Dissertations / Theses on the topic 'Health attitudes China Hong Kong Statistics'

Introduction: Influenza illness is considered to be associated with high mortality, morbidity and economic loss. Numerous studies and mathematical simulations are conducted to understand the disease pattern, transmission dynamics, and psychosocial response of the population; however, little is known about the health seeking behavior of patients after the onset of respiratory infection symptoms. Respiratory infections exert substantial burden on the health care system of Hong Kong, therefore in addition to detecting the disease early, it is necessary to understand health care utilization behavior of the population. This information will not only benefit to formulate public health policies, it will also improve the preparedness plan to deal with future pandemics. Objective: To examine the influence of factors such as gender, age, education and occupation on the health seeking behavior of Hong Kong citizens and to understand the magnitude of health care utilization by the patients with respiratory infections. Method: This study is based on the data from a large randomized controlled trial of 703 households comprising of 2,586 individuals. Bi-weekly telephone contact was established with these households to assess the health seeking behavioral response of the individuals with respiratory infection episodes separately for laboratory confirmed influenza, and two other clinically defined infection episodes that are influenza like illness (ILI) and acute respiratory infection (ARI) episodes. Descriptive analyses were performed to assess the health care utilization within various health care delivery institutions. Multivariable logistic regression models were applied to determine the association of demographic factors with the health seeking behavior of individuals with respiratory infection episodes. Fischer exact test was used to analyze the association of promptness of health care contact with ARI and ILI episodes. Multivariable logistic regression model was used to analyze the association of demographic factors of ILI patients with early health care contact. Results: The results showed that seeking health care varied by the severity of illness and characteristics of the patients/ parents. As compared with the patients of ARI (non-ILI) episodes, higher proportion of ILI patients sought medical care and among all the health care delivery systems, private health care delivery system was attended by majority of the patients. Individuals with ILI episodes more likely to seek health care were male patients by 66% (Crude OR 1.66; 95% CI 1.01-2.77), and children below 10 years by 219% (Crude OR 3.19; 95% CI 1.30-7.79). Within the group of laboratory confirmed influenza patients, adjusted odds ratio showed male patients 243% more likely to seek health care (Adjusted OR 3.43; 95% CI 1.01-11.63). Unemployed ILI adult patients were less likely to seek medical care (Crude OR 0.39; 95% CI 0.15-0.98), and employed ARI (non-ILI) patients were 52% more likely to attend medical care (Crude OR 1.52; 95% CI 1.10-2.08). Health care contact within 24 hours of onset of symptoms was significantly associated with ILI patients (OR 1.85; 95% CI 1.33-2.59; p-value 0.0003) showing that patients with febrile ARI were more likely to seek early health care rather than patients with afebrile ARI. Conclusion: The differences in the health seeking behavior demonstrated in this study indicate inequalities in the health care services utilization. Higher and earlier utilization of health care services by patients with ILI episodes during low influenza activity period might result in the overburdening of the health care system. In order to address these issues, policy makers should have a clear understanding of populations’ preventive and enabling factors to seek health care, perceptions of the risk of disease, self-care behaviors and health education levels.
published_or_final_version
Public Health
Master
Master of Public Health

Siu, Hon Kei.
"November 2011."
Thesis (M.Phil.)--Chinese University of Hong Kong, 2012.
Includes bibliographical references (leaves 80-88).
Abstracts in English and Chinese; appendix in Chinese.
Thesis/Assessment Committee --- p.1
Abstract --- p.2
Content --- p.5
Acknowledgements --- p.7
Introduction --- p.8
Background --- p.12
Defining continuity of care --- p.12
Measuring continuity of care --- p.14
Effects of continuity of care --- p.15
Factors affecting the continuity of care --- p.16
Health care system in Hong Kong --- p.18
Health care service charges in public and private sectors in Hong Kong --- p.19
Primary care service in public and private sector --- p.21
Health status and health seeking behaviours of Hong Kong people --- p.22
Summary --- p.22
Objectives --- p.24
Methods --- p.25
Target population --- p.25
Sample size --- p.25
Data collection --- p.26
Preparation of questionnaire --- p.26
Questionnaire in detail --- p.27
Ethics issue --- p.32
Statistical analysis --- p.32
Results --- p.38
Survey findings --- p.38
Detailed analysis - respondents claimed that they needed a family doctor --- p.44
Detailed analysis - respondents claimed that they had a family doctor --- p.46
Discussion --- p.50
Limitations of the study --- p.50
Strengths of the study --- p.51
Discussion of the findings --- p.52
Implications --- p.59
Conclusion --- p.62
Tables and figures --- p.64
Appendix --- p.75
Bibliography --- p.80

by Au-Yeung Kit Mei.
