臺灣博碩士論文加值系統

研究背景：台東縣－由於在生活環境及習性上、以及在社會變遷、文化衝擊及種族融合等社會文化層面的因素，沒吃檳榔、無濫用、有濫用，形成三角鼎立狀態，此獨一無二的現象，是其他地區所沒有的特殊現象，所以作為研究採樣優先選擇的地區。
研究目的：本研究主要目的是在探討台東縣地區原住民與非原住民檳
榔濫用者與口腔疾病之關係。調查了解檳榔濫用者與口腔狀況情形，
以其了解現況並建立資料，作為提供未來研擬改善對策的參考，
研究方法：利用口腔健康觀念調查問卷及口腔檢檢查表為工具，針對
台東縣18歲以上之居民為研究母群體，進行Cross-Sectional survey
檢查齲齒、牙周健康狀況，研究中有效樣本共收集了172位。
研究結果：檳榔濫用者原住民23.0﹪，非原住民20.51﹪，其中齲齒
指數（DMFT index）6.33±5.58顆，而填補率僅21.39%，可見仍有將
近80%的檳榔濫用者未得到最基本的口腔健康照護。檳榔濫用者牙周
健康指數大於3者的罹患機率在任何年齡層均可能發生，與國際間的
先進國家例如德國、英國、美國、日本等相同，高達100%。原住民
檳榔濫用者其牙周健康指數大於3，高於非原住民者，原住民牙周健
康指數CPI狀況較非原住民差。檳榔濫用者LOA6㎜以上非原住民高
於原住民者。

Background
Because of its unique cultural background, we consider Taitung County as the most typical area, where serious betel quid abuses were found, for us to do research and took samples. Nowadays, among the aboriginal tribes in Taitung, people are facing mental, physical, social family and career problems caused by betel quid, alcohol and nicotine abuses. Researches about the effects of chewing betel quid were mostly talking about the epidemiology、morbific stratovision、genetic determinant and cytopathic pre-cancer of oral cancer, however, they seldom showed the caries disease easily found on betel quid abusers.
Purposes
The main purpose of this research aimed at the abusing situation between aborigine and non-aborigine citizens of Taitung; secondly, the condition of drinking and smoking habits of the betel quid abusers, and the possible causes of oral diseases among the aborigine and non-aborigine betel quid abusers of Taitung.
Methods
172 residents, including 92 aborigines (54.07%) and non-aborigines (45.93%), 49% male and 51% female, older than 18, were the objects of our research. We applied the MS Access to set up files and JMP to analyze the information.
Results
We found that 67% of betel quid abusers were above 50 years old, 49% were non-educated, they had started chewing mostly before 20 years old, and kept this habit for more than 20 years. 38.46% of aborigines had the habits of chewing betel quid and smoking, 48.15% with drinking habit; 47.62% betel quid abusers had the habit of smoking and 28.57% abusers had drinking habit.
According to the research of the substance abuse module, we found that the age of the abusers was decreased, but the number of people was rising up. we also noticed that the CPI and oral health index had positive correlation with the habit of chewing betel quid . The CPI and LOA of the abusers were increasing, depending on the state of chewing. According to the higher rate of caries filling of non-abusers, we found that the habit of oral health of the abusers was getting worse.
Conclusion
To sum up, the rate of drinking, smoking and betel quid abusing of aborigines is higher than that of the non-aborigines; and the index of oral health of the non-aborigines is higher than aborigines; therefore, In order to promote the betel quid abuse, we should enhance the resident area of the aborigines on advertising the harm of betel quid abuse, and teach them the ways of getting rid of it.
Key word：Aboriginal，non- aboriginal，betel abuse，dental disease

目錄
目次 頁次
致謝……………………………………………………………………Ⅰ
中文摘要---------------------------------------------------------------------Ⅰ
英文摘要---------------------------------------------------------------------Ⅲ
第一章 緒論
第一節 研究背景--------------------------------------------------1
第二節 研究目的--------------------------------------------------2
第二章 文獻探討
第一節 探討原住民與非原住民檳榔濫用情形--------------4
第二節 探討原住民與非原住民檳榔濫用使用菸之情形--11
第三節 探討原住民與非原住民檳榔濫用使用酒之情形--12
第四節 探討原住民與非原住民口腔疾病狀況--------------13
第五節 探討原住民與非原住民口腔疾病狀況--------------16
第三章 材料與方法
第一節 研究對象--------------------------------------------------19
第二節 抽樣方法--------------------------------------------------19
第三節 資料處理及分析-----------------------------------------22
第四節 研究架構--------------------------------------------------24


第五節 名詞解釋--------------------------------------------------25
第四章 結果
第一節 社會人口學基本描述-----------------------------------27
第二節 原住民與非原住民檳榔濫用之現況分析-----------28
第三節 原住民與非原住民檳榔濫用使用菸之現況分析--29
第四節 原住民與非原住民檳榔濫用使用酒之比較分析--30
第五節 原住民與非原住民檳榔濫用與口腔疾病分析 ------31
第五章 討論--------------------------------------------------------------39
第一節 社會人口學基本描述-----------------------------------39
第二節 原住民與非原住民檳榔濫用之現況分析-----------39
第三節 原住民與非原住民檳榔濫用使用菸之現況分析--43
第四節 原住民與非原住民檳榔濫用使用酒之比較分析--44
第五節 原住民與非原住民檳榔濫用與口腔疾病-----------45
第六節 研究限制--------------------------------------------------52
第六章 結論與建議
第一節 結論--------------------------------------------------------54
第二節 建議--------------------------------------------------------55
參考文獻---------------------------------------------------------------------57

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