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研究生:蘇姵榕
研究生(外文):Pei-Jung Su
論文名稱:社區剝奪、個人社經地位與非致命事故傷害
論文名稱(外文):Community Deprivation, Individual Socioeconomic Status, and Prevalence of Non-fatal Injuries in Taiwan
指導教授:江東亮江東亮引用關係
學位類別:碩士
校院名稱:國立臺灣大學
系所名稱:衛生政策與管理研究所
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
論文出版年:2004
畢業學年度:92
語文別:中文
論文頁數:92
中文關鍵詞:社區剝奪個人社經地位非致命事故傷害
外文關鍵詞:community deprivaindividual socioeconomic status
相關次數:
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研究目標:在探討20歲以上成人的社區剝奪和個人社經地位,對就醫事故傷害和住院事故傷害的影響。

研究設計:本研究採橫斷性研究,資料來源為行政院主計處的 2001 年社會發展趨勢調查,樣本數為 30,467 名,以及 2000 年台閩地區戶口及住宅普查。我們採用林慧淳 (2001) 所發展的地區剝奪指數,以初級行業人口比例和18-21歲不在學率,作為本研究社區剝奪指標。

主要結果測量:就醫事故傷害率和住院事故傷害率

研究結果:20歲以上成人三個月內發生就醫事故傷害的機率為3.7%,其中12.7%為住院事故傷害。對數複迴歸結果顯示,控制年齡和性別之後,個人社經地位及社區剝奪皆與就醫事故傷害具顯著相關,但與住院事故傷害則無顯著相關。

結論:個人社經與社區剝奪是影響就醫事故傷害的重要決定因素。
Objective To examine the relationship of non-fatal injuries with community deprivation and individual socioeconomic status among population aged 20 years old and over.

Design Cross-sectional study using data from the 2001 Survey of Social Development Trends-Health and Safety, with a size of 30467 samples, and the 2000 Census of Population and Housing Taiwan- Fukien Area. Following HC Lin (2001), we used the proportion of primary occupation population and the prevalence of non-schooling among population aged 18-21years to develop an community deprivation score.

Main outcome measurement Prevalence of non-fatal injuries requiring medical attention, and non-fatal injuries requiring hospitalization.

Results The 3-month prevalence of non-fatal injuries requiring medical attention among population aged 20 years old and over were 3.7%; of them, 12.7% requiring hospitalization. By using logistic regression analysis, we found that, after controlling for sex and age, both individual socioeconomic status and community deprivation were significantly associated with the prevalence of non-fatal injuries requiring medical attention, but not associated with the prevalence of non-fatal injuries requiring hospitalization.

Conclusion Individual socioeconomic status and community deprivation are powerful in determining the rate of non-fatal injuries requiring medical attention.
目錄
第一章 前言 1
第一節 研究背景 1
第二節 研究目的 2
第三節 論文架構 2
第二章 文獻探討 3
第一節 事故傷害 3
第二節 社區剝奪 6
第三節 個人社經地位 10
第四節 社會不平等與事故傷害 17
第五節 事故傷害的危險因子 24
第六節 研究啟示 28
第三章 研究材料與方法 29
第一節 研究架構與假說 29
第二節 研究變項 30
第三節 資料來源 33
第四節 統計方法 35
第四章 研究結果 36
第一節 樣本基本特性 36
第二節 社區剝奪 37
第三節 個人社經地位 37
第四節 社區剝奪與個人社經地位 39
第五節 事故傷害 39
第六節 社區剝奪和個人社經地位與事故傷害對數複迴歸分析 42
第五章 討論 46
第一節 研究限制 46
第二節 結果討論 46
第三節 建議 48
圖表目錄
表2-1 E-G schema 49
表2-2 Wright class schema 50
表2-3 NS-SEC(7) 51
表2-4 RGSC 52
表2-4個人社經地位、社區剝奪與事故傷害關係研究表 53
圖3-1 研究架構 56
表3-1變項操作型定義 57
參考文獻 58
表4-1樣本基本特性分佈 63
表4-2基本特性依教育程度 64
表4-3基本特性依個人全年收入 65
表4-4基本特性依剝奪指數 66
表4-5個人社經地位依剝奪指數 67
表4-6就醫事故傷害分布,依樣本特性 68
表4-7就醫事故傷害分布,依個人社經地位 70
表4-9住院事故傷害分佈,依個人社經地位 71
表4-10事故傷害類型分布 72
表4-11就醫事故傷害和住院事故傷害分佈,依剝奪指數 73
表4-12就醫事故傷害分布,個人社經地位及剝奪指數 74
表4-13住院事故傷害分布,個人社經地位及剝奪指數 75
表4-14就醫事故傷害的對數複迴歸分析之勝算比 76
表4-15住院事故傷害的對數複迴歸分析之勝算比 78
表4-16就醫次數的對數複迴歸分析之勝算比 80
附錄一 82
參考文獻
中文部分
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邱淑提、曹昭懿、王榮德:1974-90年間台灣地區老年人口意外災害死亡率及潛在生命損失之分析。中華衛誌 1993;12:405-418。

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