Thesis (M.Phil.)--Chinese University of Hong Kong, 2002.
Includes bibliographical references (leaves 219-232).
Abstracts in English and Chinese.
Acknowledgements --- p.i
Abstract --- p.ii
Abstract (Chinese Version) --- p.v
Table of Contents --- p.vii
List of Figures --- p.xiii
List of Tables --- p.xv
List of Abbreviations --- p.xxviii
Chapter CHAPTER ONE: --- INTRODUCTION
Chapter 1.1 --- Health-related Transition in Hong Kong and Their Implications --- p.1
Chapter 1.2 --- "Eating Habits, Lifestyle and Health of Hong Kong Children" --- p.1
Chapter 1.2.1 --- Affluent Diet --- p.1
Chapter 1.2.2 --- Poor Diet Habits --- p.2
Chapter 1.2.2.1 --- Low Breastfeeding Rate --- p.2
Chapter 1.2.2.2 --- Breakfast Skipping --- p.4
Chapter 1.2.2.3 --- Increased Eating Out --- p.5
Chapter 1.2.2.4 --- Quality of School Lunch --- p.6
Chapter 1.2.2.5 --- Snacking Habits --- p.7
Chapter 1.2.3 --- Physical Inactivity --- p.8
Chapter 1.2.4 --- Childhood Obesity Prevalence and Trend --- p.9
Chapter 1.2.5 --- Health Implications and Consequences --- p.10
Chapter 1.2.6 --- Children's Eating and Physical Activity Habit Formation --- p.13
Chapter 1.2.6.1 --- Parental Influences --- p.13
Chapter 1.2.6.2 --- Influence of School Environment and Healthy Food Availability --- p.14
Chapter 1.2.6.3 --- Media Influences --- p.15
Chapter 1.3 --- Prevention Rather than Management --- p.15
Chapter 1.3.1 --- Good Habit Establishment is Essential When Young --- p.16
Chapter 1.3.2 --- Need for Comprehensive Health or Nutrition Education --- p.17
Chapter 1.3.3 --- Brief Review of Nutrition Education Research in Other Nations --- p.17
Chapter 1.3.4 --- Nutrition / Health Education in Hong Kong --- p.21
Chapter 1.3.4.1 --- Government and Community Promotion --- p.21
Chapter 1.3.4.2 --- Nutrition and Physical Activity in Primary School Syllabus --- p.22
Chapter 1.3.4.3 --- Barriers --- p.23
Chapter 1.4 --- Rationale of This Study --- p.24
Chapter 1.4.1 --- Project Background: Multidisciplinary Advisory Committee Composition --- p.24
Chapter 1.4.2 --- Objectives of this Project --- p.24
Chapter 1.4.3 --- Theoretical Framework --- p.25
Chapter 1.4.4 --- Research Design and Hypothesis --- p.26
Chapter CHAPTER TWO: --- METHODOLOGY
Chapter 2.1 --- Target Subjects --- p.27
Chapter 2.2 --- Sample --- p.27
Chapter 2.2.1 --- Gaining Access To Subjects --- p.27
Chapter 2.2.2 --- Sample Selection --- p.29
Chapter 2.3 --- Questionnaires Development and Data Collection --- p.30
Chapter 2.3.1 --- Questionnaire Design --- p.30
Chapter 2.3.1.1 --- Students' Questionnaire --- p.31
Chapter 2.3.1.2 --- Parents' Questionnaire --- p.32
Chapter 2.3.1.3 --- Pre-testing --- p.32
Chapter 2.3.1.4 --- Student Helper Training --- p.33
Chapter 2.3.1.5 --- Reliability and validity of measures --- p.33
Chapter 2.4 --- Intervention --- p.34
Chapter 2.4.1 --- Intervention Activities and Curriculum Design --- p.34
Chapter 2.4.2 --- Intervention Materials Development and Pre-testing --- p.39
Chapter 2.5 --- Evaluation --- p.39
Chapter 2.5.1 --- Outcome Evaluation --- p.39
Chapter 2.5.1.1 --- Data Management --- p.39
Chapter 2.5.1.2 --- Statistics --- p.40
Chapter 2.5.1.3 --- "Knowledge,Attitude and Behavior Scores of Students" --- p.40
