以運動拓展的角度，探討運動在公共衛生三段五級預防中扮演的角色

Abstract

運動拓展（Sport for Development, SFD）近年來在全球公共政策中受到高度關注，運動具備身體活動的效益，更因其社會性與公共性，展現出政策倡議、社群溝通與跨領域合作等功能，對應當代健康不平等與多元社會需求。為回應此趨勢，本研究以SFD為理論基礎，結合公共衛生「三段五級預防模式」，探討運動在健康促進、疾病預防與社會發展中所扮演的多重角色與實踐功能。 本研究資料來源包括國際體育與發展平台（sportanddev.org）上之新聞文章89篇與學術期刊論文34篇。期刊資料以樣板分析法進行主題分類，分析架構結合運動拓展四大面向與公共衛生三段五級預防理論，探討運動介入的層次與功能。新聞資料則採用CATAR語料分析工具，透過詞彙共現與語意分類技術，萃取文本中的主題結構與語言模式，進一步呈現運動在國際語境中的社會實踐意涵。 研究結果指出，運動作為社會倡議手段，能有效提高公眾對健康議題的關注與行動意願；作為溝通平台，能促進跨文化理解與健康行為的推廣；在建立夥伴關係方面，運動串聯了政府、非政府組織與社區單位，促進公共衛生策略的多元推動；而在自我反思層面，運動參與者能透過體驗與互動，深化對個人健康行為與社會責任的認知。運動拓展於公共衛生三段五級預防中展現出重要價值，不僅提升個體健康水平，更推動社會整體福祉與健康平等。 本研究建議，未來應深化運動與公共衛生領域的跨域整合，發展系統性運動介入策略，並強化運動健康促進網絡的建構。此外，後續研究可針對不同運動形式於公共衛生各層級中之差異成效進行探討，擴展運動拓展作為健康促進與社會發展介入工具之應用廣度與深度。透過運動作為社會行動平台，可望為全球健康挑戰帶來更多創新解方與永續發展契機。

Sport for Development (SFD) had recently gained global policy attention due to its physical, social, and public benefits. This study adopted SFD as a theoretical framework and integrated it with the “three-stage and five-level prevention model” from public health to examine the multifaceted roles of sport in health promotion, disease prevention, and social development. The research analyzed 89 news articles from sportanddev.org and 34 academic journal papers. Journal articles were thematically categorized using template analysis, while the news articles were processed with CATAR text-mining tools to extract thematic structures and language patterns.The results showed that sport, as a means of advocacy, enhanced public awareness and action on health issues. As a communication platform, it also facilitated intercultural understanding and the promotion of health behaviors. Sport also built up partnerships among governments, NGOs, and communities to diversify public health efforts. At the same time, it encouraged individual reflection on health behaviors and social responsibility. Within the three-stage, five-level prevention framework, sport demonstrated significant value by improving individual health and promoting societal well-being and health equity.The study suggested deeper integrating between sport and public health, development systematic intervention strategies, and the expanse sport-based health promotion networks. It suggested that future research explore the differential effects of various sport types across public health levels to extend the application of SFD as a tool for sustainable health and social development.