跳到主要內容

臺灣博碩士論文加值系統

(3.236.110.106) 您好!臺灣時間:2021/07/27 20:38
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果 :::

詳目顯示

我願授權國圖
: 
twitterline
研究生:蘇秋惠
研究生(外文):Chiu-HuiSu
論文名稱:以潛在類別模式分析台灣地區老年人口認知功能障礙之因素
論文名稱(外文):Identifying Determinants of Cognitive Function Impairmentfor Elderly People in Taiwan: A Latent Class Analysis
指導教授:田維華田維華引用關係
指導教授(外文):Wei-Hua Tian
學位類別:碩士
校院名稱:國立成功大學
系所名稱:經濟學系碩博士班
學門:社會及行為科學學門
學類:經濟學類
論文種類:學術論文
論文出版年:2012
畢業學年度:100
語文別:中文
論文頁數:78
中文關鍵詞:老年人口認知功能障礙潛在類別模式
外文關鍵詞:elderly peoplecognitive function impairmentlatent class analysis
相關次數:
  • 被引用被引用:1
  • 點閱點閱:257
  • 評分評分:
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:1
本研究主要目的為探討影響台灣地區65歲以上老年人口認知功能障礙之因素。為了降低樣本間之異質性,首先運用潛在類別模式(Latent Class Analysis)將樣本進行分組,以四大構面(心血管因子、有無不良嗜好、身體活動狀態、飲食狀態)建立17個指標變數進行潛在類別分析。其次,運用probit model分析不同組別與65歲以上老年人認知功能障礙之關係。
透過潛在類別模式,將樣本區分為四組,分別為:第一類,心血管疾病偏低、身體活動量較低、較不注重健康飲食、不良嗜好最多;第二類,心血管疾病偏高、身體活動偏低、較不注重健康飲食;第三類,心血管疾病偏低、身體活動量較高、較重視健康飲食;第四類,心血管疾病偏高、身體活動量較高、較重視健康飲食。研究結果發現,相較於第三類型,第一類型與第二類型發生認知功能障礙之機率顯著較高。兩類型之共同特點為:身體活動量較低、較不注重健康飲食。故建議政府針對此類目標族群協助維持身體活動與建立良好飲食習慣。

The main purpose of this study is to identify the determinants of cognitive function impairment for elderly people in Taiwan. The study first use a Latent Class Analysis (LCA) to identify heterogeneous subgroups by using multiple dimensions of indicators. There are four classes were identified: “mild vascular disease, low physical activity, unhealthy eating, and bad habits,” “moderate vascular disease, low physical activity, and unhealthy eating,” “mild vascular disease, high physical activity, and healthy eating,” “moderate vascular disease, high physical activity, and healthy eating”.
Subsequently, the study utilizes a probit model to analyze the relationship between the heterogeneous subgroups and cognitive function impairment for elderly people in Taiwan. Results indicate that relative to “mild vascular disease, high physical activity, and healthy eating” class, “mild vascular disease, low physical activity, unhealthy eating, and bad habits,” and “moderate vascular disease, low physical activity, and unhealthy eating” classes tend to have higher probabilities to have cognitive function impairments. Results suggest that government may aim to assist the target groups such as to promote physical activity and formulate good habits of eating.

第一章 緒論1
第一節 研究背景與動機1
第二節 研究目的7
第三節 研究架構8
第二章 文獻回顧9
第一節 失智症9
第二節 心血管因子與認知功能、失智症相關文獻14
第三節 不良嗜好與認知功能、失智症相關文獻18
第四節 運動、身體活動與認知功能、失智症相關文獻20
第五節 飲食與認知功能、失智症相關文獻21
第六節 其他影響因素 24
第三章 研究方法25
第一節 潛在類別模式簡介25
第二節 潛在類別模式之適配評鑑29
第三節 潛在類別模式之應用31
第四章 資料分析34
第一節 資料來源34
第二節 潛在風險指標建構與敘述性統計36
第三節 變數設定與敘述性統計43
第五章 實證結果49
第一節 潛在類別模式之分組結果49
第二節 影響65歲以上老年人具有輕度以上認知功能障礙之因素55
第三節 影響65歲以上老年人具有中度以上認知功能障礙之因素58
第六章 結論61
第一節 結論61
第二節 討論與建議65
第三節 研究限制68
參考文獻69