Chapter 2.5.2 --- Process Evaluation of Program Materials and Activities During the Intervention --- p.41
Chapter 2.6 --- Ethics --- p.44
Chapter CHAPTER THREE: --- RESULTS
Chapter 3.1 --- Response Rate --- p.45
Chapter 3.2 --- Baseline Characteristics of Students and Parents in Pre-intervention Survey --- p.46
Chapter 3.2.1 --- General Sociodemographic Characteristics --- p.46
Chapter 3.2.2 --- Breastfeeding --- p.58
Chapter 3.2.3 --- Healthy Diet Pyramid and General Healthy Eating Awareness --- p.63
Chapter 3.2.4 --- Healthy Breakfast --- p.67
Chapter 3.2.5 --- Healthy Eating Out --- p.73
Chapter 3.2.6 --- Healthy School Lunch --- p.79
Chapter 3.2.7 --- Healthy Snacking --- p.82
Chapter 3.2.8 --- Family Dietary Habits --- p.88
Chapter 3.2.9 --- Physical Activity --- p.97
Chapter 3.2.10 --- Summary Profile of the Subjects at Pre-intervention Survey --- p.109
Chapter 3.3 --- Outcome Evaluation --- p.114
Chapter 3.3.1 --- General Sociodemographic Characteristics of Students and Parents in Post-intervention survey --- p.114
Chapter 3.3.2 --- Breastfeeding --- p.117
Chapter 3.3.3 --- Healthy Diet Pyramid and General Healthy Eating Awareness --- p.122
Chapter 3.3.4 --- Healthy Breakfast --- p.125
Chapter 3.3.5 --- Healthy Eating Out --- p.130
Chapter 3.3.6 --- Healthy School Lunch --- p.134
Chapter 3.3.7 --- Healthy Snacking --- p.138
Chapter 3.3.8 --- Family Dietary Habits --- p.144
Chapter 3.3.9 --- Physical Activity --- p.150
Chapter 3.3.10 --- "Changes in Students' Knowledge, Attitudes and Behavior With Respect to Healthy Eating and Physical Activity" --- p.157
Chapter 3.3.11 --- Summary Profile of the Subjects at Post-intervention Survey --- p.162
Chapter 3.4 --- Parents' Evaluation of Program Materials and Activities --- p.166
Chapter 3.5 --- Teachers' Evaluation of Program Materials and Activities --- p.174
Chapter 3.5.1 --- Breastfeeding Evaluation --- p.175
Chapter 3.5.2 --- Program Evaluation: Other FUN-IN-SEVEN Themes --- p.181
Chapter CHAPTER FOUR: --- DISCUSSION
Chapter 4.1 --- Implication of Findings --- p.193
Chapter 4.2 --- Strengths and Limitations of the Study --- p.210
Chapter 4.3 --- Major Difficulties Encountered in Launching Nutrition Promotion in Schools --- p.213
Chapter 4.4 --- Implications and Recommendations for Meeting the Challenges to Improving Hong Kong Primary Students Nutrition and Physical Activity Habits --- p.214
Chapter CHAPTER FIVE: --- CONCLUSION --- p.218
References --- p.219
Appendices
Chapter AI --- Students' questionnaire (Chinese version) --- p.233
Chapter AII --- Students' questionnaire (English version) --- p.238
Chapter BI --- Visual aids (Chinese version) --- p.251
Chapter BII --- Visual aids (English version) --- p.258
Chapter CI --- Parents' questionnaire (Chinese version) --- p.265
Chapter CII --- Parents' questionnaire (English version) --- p.273
Chapter DI --- Introductory letter (Chinese version) --- p.281
Chapter DII --- Introductory letter (English version) --- p.283
Chapter EI --- Consent form (Chinese version) --- p.285
Chapter EII --- Consent form (English version) --- p.286
Chapter F --- Principal/teacher questionnaire --- p.287
Chapter G --- Background information of the partner schools --- p.289
Chapter H --- Summary of materials and activities of FUN-IN-SEVEN Programme (Chinese version) --- p.291
