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研究生:卓仲彥
研究生(外文):Chung-Yen Cho
論文名稱:社經地位、飲食型態與慢性病
論文名稱(外文):Socioeconomic Status , Dietary Pattern and Chronic Disease
指導教授:朱僑麗朱僑麗引用關係
指導教授(外文):Chiao-Lee Chu
學位類別:碩士
校院名稱:亞洲大學
系所名稱:健康管理研究所
學門:商業及管理學門
學類:醫管學類
論文種類:學術論文
論文出版年:2005
畢業學年度:94
語文別:中文
論文頁數:107
中文關鍵詞:社經地位飲食型態
外文關鍵詞:Socioeconomic StatusDietary Pattern
相關次數:
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研究動機與背景 隨著社會型態、經濟結構及生活環境的轉變,台灣的人口結構與疾病型態亦同時發生轉變。慢性病在近年來,已經成為台灣地區十大死因的疾病類型。在抽菸、喝酒等危害行為越來越受民眾重視,且有減少的趨勢下,飲食與疾病的關係將倍受重視。因此本篇探討社會經濟地位與飲食型態的關係,以及和疾病的相關。
研究方法 使用1993-1996年台灣地區國民營養狀況變遷調查,排除缺漏的資料後共4042人(男性2017人,女性2025人)。飲食型態是以集群分析方法,作為飲食型態的分群。社經地位與飲食型態的關係,以多重類別邏輯斯迴歸來分析;疾病危險性則是以邏輯斯迴歸來分析。
研究結果 個人社經地位較高飲食型態也比較健康,地區收入高的比較不容易有健康的飲食型態。教育年數、地區失業率高的人都有同樣的趨勢,即攝取較高油脂類的食物,但同時亦多攝取蔬菜水果。居住在地區收入高的人,其慢性病罹患率高於地區收入低的的人。
建議 研究者建議,將來有關社經地位與飲食型態的研究,可以加入個人收入、地區都市化程度,以及食物購買能力及取得的便利性,這樣關於飲食型態以及社經地位的討論,將更加完整。
Objective:
This study aimed to investigate relationship between the socioeconomic status (SES), dietary patterns and chronic disease.
Method:
By using data from Nutrition and Health Survey in Taiwan (NAHSIT) 1993-1996, 4042 samples were analyzed with aged 18 to 64. Educational level and occupational status were used as indicators of individual level socioeconomic status, area unemployment rate and area household income were used as indicators of area level socioeconomic status. Dietary pattern was measured using food frequency (weekly) by cluster analysis. Socioeconomic status and dietary pattern were assumed to affect chronic disease, and the effects were examined by multinomial logistic regression and logistic regression.

Result:
Individual-base level socioeconomic status higher, dietary pattern more health, and the higher of ‘area household income’ the less healthy dietary pattern. The people with high education level and living in high area unemployment rate have the conflict dietary patterns, that is, they liked to eat fat and meat, at the same time also liked to eat vegetable and fruit.

Conclusion and Suggestion:
We suggest that the individual income, development of city, food purchasing ability and access to food should be the independent factors in the future study model, to clarify the relationship between socioeconomic status and dietary pattern.
第一章、 前言 1
第二章、 文獻探討 3
第一節、社經地位 3
第二節、飲食型態 7
第三節、社經地位、飲食型態與健康的關係 11
第三章、 研究方法 18
第一節、研究架構 18
第二節、研究材料 19
第三節、抽樣工具 21
第四節、資料分析 23
第五節、研究變項操作型定義 25
第六節、研究目的與研究假設 32
第四章、 研究結果 33
第一節、基本人口學特質 34
第二節、飲食型態集群分析結果 36
第三節、人口學特性、飲食方面、疾病狀況之雙變項分析 39
第四節、邏輯斯迴歸 53
第五章、 結論與討論 62
第一節、結論 62
第二節、討論 66
第三節、研究限制 75
第四節、建議 76
參考文獻 77
































表目錄
表1-1、研究對象的基本特性分佈n=4042 82
表1-2、研究對象的飲食相關分佈n=4042 83
表1-3、研究對象的疾病狀況部分n=4042 84
表2-1、慢性病與人口特質分佈n=4039 85
表2-2、心血管疾病罹患百分比與人口特質分佈n=4041 86
表2-3、糖尿病罹患百分比與人口特質分佈n=4042 87
表2-4、腸胃道疾病罹患百分比與人口特質分佈n=4041 88
表2-5、肝臟疾病罹患百分比與人口特質分佈n=4041 89
表2-6、腎臟疾病罹患百分比與人口特質分佈n=4042 90
表3-1、營養知識分數與人口特質分佈n=3950 91
表3-2、飲食型態集群與基本分佈n=4042 92
表3-3、飲食型態集群與健康相關雙變項分析n=4042 93
表3-5、地區收入與健康相關行為之雙變項分析 95
表4-1、飲食型態集群之多重類別邏輯模式分析n=3832 96
表4-2、慢性病有無之邏輯斯迴歸 98
表4-3、心血管疾病有無邏輯斯迴歸 99
表4-4、糖尿病之邏輯斯迴歸 100
表4-5、腸胃道疾病之邏輯斯迴歸 101
表4-6、肝臟疾病之邏輯斯迴歸 102
表4-7腎臟疾病之邏輯斯迴歸 103
附錄 104
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