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研究生:馬金足
研究生(外文):Chin-tsu
論文名稱:澎湖縣慢性病盛行率與其健康知識現況調查
論文名稱(外文):Investigation on the status of chronic disease prevalenceand health management in Peng-hu County
指導教授:徐成金徐成金引用關係
學位類別:碩士
校院名稱:中山醫學大學
系所名稱:營養學研究所
學門:醫藥衛生學門
學類:營養學類
論文種類:學術論文
論文出版年:2006
畢業學年度:94
語文別:中文
論文頁數:57
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本研究目的在於探討澎湖縣居民中老年慢性病與健康保健知識之現況,並根據研究分析的結果,提出具體可行的政策建議,研議其優先順序,以作為澎湖縣衛生局政策業務規劃的重要參考依據。材料與方法使用的分析資料來源為國民健康局委由澎湖縣衛生局完成的[民國九十一年台灣地區國民健康促進知識、態度與行為調查]問卷資料,該資料為澎湖地區年滿15歲以上人口為對象,分層抽樣共抽出795人。本研究針對中老年慢性病為主要議題,作深入之分析探討。結果;男女性體重過重的比率分別為31.0%和24.3%。目前正在吸菸男性,對於戒菸的態度,有43.3%想戒菸,有54.8%不想戒菸。澎湖縣40歲以上男性的糖尿病盛行率為千分之117,女性為千分之171。40歲以上的高血壓盛行率,男女性分別為千分之269.0和326.2。高血脂盛行率,男女性分別為千分之167.5和139.0。心臟病盛行率,男女性分別為千分之81.2和133.7。40歲以上男女性中風的盛行率,分別為千分之66.0和千分之42.。腎臟病盛行率,男女性分別為千分之76.1和69.5(表C-7)。
30歲以上婦女不知道乳房自我篩檢的比率有46.6%,知道如何做但不曾作過自我篩檢的比率有17.6%,沒有作過子宮頸癌篩檢的比率達41.0%,沒有作子宮頸癌篩檢的原因主要是覺得不需要(46.9%)與不喜歡或害羞(31.3%)。
以上結果顯示出對於離島地區住民之健康檢查,政府方面應多加鼓勵及宣導對於健康生活之認知。
The objective of the study was to investigate the status of chronic diseases and health care knowledge of the middle-aged and elderly residents in Peng-hu County, to
propose concrete and viable policy suggestions based on the analysis outcome of the study and to set their priorities for Peng-hu County Health Bureau as important basis for their policy-related business projects. Source of the analysis information used for the material and method was “The 2002 Study on Health Promotion Knowledge, Attitude and Behavior of Taiwan People” questionnaire information accomplished by Peng-hu County Health Bureau for Bureau of Health Promotion. Subjects of the information were the population over 15 years of age in Peng-hu area and 795 samples from different age groups were adopted. The study conducted an in-depth analytical investigation on the Chronic Diseases in middle-aged and elderly population as its primary issue. Results: The overweight rate for male and female samples were 31.0% and 24.3% respectively. Among currently smoking males, 43.3% wanted to quit smoking while 54.8% didn’t want to quit smoking. Diabetic prevalence for the samples over 40 years of age was 11.7% for male and 17.1% for female. Hypertension prevalence for the samples over 40 years of age was 26.9% and 32.62% for male and
female respectively. Hyperlipidemia prevalence was 16.75% for male and 13.9% for female respectively. Heart disease prevalence was 8.12% for male and 13.37% for female respectively. Stroke prevalence for the samples over 40 years of age was 6.6% for male and 4.2% for female. Kidney disease prevalence was 7.61% for male and 6.95% for female (Table C-7). Among women over 30 years of age, 46.6% of them didn’t know how to perform a Breast Self-Examination, 17.6% of them had never performed it though they did know how to do it, also 41.0% of them had never received a Pap’s Smear Examination primarily because they felt didn’t need it (46.9%), they didn’t like it or they felt shy (31.3%).The above results illustrate that with regard to the health examination performed on the residents of offshore islands, the government should encourage and promote people’s understanding to healthy life.