Chapter KI --- "Programme materials, pamphlets/brochures and photographs of some activities" --- p.292
Chapter LI --- Parents' evaluation (Chinese version) --- p.370
Chapter LII --- Parents' evaluation (English version) --- p.372
Chapter MI --- Teachers' breastfeeding evaluation (Chinese version) --- p.373
Chapter MII --- Teachers' breastfeeding evaluation (English version) --- p.375
Chapter NI --- Teachers' programme evaluation (Chinese version) --- p.377
Chapter NII --- Teachers' programme evaluation (English version) --- p.381
Chapter P --- Socioeconomic background information of partner schools --- p.385

by Wan Cheuk Wing.
Thesis (M.Phil.)--Chinese University of Hong Kong, 2002.
Includes bibliographical references (leaves p. 166-183).
Abstracts in English and Chinese.
Acknowledgements --- p.i
Abstract --- p.ii-iii
Abstract (Chinese Version) --- p.iv
Table of Contents --- p.v-xi
List of Figures --- p.xii
List of Tables --- p.xiii-xxiii
List of Abbreviations --- p.xxiiv
Chapter CHAPTER ONE: --- INTRODUCTION
Chapter 1.1 --- "Socioeconomic, dietary and epidemiological transformation" --- p.1
Chapter 1.1.1 --- Low breastfeeding rate --- p.3
Chapter 1.1.2 --- Breakfast skipping --- p.6
Chapter 1.1.3 --- Popularity of eating out --- p.8
Chapter 1.1.4 --- Lack of school lunch surveillance or policy --- p.10
Chapter 1.1.5 --- Frequent unhealthy snack consumption --- p.11
Chapter 1.1.6 --- Physical inactivity --- p.12
Chapter 1.2 --- "Childhood and Adolescent obesity determinants, trends and consequences" --- p.13
Chapter 1.3 --- "Physiological, psychosocial and economic determinants of childhood and adolescent obesity" --- p.16
Chapter 1.4 --- Adolescence - Critical period of habit development --- p.17
Chapter 1.4.1 --- "Factors affecting eating and physical activity patterns: peers, television and the school environment" --- p.18
Chapter 1.5 --- The education system in Hong Kong and United States --- p.20
Chapter 1.5.1 --- Principles of effective nutrition curriculum development --- p.23
Chapter 1.6 --- Study Design and Theoretical Approach of study --- p.23
Chapter CHAPTER TWO: --- METHODOLOGY
Chapter 2.1 --- Target Population Determination --- p.28
Chapter 2.2 --- Recruitment & Geographical Distribution of Schools --- p.28
Chapter 2.2.1 --- Familiarization with School Background --- p.30
Chapter 2.3 --- Focus groups --- p.31
Chapter 2.4 --- "Questionnaire Development, Instrument Design and Pre-testing" --- p.32
Chapter 2.4.1 --- Questionnaire Development --- p.32
Chapter 2.4.2 --- Socio-demographic --- p.33
Chapter 2.4.3 --- Breastfeeding --- p.33
Chapter 2.4.4 --- "Dietary - Healthy Diet Pyramid, Healthy Breakfast, Healthy Lunch, Healthy Snack, Healthy Eating Out" --- p.33
Chapter 2.4.5 --- Physical Activity --- p.34
Chapter 2.4.6 --- Pretesting --- p.35
Chapter 2.4.7 --- Sampling Method --- p.35
Chapter 2.4.8 --- Student Helpers Training --- p.36
Chapter 2.4.9 --- Data Collection --- p.37
Chapter 2.4.10 --- Fun-In-Seven Logo --- p.37
Chapter 2.5 --- Intervention Program --- p.38
Chapter 2.5.1 --- Planning the Intervention Programs - Health Committee Establishment --- p.38
Chapter 2.5.2 --- "Intervention Activities, Curriculum Design and Implementation" --- p.39
