臺灣博碩士論文加值系統

老年化是台灣未來人口結構的趨勢，隨之而來的是龐大的健康照顧需求。而老年人所採取的健康行為以及營養補充，會對高齡人口的整體健康狀態有著深遠而顯著的影響。過去的研究顯示，鈣質的攝取及補充對於骨質疏鬆及髖骨骨折或脊椎壓迫性骨折等具有預防效果，亦有研究指出可以預防大腸直腸癌及大腸腺瘤的復發。本論文希望探討台灣地區老年人服用鈣片以補充鈣質攝取的情況，根據國民健康局台灣地區老年人營養及健康調查進行分析。以1999年的資料中年齡70歲以上且並未服用鈣片的1393位老人為研究對象，分析其本身的健康行為、罹病狀況、經濟狀況等因素對服用鈣片習慣的影響及相關性。將經過卡方檢定後所得到支具有顯著意義的自變項納入，然後進行多變項邏輯回歸分析。結果顯示：女性、有運動習慣、教育程度較高者以及有服用維他命或礦物質習慣者較有可能採取鈣片補充的行為。而老人疾病病史以及跌倒經驗對於補充鈣片的行為並不具有顯著意義。若以性別分層分析，則男性出現補充鈣質的行為改變與教育程度、非獨居及糖尿病的有無相關；女性則與教育程度、經濟狀況與運動習慣相關。以上之發現，希望有助於瞭解老年人採取鈣質補充的意願及目的，以及攝取其他保健食品或營養補充品的行為模式。

Taking calcium supplements is considered a health behavior to prevent osteoporosis and fractures among elderly. The purpose of this study is to explore the relationship between the change of the habit to take calcium supplements and background variables of elderly in Taiwan. A population based sample followed from 1999 to 2003. A total of 1393 elderly (age>70) who had no preexistent habit of taking calcium supplements completed the follow-up. We collected data including background information, health behaviors, preexistent disease, the habit of taking alternative medicine and nutrition supplements. The outcome variable is whether the elderly changed into taking calcium supplements on 2003.
The prevalence of the use of calcium supplements ( age>70 y/o) is 14.7% in 1999 and 16.1% in 2003. The logistic regression showed that female, higher education level, regular exercise, and taking multivitamins and minerals are predictive factors of taking calcium supplements after 4-year follow-up. Other associated variables are : not living alone, no smoking, acceptable financial status, and diabetes mellitus. In the subgroup of female, education level, financial status, and regular exercise are associated with taking calcium supplements. In male, education level, not living alone and having diabetes mellitus are associated with taking calcium supplements. Osteoporosis, hip fractures and recent falls were not found to be associated with taking calcium supplements in elderly. The elderly who had high risk of osteoporosis and fracture did not take calcium supplements as prevention of fractures or osteoporosis. Further effort should focus on introducing more health education to the elderly, especially those who have risks.

誌謝------------------------------------------------------I
中文摘要-------------------------------------------------II
英文摘要------------------------------------------------III
第一章 緒論-----------------------------------------------1
第一節 前 言-------------------------------------------1
第二節 文獻回顧----------------------------------------3
第三節 理論依據----------------------------------------8
第四節 研究架構---------------------------------------10
第二章 研究方法------------------------------------------11
第一節 研究對象---------------------------------------11
第二節 研究工具---------------------------------------14
第三節 統計分析---------------------------------------15
第三章 結果----------------------------------------------16
第四章 討論----------------------------------------------20
第一節 研究結果之討論---------------------------------20
第二節 研究限制及未來研究的方向-----------------------24
第五章 結論與建議----------------------------------------26
第一節 結論--------------------------------------------26
第二節 對老人衛教及公共衛生方向之建議------------------27
參考文獻-------------------------------------------------28
附表-----------------------------------------------------37
表一、1999年及2003年老年族群的補充鈣片盛行率及人口學特徵----37
表二、樣本特性與補充鈣質行為的分析---------------------------38
表三、樣本病史與補充鈣片行為分析-----------------------------39
表四、樣本服用藥品與補充鈣片行為分析-------------------------41
表五、追蹤4年後補充鈣片習慣從無變為有之邏輯回歸分析結果-----42
表六、女性樣本特性與吃鈣片行為分析---------------------------43
表七、女性樣本病史與補充鈣片行為分析-------------------------44
表八、女性樣本補充鈣片習慣從無變為有之邏輯回歸分析結果-------46
表九、男性樣本特性與吃鈣片行為分析---------------------------47
表十、男性樣本病史與補充鈣片行為分析-------------------------48
表十一、男性樣本補充鈣片習慣從無變為有之邏輯回歸分析結果-----50
附錄一、1999年台灣地區中老年身心社會生活狀況長期追蹤調查問卷---51

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