⮫ᗋ䞉㞀ᐖ㻌 㻞㻭㻹㻜㻜㻞 ᪥ᚰ➨ 㻣㻞 ᅇ䠄㻞㻜㻜㻤䠅㻌 ㆮવࠞ࠙ࡦࡦࠣߦ߅ߌࠆࠬࠢࠦࡒࡘ࠾ࠤ࡚ࠪࡦ ක≮⠪ߩᗧ⼂ߣߪ ٤྾రᷕሶᳰ↰߹ߐߺ⩲ේ߹ߔߺ 㧔߅⨥ߩ᳓ᅚሶᄢቇ㧕 Key words: ㆮવࠞ࠙ࡦࡦࠣߩࠢࠬޔ೨Ⓧ߽ࠅࡦ࡚ࠪࡊࡄࠢࠬޔ ⋡ ⊛ ㆮવࠞ࠙ࡦࡦࠣߢߪޔㆮવߣ߁⽎߇ነਈߔࠆ᭽ޘ ߥ㗴ࠍᛒ߁߇ޔᔅὼ⊛ߦ᭽ޟߥޘㆮવ⊛⏕₸㧩ࠬࠢࠍޠ ᛒ߁႐㕙ߦㆣㆄߔࠆߎߣߦߥࠆࠃߩߤࠍࠢࠬޔߚߩߘޕ ߁ߦࠢࠗࠛࡦ࠻ߦવ߃ޔℂ⸃ࠍଦߔ߆߇ޔ㊀ⷐߥ࠹ࡑߣ ߥߞߡࠆ߆߃ᝒߩࠢࠬߩ࠻ࡦࠛࠗࠢޔࠄ߇ߥߒ߆ߒޕ ߚ㧔ࠬࠢࡄࡊ࡚ࠪࡦ㧕ޔ߮ࠃ߅ޔᗧᔒቯ߳ᓇ㗀ࠍ ߷ߔⷐ࿃ࠍࠇߘߚ߹ޔᛒ߁㓙ߩᛛⴚߪ㊀ⷐߥ࠹ࡑߢࠆ߽ ߩߩචಽߥᬌ⸛⼏⺰߇ߥߐࠇߡࠆߣߪ⸒㔍ࠢࠬޕ ࠍߤߩࠃ߁ߦᛒߞߚࠄࠃ߆ߣ߁࠹ࡑߪޔㆮવࠞ࠙ࡦ ࡦࠣᜂᒰ⠪ߦߣߞߡᭂߡಾታߥ㗴ߢࠆޕ Fagerlin (2005)ࠄߪߦ࠻ࡦࠛࠗࠢޔኻߒߡ߁ߤࠍࠢࠬޟ Ⓧ߽ߞߡࠆ߆ߡߟߦޠ೨ߦ⾰ߔࠆߎߣߪޔੑᰴ⊛ ߥࠬࠢࡄࡊ࡚ࠪࡦߦᓇ㗀ࠍਈ߃ࠆߣႎ๔ߒߡࠆޕ ࠬࠢߩ೨Ⓧ߽ࠅߪޔᣣᧄߩㆮવක≮ߩ႐ߢߪᣣᏱ⊛ ߦⴕࠊࠇߡࠆ߇ߩߘޔታᣉߩ㗫ᐲޔലᨐߦߟߡߪ߹ ߢࠄ߆ߦߐࠇߡߥޔߢߎߘޕ࿁ߪޔක≮⠪ࠍኻ⽎ߦޔ ࠬࠢߦኻߔࠆᗧ⼂߿ࠬࠢߩવ߃ᣇߩ⁁ࠍࠄ߆ߦߔࠆ ߚߩ⺞ᩏࠍታᣉߒޔߩᣣᧄߦ߅ߌࠆㆮવࠞ࠙ࡦࡦ ࠣ႐㕙ߩ⁁ߣ㗴ὐߦߟߡߩᬌ⸛ࠍ߅ߎߥߞߚޕ ᣇ ᴺ 1) ⺞ᩏኻ⽎⠪ ੱ㘃ㆮવቇળਥߩㆮવකቇࡒ࠽ߦෳടߒߚක≮⠪⚂ ฬߦኻߒࠕࡦࠤ࠻ࠍታᣉߒ ߜ߁ߩߘޔฬ߆ࠄ࿁╵ ࠍᓧߚޕౝ⸶ߪකᏧ ฬ࡞ࠞࠖ࠺ࡔࠦޔ㧔⋴⼔Ꮷࡦ࠙ࠞޔ ╬㧕 ฬޔቇ↢ ฬߢߞߚޕ 2)⾰ౝኈ Ԙ㊀ⷐⷞߔࠆࠢࠗࠛࡦ࠻ᖱႎ ක≮⠪߇ㆮવࠞ࠙ࡦࡦࠣࠍⴕ߁㓙ߦߦ࠻ࡦࠛࠗࠢޔ㑐 ߒߡߤߩࠃ߁ߥᖱႎࠍ㊀ⷞߒߡࠆ߆ߤ߁߆ࠍ 33 㗄⋡ߦࠊ ߚߞߡߨߚޕ ԙࠬࠢߩ೨Ⓧ߽ࠅߦߟߡ ㆮવࠞ࠙ࡦࡦࠣߦ߅ߡࠬࠢᖱႎࠍવ߃ࠆ೨ߦࠢޔ ࠗࠛࡦ࠻ߦ೨ߦࠬࠢߩⓍ߽ࠅࠍߐߖߡࠆ߆ߤ߁߆ߦ ߟߡߨߚࠍࠢࠬޔߚ߹ޕવ߃ࠆ㓙ߩ⧰ഭߥߤߦߟߡ ⥄↱⸥ㅀߢ╵߃ߡ߽ࠄߞߚޕ ක≮⠪ߩ⢛᥊߿ዻᕈߣ೨ߩࠬࠢⓍ߽ࠅߩታᣉߩήޔ ࠬࠢߦ㑐ߔࠆ⧰ഭߩήߦߟߡߩࠢࡠࠬಽᨆࠍⴕߞߚޕ ߹ߚޔ㊀ⷐⷞߔࠆࠢࠗࠛࡦ࠻ᖱႎߦߟߡߪޔ࿃ሶಽᨆࠍ ⴕߞߚߩࠢࠬޔߦࠄߐޕⓍ߽ࠅߩήߦࠃߞߡޔ㊀ⷐⷞ ߔࠆᖱႎߦᏅ߇ࠆ߆ߤ߁߆ߦߟߡ t ᬌቯࠍⴕᬌ⸛ߒߚޕ ⚿ᨐߣ⠨ኤ ㆮવࠞ࠙ࡦࡦࠣࠍⴕߞߡࠆක≮⠪ߪޔ122 ฬਛ 50 ฬ ߢߞߚ ߜ߁ߩߘޕ31 ฬ㧔62㧑㧕߇ࠢࠗࠛࡦ࠻ߦኻߔࠆ ࠬࠢߩ೨Ⓧ߽ࠅࠍⴕߞߡ߅ࠅ ߘࠃ߅ߩߘޔ77㧑߇ലᨐ߇ ࠆߣ࿁╵ߒߡߚࠍࠢࠬޕવ߃ࠆߣ߈ߦ⧰ഭߒߚߎߣ߇ ࠆ߆ߣ߁ߦኻߒߡߪ ߪߩߚ߃╵ߣࠆޔ50 ฬਛ 33 ੱ ߪߩߚ߃╵ߣߥޔ10 ฬߢߞߚ⸥↱⥄ޕㅀ߆ࠄߪޔવ߃ ᣇߣࠢࠗࠛࡦ࠻ߩࠬࠢࡄࡊ࡚ࠪࡦߦ߅ߌࠆ⧰ഭ߇ ᄙߎߣ߇߃ߚޕ 䋱㩷 䊥䉴䉪䉕વ䈋䉎ᤨ䈱⧰ഭ䈫䈲䈬䈱䉋䈉䈭䉅䈱䈎䋨࿁╵ 㪉㪐 ฬ䋩㩷 㗄⋡㩷 ᐲᢙ㩷 વ䈋ᣇ㩷 㪏㩷 䊶⥄ಽ䈱䈱ᣇ䈮䉋䈦䈩䇮䉪䊤䉣䉟䊮䊃䈱ฃ䈔ข䉍ᣇ䈏㆑䈉㩷 㩷 䊥䉴䉪䊶䊌䊷䉶 䊒䉲䊢䊮㩷 කቇ⊛㩷 䉣䊎䊂䊮䉴㩷 㪎㩷 䊶䋳䋰䋰ಽ䈱䋱䈫વ䈋䈩䉅䇮⥄ಽ䈮䈫䈦䈩䈲 㪸㫃㫃㩷㫆㫉㩷㫅㫆㫅㪼 䈫⸒䉒䉏䈢䈫䈐㩷 㩷 㩷 㩷 㩷 䊶⏕₸䉕વ䈋䈩䉅㜞䈇䈎ૐ䈇䈎䈲䉪䊤䉟䉣䊮䊃䈱ⷐ࿃䈪㆑䈉㩷 䊶කቇ⊛䈮ᱜ⏕䈭䊥䉴䉪್ቯ䈏䈇䉁䈣ਇน⢻䈅䉎䈇䈲ቯ䉁䈦䈩䈇䈭䈇⁁ ᴫ䈮䈍䈇䈩䈱⺑㩷 㪍㩷 ౕ⊛䈭ౝኈ䋨ක≮⠪䈱䉮䊜䊮䊃䋩㩷 ᔃℂ⊛ᓇ㗀㩷 㪊㩷 䊶䉲䊢䉾䉪䈏ᒝ䈇䈢䉄䈏ℂ⸃䈪䈐䈩䈇䉎䈎䈬䈉䈎㩷 ಾㄼ䈚䈢ᘒ 㪊㩷 䊶ᧄੱ䉕⌒೨䈮䈅䈐䉌䈎䈮䊥䉴䉪䈏䈅䉎䈖䈫䉕વ䈋䈭䈔䉏䈳䈭䉌䈭䈇䈫䈐㩷 䉪䊤䉟䉣䊮䊃䈱 㩷 㪉㩷 ℂ⸃ജ㩷 䊶䉪䊤䉟䉣䊮䊃䈱ℂ⸃ജ㩷 1) ࠬࠢߩⓍ߽ࠅߩታᣉߩήߣක≮⠪ߩዻᕈߣߩ㑐ଥ ࠢࡠࠬಽᨆߩ⚿ᨐߩࠢࠬޔⓍ߽ࠅߩታᣉߣක≮⠪ߩዻ ᕈߣߩ㑆ߦߪޔᗧᏅ߇ࠄࠇߥ߆ߞߚߩࠢࠬޕ೨Ⓧ ߽ࠅߪޔᐕ㦂⚻ޔ㛎ޔኾ㐷ࠍࠊߕޔᐢߊታᣉߐࠇߡ߅ࠅޔ ലᨐ߽ࠄࠇߡߚޕ໑৻ࠍࠢࠬޔવ߃ࠆ㓙ߩ⧰ഭ߇ ࠆ߆ߤ߁߆ߣ߁ߦኻߒߡ↵ޔᕈࠃࠅ߽ᅚᕈක≮⠪ߩᣇ ߇⧰ഭࠍᗵߓߡࠆߣ߁ะ߇⏕ߐࠇߚ(ǿ2=2.72,p<0.1)ޕ 2) ࠬࠢߩⓍ߽ࠅߩታᣉߩήߣ㊀ⷐⷞߔࠆᖱႎߦ㑐ߔ ࠆᬌ⸛ ࠬࠢߩ೨Ⓧ߽ࠅߩታᣉߩήߣ㊀ⷐⷞߔࠆᖱႎߦᏅ ߇ࠆ߆ߤ߁߆ߦߟߡᬌ⸛ߒߚޕt ᬌቯߩ⚿ᨐ⚻ޔᷣ⁁ᘒ (t=-2.05,p<0.05) ⚻ ޔᷣ ⊛ ߦ 㗬 ࠇ ࠆ ⋧ ᚻ ߇ ࠆ ߆ ߤ ߁ ߆ (t=-2.03,p<0.05)ޔᚲዻߔࠆ࿅(t=-2.06,p<0.05)ߣ߁ᖱႎߦߟ ߡⓍ߽ࠅήߒߩ⟲߇ࠅߩ⟲ߦᲧߴ㊀ⷞߒߡߚޕ 3) ࠬࠢࠍવ߃ࠆ㓙ߩ⧰ഭߩήߣ㊀ⷐⷞߔࠆᖱႎߩᬌ⸛ ⧰ഭߩήߢߪ⧰ޔഭࠅߩ⟲߇ޔᱫ㛎(t=2.16,p<0.05)ޔ 㘶㈬༛ᾍ(t=2.27,p<0.05)ߣ߁ᖱႎࠍ㊀ⷞߒߡ߅ࠅޔᛥ߁ߟ ะ(t=1.72,p<0.1)ߦߟߡ߽㊀ⷞߔࠆะ߇⏕ߐࠇߚޕ 4) ࠬࠢⓍ߽ࠅߩലᨐߩήߣ㊀ⷐⷞߔࠆᖱႎߩᬌ⸛ ࠬࠢⓍ߽ࠅߩലᨐߩήߣޔ㊀ⷐⷞߔࠆᖱႎߦߟߡᬌ ⸛ߒߚߣߎࠈ⋧ࠆ߈ߢ⺣⋧ޔᚻ(t=2.87,p<0.01)ޔㆮવ⍮⼂ (t=2.08,p<0.05)ߢޔലᨐࠅߩ⟲߇ήߒߩ⟲ࠃࠅ㊀ⷞߒߡߚޕ 5) ㊀ⷐⷞߔࠆᖱႎߩ࿃ሶಽᨆ ක≮⠪ߪࠢࠗࠛࡦ࠻ᖱႎߩࠍ㊀ⷐⷞߔࠆ߆ߣ߁ 33 ߩ ᖱႎ㗄⋡ߦߟߡ࿃ሶಽᨆࠍⴕߞߚ⚿ᨐޔ࿃ሶߪ࠹ࡇࡦࠦޔ ࡦࠬ↢ޔᵴ⠌ᘠޔ⍮⼂ޔⅣႺ㕙ߢߩࠨࡐ࠻࠼࠰ࡇࠛޔ㧔 ੱ⊛㛎ࠍ㧕♖ޔ㕙ߢߩࠨࡐ࠻♖ޔࠖ࠹࠽࠰ࡄޔ ⁁ᘒߩ 8 ࿃ሶߦಽ߆ࠇߚޕ એߩߎߣ߆ࠄߦ࠻ࡦࠛࠗࠢޔኻߔࠆࠬࠢߩ೨Ⓧ ߽ࠅߪޔක≮⠪ߩᐕ㦂⚻ޔ㛎ޔኾ㐷ߦᏅ߇ߥߊᐢߊታᣉߐࠇޔ ലᨐ߇ᗵߓࠄࠇߡࠆߎߣ߇ࠊ߆ߞߚࠍࠢࠬޔߚ߹ޕવ߃ ࠆ㓙ߩ⧰ഭߩࠆߥߒߦߟߡߪޔක≮⠪ߦ߅ߡᕈᏅߩ ะ߇ߺࠄࠇߚ߇ౕޔ⊛ߥ⧰ഭߩౝኈߦߟߡߪߐࠄߥࠆᬌ ⸛߇ᔅⷐߣߥߞߚߩࠢࠬޔߚ߹ޕ೨Ⓧ߽ࠅߩታᣉ߿⧰ ഭߩήߦࠃߞߡޔ㊀ⷐⷞߔࠆᖱႎߦߪ㆑߇ߺࠄࠇࠆߎߣ ߇ࠊ߆ߞߚޕ ᒁ↪ᢥ₂ Angela Fagerlin, Brian J. Zikmund-Fisher. Peter A. Ubel 2005 How making a risk estimate can change the feel of that risk :sifting attitudes toward breast cancer risk in a general public survey. Patient Education and Counseling 57:294-299 㧔YOTSUMOTO Junko, IKEDA Masami, SUGAWARA Masumi) 㸫330㸫
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