Chapter 2.6 --- Evaluations --- p.45
Chapter 2.6.1 --- Process Evaluation --- p.45
Chapter 2.6.2 --- Outcome Evaluation --- p.45
Chapter 2.7 --- Data Management --- p.46
Chapter 2.7.1 --- Data Processing --- p.46
Chapter 2.7.2 --- Statistics --- p.46
Chapter 2.7.3 --- Data Analysis --- p.47
Chapter CHAPTER THREE: --- RESULTS
Chapter 3.1 --- Participation rate of the study --- p.52
Chapter 3.2 --- Pre-intervention survey results --- p.52
Chapter 3.2.1 --- General sociodemographic characteristics of students --- p.52
Chapter 3.2.2 --- Self-evaluated nutrition scores --- p.53
Chapter 3.2.3 --- Breastfeeding --- p.55
Chapter 3.2.4 --- Healthy Diet Pyramid --- p.61
Chapter 3.2.5 --- Healthy breakfast awareness and practices --- p.64
Chapter 3.2.6 --- "Eating out knowledge, attitudes and practices" --- p.68
Chapter 3.2.7 --- Healthy Lunch --- p.73
Chapter 3.2.8 --- Snack patterns --- p.77
Chapter 3.2.9 --- Physical Activity --- p.81
Chapter 3.2.10 --- Summary Profile of the Secondary Students in the Pre-intervention Survey --- p.92
Chapter 3.3 --- Outcome evaluation --- p.95
Chapter 3.4 --- Post-intervention Survey --- p.95
Chapter 3.4.1 --- General sociodemographic characteristics of students --- p.95
Chapter 3.4.2 --- Changes in self-rated nutrition knowledge --- p.96
Chapter 3.4.3 --- Intervention effects on of breastfeeding knowledge and attitudes --- p.97
Chapter 3.4.4 --- Healthy Diet Pyramid and healthy eating awareness --- p.104
Chapter 3.4.5 --- Breakfast --- p.109
Chapter 3.4.6 --- Eating Out --- p.113
Chapter 3.4.7 --- Lunch --- p.117
Chapter 3.4.8 --- Snacking --- p.121
Chapter 3.4.9 --- Physical Activity --- p.128
Chapter 3.4.10 --- "Changes in students' knowledge, attitude, and behavior after the intervention programme" --- p.140
Chapter 3.5 --- Summary Profile of the Secondary Students in the Post-intervention Survey --- p.145
Chapter CHAPTER FOUR: --- DISCUSSION
Chapter 4.1 --- Impacts of Fun-in-Seven programmes --- p.150
Chapter 4.1.1 --- Breastfeeding --- p.150
Chapter 4.1.2 --- Healthy Diet Pyramid --- p.151
Chapter 4.1.3 --- Healthy Breakfast --- p.152
Chapter 4.1.4 --- Lunch --- p.153
Chapter 4.1.5 --- Snacking --- p.155
Chapter 4.1.6 --- Physical Activity --- p.156
Chapter 4.2 --- Strengths of the intervention programme --- p.157
Chapter 4.3 --- Limitations and problems encountered --- p.159
Chapter 4.4 --- Recommendations for further improvement --- p.161
Chapter CHAPTER FIVE: --- CONCLUSION --- p.165
References --- p.166-180
Appendices
Chapter A --- Questionnaire for Teacher/Principal (English version) --- p.181-183
Chapter B --- Secondary School Background Information (English version) --- p.184-195
Chapter CI --- Questionnaire (Chinese version) --- p.196-209
Chapter CII --- Questionnaire (English version) --- p.210-224
Chapter D --- Pamphlets for seven themes (Chinese and English versions) --- p.225-257
Chapter E --- Worksheets & Certificates (Chinese and English versions) --- p.258-283
Chapter F --- Activities photos (English version) --- p.284-288
Chapter G --- Summary of materials and activities of each theme in Fun-in-Seven (Chinese version) --- p.289
Chapter HI --- Breastfeeding and Physical Activity Process Evaluation Questionnaire (Chinese version) --- p.290-291