中文文獻:
于漱、吳淑瓊、楊桂鳳(2003),「失智症患者的長期照護服務模式」,長期照護
雜誌,7(3),頁251-264。
王駿濠、蔡佳良(2009),「以運動與身體活動預防失智症:文獻回顧」,台灣 衛誌,28(4):268-277
林俊宏、王光正、徐慶柏(2010),「我國人口老化現象與勞動供給預測之分析
及其對資產需求變化之影響」,長庚人文社會學報,第三卷第一期,頁171-219。
邱皓政(2008),潛在類別模式原理與技術,台北:五南圖書出版股份有限公
司。
洪淑真(2005),「機構老人白天睡眠行為之因素及其與睡眠品質之相關性探
討」,輔英科技大學護理系碩士班碩士論文。
許志成(2011),「第2型糖尿病患者之失智症發生率研究」,國家衛生研究院
電子報第 419 期。
陳幼珍(2005),「失智症患者認知功能障礙程度與步態平衡、跌倒之相關性研
究」,中山醫學大學醫學研究所碩士論文。
陳睿正(2011),「智不可失-別讓時光被遺忘」,中國醫訊,第91期,頁13-14。
陳曉梅、張宏哲(2007),「使用居家服務失能老人生活品質的現況及其影響因
素之探討」,長期照護雜誌,第十一卷第三期,頁247-265。
彭奕靈(2011),「從失智長輩探討養護機構照護適應問題-以大台中地區之養護
機構為例」,台灣神學院宗教社會工作碩士論文。
黃惠筠(2009),「檳榔萃取液對雄鼠腦中GABAA Receptor的影響之研究」,中華醫事科技大學生物科技研究所碩士論文。
傅中玲(2008),「台灣失智症現況」,台灣老年醫學暨老年學雜誌, 第三卷第
三期,頁169-181。
張家銘、蔡智能(2003),「老年人之周全性評估」,台灣醫學 ,第七卷第三期,頁364-374。
張席熒(2003),「長期照護機構住民之IADL需求評估-以台北縣士自費安養中
心為例」,國立台北護理學院長期照護研究所碩士論文。
蓋瑞‧斯默爾(2003)(蔡承志譯),讓大腦變年輕,台北:商周出版社。
蓋瑞‧斯默爾、吉吉‧沃根(2005)(陳雅汝譯),14天讓大腦變年輕,台北:商 
周出版社。
謝宇忠(2010),「機構式長期照護的住民照護需求類型之研究」,嘉南藥理科技
大學醫療資訊管理研究所碩士論文。
英文文獻:
Akaike, H. (1987), “Factor Analysis and AIC, Psychometrika, 52, 317-322.
Anstey, K. J., C. von Sanden, A. Salim, et al. (2007), “Smoking as a risk factor for dementia and cognitive decline: A meta-analysis of prospective studies, American Journal of Epidemiology, 166, 367-378.
Arvanitakis, Z., J.A. Schneider, R.S. Wilson, et al. (2006), “Diabetes is related to cerebral infarction but not to AD pathology in older persons, Neurology, 67, 1960-1965.
Bachman, D. L., P.A. Wolf, R.T. Linn, et al. (1993), “Incidence of dementia and probable Alzheimer’s disease in a general population: The Framingham study, Neurology, 43(3), 515-519.
Barberger-Gateau, P., C. Raffaitin, L. Letenneur, et al. (2007), “Dietary patterns and risk of dementia: The Three-City cohort study, Neurology, 69, 1921-1930.
Barberger-Gateau, P., L. Letenneur, V. Deschamps, et al. (2002), “Fish, meat, and risk of dementia: cohort study, BMJ, 325, 932–933.
Bengt, K. Linda, (2000), “Integrating Person-Centered and Variable-Centered Analyses: Growth Mixture Modeling With Latent Trajectory Classes, Alcohol Clin Exp Res, Vol24, No 6, 882-891.
Berlau, D. J., M. Corrada, A. Paganini-Hill, et al. (2007), “Incidence of dementia continues to increase after age 90: Results from the 90+ study, Neurology, 68(Suppl 1), 83.
Brayne, C. (2000), “Smoking and the brain, BMJ, 320, 1087–8.
Budson, A.E., N.W. Kowall, (2011), The Handbook of Alzheimer’s Disease and Other Dementias (1st ed.), Blackwell Publishing Ltd.
Chen, C. P. (2004), “Transcultural expression of subcortical vascular disease, Journal of Neurological Science, 226(1-2), 45-47.
Craft, S., G.S. Watson, (2004), “Insulin and neurodegenerative disease: Shared and specific mechanisms, Lancet Neurology, 3(3), 169-178.
Fujishima, M., Y. Kiyohara, (2002), “Incidence and risk factors of dementia in a defined elderly Japanese population: the Hisayama study, Ann. NY Acad. Sci. 977:1-8.
Gauthier, S., B. Reisberg, M. Zaudig, et al. (2006), “Mild cognitive impairment, Lancet, 367(9518), 1262-1270.
Green, R. C. (2005), Diagnosis and management of Alzheimer’s disease and other dementias (2nd ed.), Caddo, OK: Professional Communications.
Gu, Y., J.W. Nieves, S. Yaakov, et at. (2010), “Food Combination and Alzheimer Disease Risk, Arch Neurol, 67(6), 699-706.
Guo, Z., L. Fratiglioni, B. Winblad, et al. (1997), “Blood pressure and performance on the Mini-Mental State Examination in the very old, Am J Epidemiol, 145, 1106-13.
Haan, M.N., R. Wallace, (2004), “Can dementia be prevented? Brain aging in a population-based context, Annu. Rev. Public Health 2004.25:1-24.