前言 ……………………………………………………………………………1
第一章、緒論 …………………………………………………………………2
第一節 研究動機 ………………………………………………………2
第二節 研究目的 ………………………………………………………3
第二章、文獻探討 ……………………………………………………………5
第三章、研究方法……………………………………………………………10
第一節 研究設計………………………………………………………10
第二節 資料收集………………………………………………………10
第三節 分析方法………………………………………………………10
第四節 分析議題………………………………………………………11
第四章、結果…………………………………………………………………12
第五章、討論…………………………………………………………………18
第六章、結論…………………………………………………………………26
第七章、建議…………………………………………………………………28
參考文獻………………………………………………………………………31


表次
表A 澎湖縣15歲以上男女性居民基本資料 …………………36
表A(續) 澎湖縣15歲以上男女性居民基本資料 …………………37
表B-1 澎湖縣15歲以上男性吸菸盛行率與基本資料 …………38
表B-2 影響男性吸菸族群第一次吸菸的特性分析 …………… 39
表B-3 目前正在吸菸男性人口對戒菸的態 …………………… 40
表B-4 男女性對於菸害的認知與對子女吸菸的態度……………41
表B-5 影響戒菸成功相關因子之邏輯式回歸分析………………41
表B-6 影響戒菸態度相關因子之邏輯式回歸分析………………42
表C-1 澎湖縣糖尿病盛行率………………………………………43
表C-2 澎湖縣糖尿病盛行率………………………………………43
表C-3 澎湖縣高血壓盛行率………………………………………43
表C-4 澎湖縣高血脂盛行率………………………………………44
表C-5 澎湖縣心臟病盛行率………………………………………44
表C-6 澎湖縣中風盛行率…………………………………………44
表C-7 澎湖縣腎臟病盛行率………………………………………45
表C-8 40歲以上居民罹患糖尿病、高血壓或腎臟病之盛行率…45

表C-9 澎湖縣40歲以上糖尿病人口特性與自我照護行為…… 46
表C-10 澎湖縣40歲以上高血壓自我照護行為………………… 47
表C-11 澎湖縣40歲以上高血脂、心臟病、中風
和腎臟病人自我照護行為…………………………………48
表C-12 澎湖縣40歲以上個人健康行為………………………… 49
表C-12(續)澎湖縣40歲以上個人健康行為………………………… 50
表 D-1 澎湖縣30歲以上婦女乳癌、子宮頸癌篩檢狀況……… 51
表D-1(續) 澎湖縣30歲以上婦女乳癌、子宮頸癌篩檢狀況……… 52
表 D-2 澎湖縣30歲以上婦女不同年齡別
乳癌自我篩檢與子宮頸癌篩檢現況 …………………… 53
表 D-3 澎湖縣20-44歲以上婦女生育、避孕與人工流產現況… 53
表 D-4 影響子宮頸癌篩檢行為相關因子之邏輯式迴歸分析……54
表E-1 澎湖縣40歲以上居民健康檢查現況…………………… 55
表E-1(續) 澎湖縣40歲以上居民健康檢查現況…………………… 56
表E-2 影響40歲以上接受成人健檢相關因子
之邏輯式迴歸分析 ……………………………………… 56
表F-1 澎湖縣65歲以上老年人活動限制現況………………… 57




附錄

問卷……………………………………………………………………1-51
1、http:/www.phhg.gov.tw 澎湖縣政府:七美戶政事務所人口統計。
2、http:/203.65.95.120/service/service12.htm衛生署:疾病統計。
3、衛生署:生命統計。台北:行政院衛生署,民國91年。
4、http:/www.doh.gov.tw/statistic/index.htm 衛生署:衛生與保健統計。
5、衛生署:糖尿病防治手冊。台北:遠流,1998年
6、Jiang YD, Chuang LM, Wu HP, Tai TY, Lin BJ. Role of an outpatient clinic in screening chronic complications of diabetes: A model for diabetes managed case. JFMA 1998;97:521-7.
7、Moss SE, Klein R, Klein BE: Risk factors for hospitalization in people with diabetes. Arch Intern Med 1999;159:2053-7.
8、Currie CJ, Morgan CL, Peters JR: The epidemiology and cost of inpatient care for peripheral vascular disease, infection, neuropathy, and ulceration in diabetes. Diabetes Care 1998;21:42-8.
9、 魏榮男, 林瑞雄, 李中一, 莊明雄,王博仁, 周劍文, 童瑞年, 宋鴻樟, 莊立民: 各級醫院糖尿病慢性合併症住院現況探討。台灣衛誌 2002;21:115-22.
10、林惠生:[民國九十一年台灣地區國民健康促進知識、態度與行為調查]。台中:衛生署國民健康局,民國92年
11、Wei JN, Chuang LM, Lin RS, Chao CL, Sung FC: Prevalence and admission rates of diabetes mellitus in Taiwan, 1996-2000,
Taiwan Journal of Public Health 2002; 21:173-180
12、Lin JD, Shieh WB, Huang MJ, Huang HS: Diabetes mellitus and hypertension based on the family history and 2-h postprandial blood sugar in the Ann-Lo district. Diabete Res Clin Prac 1993; 20:75-85.
13、 Klein R, Moss S: Visual impairment and diabetes. In: Alberti eds. International Textbook of Diabetes Mellitus. Chichester: Wiley,1992:1373-84
14、Chen MS, Kao CS, Chang CJ, et al.: Prevalence and risk factors of diabetic subjects. Am J Ophthalmol 1992;114:723-
15、Tseng CH, Tai TY, Chen CJ, et al.: Ten-year clinical analysis of diabetic leg amputees. J of Formasan Medical Association 1994;93:388-92.