Chapter HII --- Breastfeeding and Healthy Diet Pyramid Process Evaluation Questionnaire (English version) --- p.292-294
Chapter JI --- "Physical Activity, Breakfast, Lunch, Eat Out, Snack Outcome Evaluation (Chinese version) - School 1" --- p.295-299
Chapter JII --- "Physical Activity, Breakfast, Lunch, Eat Out, Snack Outcome Evaluation (English version)" --- p.300-305
Chapter KI --- "Physical Activity, Breakfast, Lunch, Eat Out, Snack Outcome Evaluation (Chinese version) - School 2" --- p.306-309
Chapter KII --- "Physical Activity, Breakfast, Lunch, Eat Out, Snack Outcome Evaluation (English version) ´ؤ School 2" --- p.310-313
Chapter LI --- "Physical Activity, Breakfast, Lunch, Eat Out, Snack Outcome Evaluation (Chinese version) ´ؤ School 3" --- p.314-317
Chapter LII --- "Physical Activity, Breakfast, Lunch, Eat Out, Snack Outcome Evaluation (English version) ´ؤ School 3" --- p.318-322
Chapter MI --- Teacher's Outcome Evaluation Form (Chinese version) ´ؤ School --- p.323-324
Chapter MII --- Teacher's Outcome Evaluation Form (English version) 一 School --- p.325-327
Chapter NI --- Teacher's Outcome Evaluation Form (Chinese version) ´ؤ School --- p.328-329
Chapter NII --- Teacher's Outcome Evaluation Form (English version) - School --- p.330-332
Chapter PI --- Teacher's Outcome Evaluation Form (Chinese version) - School --- p.333-334
Chapter PII --- Teacher's Outcome Evaluation Form (English version) 一 School --- p.335-337
Chapter QI --- Health Ambassador's Outcome Evaluation Form (Chinese version) --- p.338-339
Chapter QII --- Health Ambassador's Outcome Evaluation Form (English version) --- p.340-341

Tang, Shing Tung.
Thesis (M.Phil.)--Chinese University of Hong Kong, 2010.
Includes bibliographical references (leaves 114-126).
Abstracts in English and Chinese; some appendixes in Chinese.
Chapter Chapter 1: --- Introduction --- p.1
Chapter Chapter 2: --- Background --- p.5
HPV Vaccination and Cervical Cancer --- p.5
Overview of HPV Vaccination in the West and Asia --- p.6
Chapter Chapter 3: --- Literature Review --- p.9
Applying the Theory of Planned Behavior in Vaccination Context --- p.9
Effects of Mass and Interpersonal Communication --- p.22
Relationship between Mass and Interpersonal Communication --- p.33
Differential Effects of Mass and Interpersonal Communication --- p.39
Chapter Chapter 4: --- Methodology --- p.45
Participants and Procedure --- p.45
Measures --- p.49
Chapter Chapter 5: --- Results --- p.54
Model Fit and Adjustments --- p.54
Testing the Alternative Model --- p.56
Evaluating Individual and Contextual Predictors --- p.59
Examining the Context-to-intention Pathways --- p.60
Summary of Findings --- p.61
Chapter Chapter 6: --- Discussion --- p.63
Comparing the Proposed and Alternative Model --- p.63
Evaluating the TPB in Vaccination Context --- p.65
Evaluating Mass and Interpersonal Communication as Contextual Predictors --- p.73
Further Exploration on the Differential Effects --- p.76
Theoretical Contributions and Practical Implications --- p.80
Chapter Chapter 7: --- Limitations and Directions for Future Research --- p.85
Limitations --- p.85
Directions for Future Research --- p.90
Chapter Chapter 8: --- Conclusion --- p.93
Appendix --- p.96
References --- p.114

Wan, Suk Fan.