Hayden, K. M., P.P. Zandi, C.G. Lyketsos, et al. (2006), “Vascular risk factors for incident Alzheimer disease and vascular dementia: The Cache County study, Alzheimer Disease and Associated Disorders, 20(2), 93-100.
Hebert, L.E., P.A. Scherr, D.A. Bennett, et al. (2004), “Blood pressure and late-life cognitive function change: a biracial longitudinal population study, Neurology, 62, 2021-2024.
Huh, J., N.R. Riggs, D. Spruijt-Metz et al. (2011), “Identifying Patterns of Eating and Physical Activity in Children: A Latent Class Analysis of Obesity Risk, Obesity, 19, 652-658.
Kalmijn, S., L.J. Launer, A. Ott, et al. (1997), “Dietary fat intake and the risk of incident dementia in the Rotterdam study, Ann Neurol, 42, 776–782.
Kilander, L., H. Nyman, M. Boberg, et al. (1998), “Hypertension is related to cognitive impairment: a 20-year follow-up of 999 men, Hypertension, 31, 780-786.
Kverno, K.S., B.S. Black, D. M. Blass, et al. (2008), “Neuropsychiatric Symptom Patterns in Hospice-Eligible Nursing Home Residents with Advanced Dementia, J Am Med Dir Assoc, 9(7), 509-515.
Lafortune, L., F. Beland, H. Bergman, et al. (2009), “Health state profiles and service utilization in community-living elderly, Medical Care, 47: 286-294.
Lanza, S.T., J.S. Savage, L.L. Birch, et al. (2010), “Identification and Prediction of Latent Classes of Weight-loss Strategies Among Women, Obesity, 18, 833-840.
Lautenschlager, N.T., K. L. Cox, L. Flicker, et al. (2008), “Effect of physical activity on cognitive function in older adults at risk for Alzheimer Disease, JAMA, Vol 300, No.9:1027-1037.
Lo, Y., N. Mendell, D. Rubin, (2001), “Testing the Number of Components in a Normal Mixture, Biometrika, 88, 767-778.
Luchsinger, J.A., C. Reitz, L.S. Honig, et al. (2005), “Aggregation of vascular risk factors and risk of incident Alzheimer disease, Neurology, 65, 545-551.
Mathuranath, P.S., P.J. Cherian, R. Mathew, et al. (2010), “Dementia in Kerala, South India: prevalence and influence of age, education and gender, Int J Geriatr Psychiatry, 25, 290–297.
McLachlan, G., D. Peel, (2000), “Finite Mixture Models, New York: John Wiley.
Mielke, M.M., P.P. Zandi, M. Sjögren, et al. (2005), “High total cholesterol levels in late life associated with a reduced risk of dementia, Neurology, 64, 1689-1695.
Mielke, M.M., P.P. Zandi, H. Shao, et al. (2010), “The 32-year relationship between cholesterol and dementia from midlife to late life, Neurology, 75, 1888-1895.
Mukamal, K.J., L.H. Kuller, A.L. Fitzpatrick, et al. (2003), “Prospective study of alcohol consumption and risk of dementia in older adults, JAMA, MARCH19, Vol.289, No.11:1405-13.
Ohara, T., Y. Doi, T. Ninomiya, et al. (2011), “Glucose tolerance status and risk of dementia in the community: the Hisayama study, Neurology, 77, 1126-1134.
Ott, A., M.M. Breteler, F. van Harskamp, et al. (1995), “Prevalence of Alzheimer’s disease and vascular dementia: Association with education, British Medical Journal, 310, 970-973.
Papademetriou, V. (2005), “Hypertension and cognitive function. Blood pressure regulation and cognitive function: A review of the literature, Geriatrics, 60(1), 20-22.
Peila, R., B.L. Rodriguez, L.J. Launer, (2002), “Type 2 diabetes, APOE gene, and the risk for dementia and related pathologies: The Honolulu-Asia Aging Study, Diabetes, 51(4), 1256-1262.
Petersen, R. C. (2007), “Mild cognitive impairment: Current research and clinical implications, Seminars in Neurology, 27(1), 22-31.
