研究背景：
台灣預計在2025年後進入超高齡社會，加上台灣醫療水準的進步，平均壽命愈來愈長，也就代表著罹患慢性病的人口將越來越多，除了常見的高血壓、糖尿病、心臟病及心血管疾病等等之外，骨質疏鬆也是慢性病的其中之一，不僅如此，由於骨質疏鬆往往沒有明顯症狀，更是被稱作是「沉默疾病」。而對於骨質疏鬆的探討，較多是以絕經後婦女或是老年人作為研究對象探討，卻較少討論同樣受骨鬆影響之中年族群，經文獻整理後，證明骨鬆對中年族群也有一定程度的影響，故認為中年族群之骨質疏鬆是非常值得探討的議題。
研究目的：
本研究的目的在於了解並探討全台灣中年族群對於骨質疏鬆的認知與預防行為，並運用健康信念、自我效能、知識等模型進行分析與探討。以下為本研究之主要目的：
一、了解全台灣中年族群之人口學特性、骨質疏鬆健康信念、骨鬆預防自我效能、骨鬆知識與骨鬆預防行為情形。
二、分析全台灣中年族群之骨質疏鬆健康信念對預防行為的影響。
三、分析全台灣中年族群之骨鬆預防自我效能對預防行為的影響。
四、分析全台灣中年族群之骨鬆知識對預防行為的影響。

研究方法：
研究採線上發放的方式進行問卷調查，以全台灣中年族群之民眾為對象，針對不同問項進行統計，並運用健康信念、自我效能與知識等模型對問卷內容進行分析與探討。

研究結果：
本研究之研究結果發現人口學特性在骨質疏鬆健康信念、骨鬆預防自我效能及骨鬆知識上有部分差異，且對於骨鬆預防行為也有部分影響；骨質疏鬆健康信念、骨鬆預防自我效能、骨鬆知識與骨鬆預防行為間有一定程度的相關，同時也發現台灣之中年族群對於骨質疏鬆之自覺罹患性以及知識尚有待加強，可進一步加強民眾對於骨質疏鬆症的觀念及提升民眾對於骨鬆的預防行為。

Background
Taiwan is expected to enter a super-aged society after 2025. Coupled with the improvement of Taiwan's medical standards, the average life expectancy is getting longer and longer, which means that more and more people will suffer from chronic diseases. In addition to the common high blood pressure, diabetes, heart disease, and cardiovascular disease, etc., Osteoporosis is also one of the chronic diseases. Not only that, because osteoporosis often has no obvious pain sensation, it is also called a "silent disease". As for the discussion of osteoporosis, most of them focus on postmenopausal women or the elderly as the research object, but less discussion on the middle-aged people who are also affected by osteoporosis. Therefore, it is believed that osteoporosis in the middle-aged group is a topic worthy of discussion.
Objective
1. Understand the demographic characteristics, osteoporosis health beliefs, osteoporosis prevention self-efficacy, osteoporosis knowledge, and osteoporosis prevention behaviors of the middle-aged population in Taiwan.
2. To analyze the influence of osteoporosis health beliefs on prevention behaviors among middle-aged Taiwanese.
3. To analyze the effect of osteoporosis prevention self-efficacy on prevention behaviors among middle-aged Taiwanese.
4. Analysis of the influence of knowledge of bone pine on preventive behavior among middle-aged ethnic groups in Taiwan
Methods
The research adopts the method of online distribution to conduct a questionnaire survey, takes the middle-aged people of all Taiwanese as the object, and conducts statistics for different questions. And use the models of health belief, self-efficacy, and knowledge to analyze and discuss the content of the questionnaire.
Result:
The results of this study found that demographic characteristics had partial differences in osteoporosis health beliefs, osteoporosis prevention self-efficacy, and osteoporosis knowledge, and also had a partial impact on osteoporosis prevention behaviors; osteoporosis health beliefs, osteoporosis prevention self-efficacy, and osteoporosis prevention self-efficacy. There is a certain degree of correlation between osteoporosis knowledge and osteoporosis prevention behavior. At the same time, it is also found that Taiwanese middle-aged groups have a low susceptibility and knowledge to osteoporosis, this part needs to be strengthened, which can further strengthen the public's concept of osteoporosis and enhance the public's preventive behavior for osteoporosis.

論文審定書 i
摘要 ii
Abstract iv
目錄 vi
圖次 viii
表次 ix
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的 2
第三節 研究流程 3
第四節 名詞解釋 4
第二章 文獻探討 6
第一節骨質疏鬆症的定義與判定 6
第二節 骨質疏鬆症健康信念模型之概念與應用 7
第三節 骨質疏鬆預防自我效能 8
第四節 骨質疏鬆症知識的影響 9
第五節 骨質疏鬆症之預防行為 10
第六節 何謂骨質疏鬆性骨折 11
第三章 研究方法 12
第一節 研究架構 12
第二節 研究對象與樣本來源 13
第三節 研究假設 14
第四節 研究工具 14
第五節資料處理與分析 18
第四章 資料處理、研究分析與結果 20
第一節 問卷回收與整理 20
第二節 描述性統計分析 21
第三節 獨立樣本t檢定分析結果 30
第四節 One-way Anova 檢定結果 37
第五節 皮爾森相關分析結果 52
第六節 多元線性迴歸分析結果 54
第七節 研究假設驗證結果 58
第五章 討論 59
第一節 全台灣中年族群之人口學分析 59
第二節 骨鬆之健康信念、自我效能與知識和預防行間之相關性 62
第三節 人口學對於骨鬆預防行為之預測 63
第四節 骨鬆之健康信念、自我效能與知識對預防行為的影響 64
第六章 結論 66
第七章 限制與建議 67
第一節 研究限制 67
第二節 建議 68
第三節 研究貢獻 69
參考文獻 70
【調查問卷】 76

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