Thesis submitted in: December 2006.
Thesis (M.Phil.)--Chinese University of Hong Kong, 2007.
Includes bibliographical references (leaves 170-176).
Abstracts in English and Chinese.
Abstract --- p.i
Acknowledgements --- p.iv
Chapter Chapter 1 --- Introduction --- p.1
Rationale of the Research Topic --- p.2
Research Questions --- p.3
Research Objectives --- p.4
Overview of the Present Thesis --- p.4
Chapter Chapter 2 --- Literature Review --- p.6
The Vicissitudes of the Concept of Mental Health Problems in the Western Culture --- p.6
The Development of the Concept of Children and Adolescents in the Western Culture --- p.12
The Traditional Chinese Concept of Children and Parental Role --- p.19
The Child Mental Health Problem in Hong Kong --- p.24
Summary --- p.29
Chapter Chapter 3 --- Theoretical Framework --- p.32
Orientation of A Critical Social Work --- p.32
"Discourse, Power / Knowledge" --- p.34
"Discourse, Subjectivity and Human Problem" --- p.38
Criticism from Foucault and Inspiration for the Theoretical Framework --- p.40
Social Constructionism --- p.44
Summary --- p.46
Chapter Chapter 4 --- Research Methodology --- p.48
Rationale of Selecting the Qualitative Research Method --- p.48
Research Design --- p.50
Methods of Data Collection and Analysis --- p.51
The Setting of the Child Psychiatric Unit of the Alice Ho Miu Ling
Nethersole Hospital --- p.54
Sampling Method and the Profile of the Participant Families --- p.56
Quality of the Present Research and Its Measure --- p.62
Summary --- p.65
Chapter Chapter 5 --- The Results of Study : The Subjective Experiences of the Children and Adolescents --- p.67
The Subjective Experience related to the Child Mental Health Problems: the Children and Adolescents´ة Perspective --- p.67
"I have problems, but my problems were not necessarily a child mental health problem.'" --- p.67
My school and family lives were disturbed not only by my problems; but by the treatment provided by the Child Psychiatric Unit too!´ة --- p.73
Effects on School Lives --- p.73
Effects on Family lives --- p.75
"´بPerhaps the treatment improved my problems, but it was such a painful and meaningless process to me!´ة" --- p.81
´بThe Child Psychiatric Ward - a place I never want to go again!´ة --- p.81
"´بNo one discussed with me about my progress and discharge plan, I felt like being trapped!´ة" --- p.90
I had no part to play in my treatment!´ة --- p.91
I was confused by too many helping professionals. They were unhelpful unless I was ready to help myself. ´ب --- p.94
I had no choice! No one discussed with me before the decision was made!'´ة --- p.95
Summary --- p.97
Chapter Chapter 6 --- The Results of Study : The Subjective Experiences of the Parents --- p.99
The Subjective Experiences related to their Children´ةs Mental Health Problems : the Parents´ةPerspective --- p.99
´بMy child does not only have child mental health problem but also problems with other aspects of his / her life.´ة --- p.99
´بWe were desperate; the services provided by the Child Psychiatric Unit were our last resource!´ة --- p.106
"´بMy child's problem affected not only his / her well-being, but it also affected our family relationship, parenting, emotions and mental health!'´ة" --- p.109
"´بFamily Relationships - it was not his problem only, my whole family was affected.´ة" --- p.109
"Parenting -1 know I need to adjust my parenting in response to my child's problem, but I am uncertain in what way I should change.´ة" --- p.114
"´بEmotions and Mental Health - although I was disappointed by my child, I blamed myself for his problem and worried that his future would be destroyed by his problem.´ة" --- p.120
Who is going to take care of my emotions?´ة --- p.129
I needed help; but Ifelt that I was not included from the treatment program!´ة --- p.129
I need more than a pill for my child!' --- p.129
"´بDoctor, would you listen to my opinions and difficulties in dealing with my child's problem before you design the treatment plan?´ة" --- p.133
