were discussed by analyzing key factors influencing premarital health check intent among Taiwanese college students from the estimated premarital health check intent model and by using specific action cues (such as health education and mass communication) as intermediary variables. Results The results showed that attitude toward premarital health checks is the most significant factor influencing premarital health check intent among college students followed by, in descending order, specific action cues, knowledge about premarital health checks, information on domestic premarital health check policies, conscious threats, and information on foreign premarital health check policies. Moreover, specific action cues play important intermediary roles in supporting knowledge on premarital health checks, conscious threats, and attitude toward premarital health checks. Conclusions The results indicated that attitude toward premarital health checks is the most important factor influencing the intent of college students to undergo premarital health checks and that specific action cues both play important intermediary roles in guiding said attitude and represent a factor that pushes college students to undergo said checks.