16、林文士等譯,第八章 環境病理學,病理學。台北:南山堂,1985年
17、Wei JN, Sung FC, Li CY, Chang CH, Lin RS, Lin CC, Chiang CC, Chuang LM: Low birth weight and high birth weight infants are both at an increased risk to have type 2 diabetes among school children in Taiwan. Diabetes Care 2003;26:343-348.
18、Wei JN, Chuang LM, Lin CC, Chiang CC, Lin RS, Sung FC: Childhood diabetes identified in mass urine screening program in Taiwan, 1993-1999. Diabete Res Clin Prac 2003; 59:201-206.
19、魏榮男:台灣兒童與青少年糖尿病流行病學研究,博士論文。台北:國立台灣大學,2002年。
20、Wei JN, Sung FC, Lin CC, Lin RS, Chiang CC, Chuang LM. National surveillance for type 2 diabetes mellitus in Taiwan: JAMA 2003;290:1345-1350
21、Kuczmarski RJ, Flegal KM, Campbell SM, Johnson CL: Increasing prevalence of overweight among US adult. JAMA
1994;272:205-211
22、 Kitagawa T, Owada M, Urakami T, Tajima N: Epidemiology of type 1 (insulin- dependent) and type 2
(non-insulin-dependent) diabetes mellitus in Japanese
children. Diabetes Res Clin Pract. 1994;24:S7-S13.
23、American Diabetes Association: Type 2 diabetes in children and adolescents. Diabetes Care. 2000;23: 381-389.
24、Rosenbloom AL, Young RS, Joe JR, Winter WE: Emerging epidemic of type 2 diabetes in youth. Diabetes care. 1999;22:345-354.
25、 Dean H: NIDDM-Y in first nation children in Canada. Clin Pediatr. 1998;37:89-96.
26、論壇健康促進與疾病預防委員會:吸菸與心臟血管疾病的關係;可
能之病理生理機轉。台北:國家衛生研究院,2000年
27、US Dept of Health and Human Services: Center for chronic
disease prevension and health promotion, office on smoking
and health. DHHS Publication No. (CDC)90-8416, 1990
28、論壇健康促進與疾病預防委員會:檳榔嚼塊與口腔癌流行病學研
究。台北:國家衛生研究院,2000年
29、World Health Organization: Guideline for controlling and monitoring the tobacco epidemic. Geneva: WHO 1998.
30、Rosenbloom AL: The cause of the epidemic of type 2 diabetes
in children. Curr Opin Endocrinol Diabetes 2000;7:191-6.
31、89.Scott CR, Smith JM, Cradock MM, Pihoker C: Characteristics of youth-onset noninsulin-dependent diabetes mellitus and insulin- dependent diabetes mellitus at diagnosis.
Pediatrics 1997;100: 84-91.
32、70.Dean HJ, Young TK, Flett B. Wood-Steiman P: Screening for type-2 diabetes in aboriginal children in northern Canada.
Lancet 1998;352: 1523-4.
33、台灣省菸酒公賣局:台灣地區菸酒市場調查提要報告-1996年。台北:公賣局,1997年。
34、論壇健康促進與疾病預防委員會:吸菸之流行病學研究。台北:國家衛生研究院,2000年
35、Giovino GA, Henningfield JE, Tomar SL, et al: Epidemiology
of tobacco use and dependence. Epidemiol Rev, 1995;17:48-65.
36、李蘭、潘怜燕、晏涵文:台灣地區成人的吸菸現況-盛行率及危險因子。中華衛誌1994;13:371-380
37、US. Department of Health and Human Service. Reducing the health consequences of smoking: 25 years of progress. A report of the surgeon general. Rokville, Maryland: public health service, Centers for Disease Control, office on smoking andhealth 1989. DHHS publication No. (CDC)89-8411.
38、糖尿病防治手冊,台北:行政院衛生署編,1998
39、Mcauley KA, Williams SM, Mann JI, et al. Intensive lifestyle changes are necessary to improve insulin sensitivity.
Diabetes Care 2002;25:445-52.
40、Ravussin E, Valencia ME, Esparza J, Bennett PH, Schulz LO. Effects of a traditional lifestyle on obesity in Pima Indians. Diabetes Care 1994;17:1067-74.
42、戴玉慈、張媚、呂寶靜、吳淑瓊:社區式照顧管理模式的設立與初
步評估。台灣衛誌 2004;23:197-208
41、內政部:內政部統計年報各縣市重要指標,2003。http://www.moi.gov.tw/w3/stat/home.asp
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