Browsing by Author "Liao, Li-Ling"

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    Health literacy and the determinants of obesity: a population-based survey of sixth grade school children in Taiwan
    (2016-03-22) Shih, Shu-Fang; Liu, Chieh-Hsing; Liao, Li-Ling; Osborne, Richard H
    Abstract Background Health literacy has become an important health policy and health promotion agenda item in recent years. It had been seen as a means to reduce health disparities and a critical empowerment strategy to increase people’s control over their health. So far, most of health literacy studies mainly focus on adults with few studies investigating associations between child health literacy and health status. This study aimed to investigate the association between health literacy and body weight in Taiwan’s sixth grade school children. Methods Using a population-based survey, 162,209 sixth grade (11–12 years old) school children were assessed. The response rate at school level was 83 %, with 70 % of all students completing the survey. The Taiwan child health literacy assessment tool was applied and information on sex, ethnicity, self-reported health, and health behaviors were also collected. BMI was used to classify the children as underweight, normal, overweight, or obese. A multinomial logit model with robust estimation was used to explore associations between health literacy and the body weight with an adjustment for covariates. Results The sample consisted of 48.9 % girls, 3.8 % were indigenous and the mean BMI was 19.55 (SD = 3.93). About 6 % of children self-reported bad or very bad health. The mean child health literacy score was 24.03 (SD = 6.12, scale range from 0 to 32). The overall proportion of obese children was 15.2 %. Children in the highest health literacy quartile were less likely to be obese (12.4 %) compared with the lowest quartile (17.4 %). After controlling for gender, ethnicity, self-rated health, and health behaviors, children with higher health literacy were less likely to be obese (Relative Risk Ratio (RRR) = 0.94, p < 0.001) and underweight (RRR = 0.83, p < 0.001). Those who did not have regular physical activity, or had sugar-sweetened beverage intake (RRR > 1.10, p < 0.0001) were more likely to report being overweight or obese. Conclusions This study demonstrates strong links between health literacy and obesity, even after adjusting for key potential confounders, and provides new insights into potential intervention points in school education for obesity prevention. Systematic approaches to integrating a health literacy curriculum into schools may mitigate the growing burden of disease due to obesity.
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    幼兒教育工作者日常幽默表現與幽默感、幽默風格、創意特質及幸福感之關聯：經驗取樣取向研究
    (2020) 廖莉伶; Liao, Li-Ling
    本研究旨在以經驗取樣方法收集幼兒教育工作者日常幽默表現紀錄，分析幼兒教育工作者日常幽默表現之型態，並探討其與研究參與者之其他幽默變項、創意特質及幸福感之關聯。研究者以招募方式，邀請臺灣地區幼教現場相關工作人員共73人為研究參與者。研究工具為研究團隊自行開發，設置於Line社群軟體中的「日常幽默經驗取樣聊天機器人（Chatbot）」，收集幼兒教育工作者連續14日之每日之使用幽默經驗，紀錄並分析參與者幽默使用之頻率、內容、技巧類型等。同時以「多向度幽默感量表」（陳淑蓉、陳學志，2005）、「中文版幽默風格量表」（詹雨臻、陳學志、卓淑玲與Martin, 2011）、「五大人格特質短版（Ten Item Personality Inventory, TIPI）」（Gosling, Rentfrow,& Swann, 2003）、「創意自我效能量表」（洪素蘋、林珊如，2004）、「創意生活經驗量表」（吳靜吉等，1996）、「生活滿意度量表」（Wu &Yao, 2006）、「正負向情緒量表」（Thompson, 2007）做為測量工具。本研究以「相關檢定及單因子變異數分析」探討幼教工作者每日幽默表現紀錄，並歸類出參與者使用幽默之頻率、內容、技巧類型，以及聽眾對於幽默的理解程度和好笑程度等，並據以分析幼教工作者日常幽默表現與幽默變項、創意特質及幸福感之關聯。結果發現：幼兒教育工作者日常幽默表現在使用時段與幽默使用型態上有顯著差異。下午與晚間時段使用幽默的次數較多，上午時段使用幽默的次數最少。不同任教職務之幼兒教育工作者在日常幽默使用次數，無顯著差異。幽默型態中，幽默目的「討好」、幽默內容「自我提升」、幽默技巧「誇張」、幽默對象「同事平輩」、幽默形式「表現逗趣的動作或模仿」與幽默場合「工作場所」的使用上最多。另外，幽默內容「死亡」、幽默技巧「矛盾」、幽默對象「屬下」、幽默形式「展現自製的趣味影片或音樂作品」與幽默場合「獨處」的使用上最少。幼兒教育工作者日常幽默表現與各量表的相關分析，在幽默變項部分，與多向度幽默感、幽默風格量表有低度相關；在創意特質部分，僅與創意生活經驗量表有中度或低度相關，與五大人格、創意自我效能則無顯著相關；在幸福感部分，與正負向情緒、生活滿意度量表，無顯著相關。研究者最終依據研究結果提出建議，供實務工作及後續研究之參考。