• 作者： 林靜雯1、林錦鴻2、陳美蓉1 (通訊作者：林靜雯)
• 作者服務機構： 1國立東華大學課程設計與潛能開發學系暨科學教育研究所、2銘傳大學醫療資訊與管理學系、3行政院衛生福利部中央健康保險署
• 中文摘要： 本研究以更年期不適是否採用荷爾蒙療法(Hormone Replace Therapy, HRT)為例，探
  討科學新聞之正、負觀點對不同年齡層女性健康決策之影響。研究者先分別將78名女大學
  生及79名更年期婦女，隨機分配至「正面新聞」或「負面新聞」兩組，接著調查其閱讀新
  聞前、後採用HRT之決策程度、理由的改變情形及新聞面向的覺察情形。研究發現新聞之
  正、負觀點會影響女大學生採用HRT之決策改變程度，但並不影響更年期婦女。而以「健
  康信念模式」分析受試者的決策理由則顯示不同觀點之健康新聞會影響女大學生對「自覺
  行動利益」與「自覺行動障礙」的覺知，但對於更年期婦女則沒有顯著影響。而以「文化
  鑽石」之架構分析受試者閱讀新聞的解讀面向則顯示無論哪種年齡階段皆注意新聞「文
  本」，而較不能體察其他面向。若女大學生與更年期婦女相較，前者對新聞「生產者」的
  面向較為關注，而後者則較有先入為主的看法而不需要進一步的資訊補充。文末，研究者
  根據研究結果對科學教學及科學新聞寫作提出建議。
• 英文摘要： This study takes menopause hormone-replacement therapy (HRT) as an example to explore the impact of a positive or negative view of the science news on different age level women’s health decisions. Seventy-eight female college students and 79 post-menopause women were randomly assigned to two groups of “positive news” or “negative news” respectively. Then, their decision degree, changes, reasons and awareness about news perspectives of reading hospital circulars and news were investigated. The research results show that the news of the positive or negative view influence female college students’ decisions about the degree of adopting HRT, but do not affect post-menopause women. Using “Health belief model” to analyze the reasons for the participants’ decision-making, this study found different positions of news would influence female college students’ awareness of “perceived benefits of actions” and “perceived
  barriers of action”. Furthermore, using the framework of the “cultural diamond” to analyze the
  participants’ interpretation perspectives of news, this study found either age levels pay their
  attention to the news “text”, and are less able to aware of the other perspectives. Comparisons
  between female students and post-menopause women show the former is more concerned about
  the “producers” perspective, while the latter is prejudiced by their original impressions without
  the need for further supplementary information. According to the findings, this study provides
  recommendation to teaching health-related social science issues in science education and writing
  science news in the end.
• 中文關鍵字： 科學新聞、健康決策、健康相關之社會性科學議題、荷爾蒙療法、新聞觀點
• 英文關鍵字： Science News, Health Decision-Making, Health-Related Socio-Science Issues(H-SSI), Hormonal-Replacement Therapy (HRT), News Position