Visiting - the precious moment to show our support to my child but restricted by the hospital policy.' --- p.135
Summary --- p.137
Chapter Chapter 7 --- Discussion and Implications --- p.139
The Constitution of Subjectivities --- p.140
The Subjectivities of the Children and Adolescents --- p.142
The Subjectivities of the Parents --- p.145
Power Relations --- p.149
Power Relations between Self and Discourse --- p.150
Power Relations between Parents and Children --- p.151
Power Relations between Services User and Helping Professionals --- p.152
Power Relations between Service Users and Hospital Policies --- p.154
Emergence of New Meanings and Creation ofAlternatives --- p.155
Implications for Social Work Practice and Future Child Mental Service Development --- p.156
Contributions and Limitations of this study --- p.160
Contributions of this Study --- p.160
Limitations of this Study --- p.161
Directions for Further Study --- p.163
Self-reflexivity : My Personal Change after Completing this Study --- p.163
Conclusion --- p.165
Appendices
Appendix 1 Guidelines for interview --- p.166
Appendix 2 Letter to the family and consent form (Chinese version) --- p.168
Bibliography --- p.170
List of Tables:
Table 1: Summary of Erikson's Psychosocial Theory --- p.17
Table 2: Details of the Data Collection Schedule --- p.53
Table 3: The Socio-Demographic Data of the Six Families --- p.57
Table 4: Diagnosis and Psychiatric Histories of the Six Children and Adolescents --- p.58
Table 5: Details of Hospitalization of the Children and Adolescents --- p.59
Table 6: Details of the Follow up Service Received by the Children and Adolescents --- p.59

Ma Man-yan.
Thesis (M.Phil.)--Chinese University of Hong Kong, 2002.
Includes bibliographical references (leaves 54-71).
Text in English; abstracts in English and Chinese.
Ma Man-yan.
Abstract --- p.i
Acknowledgements --- p.iii
List of Table --- p.vii
List of Figure --- p.viii
Chapter CHAPTER ONE --- Introduction --- p.1
General introduction --- p.1
Early participation in physical activity --- p.1
The childhood years --- p.2
Parental influence --- p.3
Purpose of study --- p.4
Theoretical framework --- p.5
Operational definition --- p.6
Delimitations --- p.7
Limitations --- p.8
Significance of the study --- p.9
Chapter CHAPTER TWO --- Review of Literature --- p.11
Physical activity and the public health --- p.11
Sedentary life --- p.12
Promoting active lifestyle --- p.12
Parental influences in physical activity --- p.14
The early childhood years --- p.15
Overview of results --- p.16
Beliefs --- p.18
Parental beliefs and the influence on children --- p.19
Achievement goal --- p.21
The case in Hong Kong --- p.24
Hong Kong children's lives --- p.24
Parents in Hong Kong --- p.25
Cultural values: The Confucian ethic --- p.26
Instrumental society --- p.27
Filial Piety --- p.29
Definition of success --- p.31
Summary --- p.32
Chapter CHAPTER THREE --- Method --- p.34
Participants --- p.34
Instrumentation --- p.34
Measures of children's physical activity levels --- p.34
Measures of parental beliefs regarding their child's participation in physical activity --- p.35
Goal orientations --- p.35
Reasons for children's physical activity participation --- p.36
Parents' exercise behavior --- p.36
Family background information --- p.37
Procedure --- p.37
Statistical analysis --- p.38
Chapter CHAPTER FOUR --- Results --- p.40
Descriptive statistics --- p.40
Gender and parental beliefs --- p.41
The relationship between parents' and children's level of physical activity --- p.43
Parents' self-reported level of physical activity --- p.43
Physical activity participation with children --- p.43
Family characteristics --- p.44
Chapter CHAPTER FIVE --- Discussion --- p.45
Limitations --- p.52
Conclusion --- p.53
References --- p.54
Appendix A --- p.72
Appendix B --- p.73
Appendix C --- p.74
Appendix D --- p.75
Appendix E --- p.76
Appendix F --- p.77
Appendix G --- p.83