Pfeiffer, E. (1975), “A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients, Journal of the American Geriatrics Society, 23, 433-441.
Polder, J.J., J.J. Barendregt, H. van Oers (2006), “Health care costs in the last year of life—The Dutch experience, Social Science & Medicine, 63, 1720–1731.
Posner, H. B., M.X. Tang, J. Luchsinger, et al. (2002), “The relationship of hypertension in the elderly to AD, vascular dementia, and cognitive function, Neurology, 58(8), 1175-1181.
Qiu, C., B. Winblad, A. Marengoni, et al. (2006), “Heart failure and risk of dementia and Alzheimer disease: A population-based cohort study, Archives of Internal Medicine, 166(9), 1003-1008.
Reitz, C., T. den Heijer, C. van Duijn, et al. (2007), “Relation between smoking and risk of dementia and Alzheimer disease: The Rotterdam Study, Neurology, 69(10), 998-1005.
Roman, G. C. (2004), “Facts, myths, and controversies in vascular dementia, Journal of Neurological Science, 226(1-2), 49-52.
Ruitenberg, A., J.C. van Swieten, J.C. Witteman, et al. (2002), “Alcohol consumption and risk of dementia: the Rotterdam Study, Lancet, 359, 281-86.
Salib, E., V. Hillier, (1997), “A case-control study of smoking and Alzheimer’s disease, Int. J. Geriat. Psychiatry, VOL.12:295-300.
Salive, M.E., S. Satterfield, A.M. Ostfeld, et al. (1993), “Disability and cognitive impairment are risk factors for pneumonia-related mortality in older adults, Public health reports, Vol.108, No.3, 314-322.
Scarmeas, N., J.A. Luchsinger, N. Schupf, et al. (2009), “Physical activity, diet, and risk of Alzheimer Disease, JAMA, Vol 302, No.6, 627-637.
Schwarz, G. (1978), “Estimating the dimension of a model, Annals of Statistics, 6(2), 461-464.
Solomon, A., I. Kåreholt, T. Ngandu, et al. (2007), “Serum cholesterol changes after midlife and late-life cognition: twenty-one-year follow-up study, Neurology, 68, 751.
Svensson, O., L. Stromberg, G. Ohlen, et al. (1996), “Prediction of the outcome after hip fracture in elderly patients, The Journal of bone and joint surgery, Vol. 78-B, No.1, 115-118.
Thorpe, J.M., C.T. Thorpe, K.A. Kennelty, et al. (2011), “Patterns of perceived barriers to medical care in older adults: a latent class analysis, BMC Health Services Research, 11:181.
Tsivgoulis, G., A.V. Alexandrov, V.G. Wadley, et al. (2009), “Association of higher diastolic blood pressure levels with cognitive impairment, Neurology, 73, 589-595.
Verghese, J., R.B. Lipton, C.B. Hall, et al. (2003), “Low blood pressure and the risk of dementia in very old individuals, Neurology, 61, 1667-1672.
Weuve, J., J.H. Kang, J.E. Manson, et al. (2004), “Physical activity, including walking, and cognitive function in older women, JAMA, Vol 292, No. 12, 1454-1461.
Whitmer, R.A., S. Sidney, J. Selby, et al. (2005), “Midlife cardiovascular risk factors and risk of dementia in late life, Neurology, 64, 277-281.
Wolber, G., M. Romaniuk, E. Eastman, et al. (1984), “Validity of the Short Portable Mental Status Questionnaire with elderly psychiatric patients, Journal of Consulting and Clinical Psychology, Vol.52, No.4, 712-713.
Xiong, G.L., B.L. Plassman, M.J. Helms, et al. (2006), “Vascular risk factors and cognitive decline among elderly male twins, Neurology, 67, 1586-1591.
Yamada, M., F. Kasagi, H. Sasake, et al. (2003), “Association between dementia and midlife risk factors: The Radiation Effects Research Foundation Adult
Health Study, Journal of the American Geriatric Society, 51(3), 410-414.

連結至畢業學校之論文網頁點我開啟連結
註: 此連結為研究生畢業學校所提供,不一定有電子全文可供下載,若連結有誤,請點選上方之〝勘誤回報〞功能,我們會盡快修正,謝謝!
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top