陳為堅臺灣大學：流行病學研究所王奕晴Wang, Yi-ChingYi-ChingWang2007-11-272018-06-292007-11-272018-06-292004http://ntur.lib.ntu.edu.tw//handle/246246/56201目的：藉由一個隨機分派的試驗，評估網路版自填式問卷相對於紙筆版自填式問卷，是否可以幫助提升青少年對於物質使用及生活事件的陳報率。 方法：針對臺北縣市的國中、高中及高職的學生，進行分層暨二階段之隨機抽樣，並配合讓每個抽樣單位被抽取到的機率與單位大小成比例。在每個被抽選到的班級中，隨機將一半的學生分派回答紙筆版問卷(共990人)，另一半的學生回答網路版問卷(共928人)。由於每一位學生被抽樣的機率都不同，故在後續之盛行率估計和邏輯斯迴歸分析時，會以抽樣機率的倒數予以加權調整。 結果： 在容易取得的物質方面，喝酒的終生盛行率在網路版問卷中顯著比紙筆版問卷高，抽菸與嚼檳榔的終生盛行率在兩組中也有接近顯著的不同。在非法藥物方面，網路版問卷的安非他命終生盛行率顯著比紙筆版問卷高，K他命的終生盛行率在兩組中有接近顯著的不同。以多變項邏輯斯迴歸分析調整可能干擾因子後，兩組之喝酒與使用安非他命的終生盛行率仍具有顯著的不同。在各種生活事件的陳報上，網路版問卷組都比紙筆版問卷組高。此外，填寫網路版問卷的男性及國中、高職學生對於物質使用與生活事件的陳報率都比填寫紙筆版問卷的學生較高。 結論：網路版問卷相對於紙筆版問卷，可以提升青少年對於物質使用（包括容易取得的物質與非法藥物）和生活事件的陳報率。Objective: To evaluate whether a web-based self-administered questionnaire (web SAQ) can help to improve the reporting rate of substance use and stressful life events in adolescents as compared with the paper-and-pencil self-administered questionnaire (paper SAQ) via a randomized trial. Methods: Students of the junior high, senior high, and vocational high schools in Taipei City and County were selected by a stratified, two-stage, probability proportional to size, random sampling. For each class selected, half of the students were randomly assigned to paper SAQ (n=990) and the other half to web SAQ (n=928). The inverse of the sampling probability for each individual was then used as sampling weight in the estimation of prevalence and logistic regression analysis. Results: For readily available substance, the lifetime prevalence for the group of web SAQ was significantly higher in alcohol drinking and borderline higher in tobacco and betel nut use as compared with that for the group of paper SAQ. For illicit drug use, the lifetime prevalence for the group of web SAQ was significantly higher in use of amphetamine, and borderline higher in ketamine. In multiple logistic regression analysis, the difference between the two groups in alcohol drinking and amphetamine use remained significant. For each of four types of life events, respondents who were administered with web SAQ had significantly more reporting than those with paper SAQ. Boys and junior high, vocational high school students who were administered with web SAQ were more likely to report substance use and life events than those with paper SAQ. Conclusions: Web SAQ leads to higher reporting rates of readily available substances, illicit drugs, and life events in adolescents as compared with those of paper SAQ.CONTENT Abstract Ⅰ Content Ⅲ List of tables Ⅳ Introduction 1 Methods 4 Participants 4 Measures 5 Statistical analyses 6 Results 8 Sample demographic features 8 Effects of administration mode 8 Mode effects among demographic subgroups 9 Discussion 11 References 15 Appendices 25 Ⅰ. Calculation of sampling weights 25 Ⅱ. Questionnaire 31 LIST OF TABLES Table 1. Social and demographic characteristics of participants.. 19 Table 2. Demographic characteristics and educational courses among the adolescent students by using different methods of questioning.. 20 Table 3. Risk behaviors and life events among the adolescent students by using different methods of questioning 21 Table 4. Lifetime prevalence of substance use among the adolescent students by using different methods of questioning 22 Table 5. Lifetime prevalence of substance use among the adolescent students by using different methods of questioning and other covariates, such as gender and types of school. 23 Table 6. Lifetime prevalence of life events among the adolescent students by using different methods of questioning and other covariates, such as gender and types of school 24518253 bytesapplication/pdfen-US紙筆版問卷物質使用學校調查青少年網路版問卷生活事件paper-and-pencil questionnairesubstance useschool surveyweb-based questionnaireadolescentslife eventsthesishttp://ntur.lib.ntu.edu.tw/bitstream/246246/56201/1/ntu-93-R91842016-1.pdf