高雄市大樹區和梓官區中老年人健康狀況研究

The Study of the Health Status of Middle Aged Adults and Elderly in Dashu District and Tzukuan District of Kaohsiung City

林宜慧(Yi-Hui Lin)

指導教授 ： 鄭雅愛 ； 高月慈

義守大學/醫學院/醫務管理學系/碩士(2015年)

https://doi.org/10.6343/ISU.2015.00093

摘要

本研究目的是為瞭解高雄市大樹區和梓官區中老年人健康行為及健康狀況之現況，並且探討高雄市大樹區和梓官區中老年人在不同人口社會學變項的健康狀況情形和健康行為情形，以及探討其健康行為與健康狀況之相關性。
本研究屬次級資料分析，研究資料為高雄市大樹區與梓官區40歲以上中老年人共294名的成人健檢資料，以 SPSS 18.0 版統計套裝軟體中的描述性統計、卡方檢定、邏輯斯迴歸等來進行分析。
研究結果：(1) 健康行為，在卡方分析中，不同性別與吸菸行為、喝酒行為、運動行為皆具顯著相關。在邏輯斯迴歸分析中，有吸菸行為的男性對於有吸菸行為的女性之人數勝算比值為17.487倍；有喝酒行為的男性對於有喝酒行為的女性之人數勝算比值為6.370倍；有運動行為的男性對於有運動行為的女性之人數勝算比值為1.976倍。(2)健康狀況，在卡方分析中，不同性別與腎功能之間具顯著相關；不同年齡別與血糖之間具顯著相關；有無長期服藥與血糖、血壓、BMI之間具顯著相關；有無個人疾病史與血糖、血壓、BMI之間具顯著相關。在邏輯斯迴歸分析中，有長期服藥且血壓異常者對於無長期服藥且血壓異常者之人數勝算比值為9.974倍；腎功能異常的男性對於腎功能異常的女性之人數勝算比值為4.800倍；有長期服藥且腎功能異常者對於無長期服藥且腎功能異常者之人數勝算比值為4.020倍。(3) 健康行為與健康狀況，在卡方分析中，吸菸行為與血壓、BMI皆具顯著相關。在邏輯斯迴歸分析中，有吸菸行為且BMI異常者對於沒吸菸行為且BMI異常者之人數勝算比值為0.348倍。
研究結論：高雄市大樹區和梓官區中老年人的不同人口社會學變項與其健康行為有關、高雄市大樹區和梓官區中老年人的不同人口社會學變項與其健康狀況有關、高雄市大樹區和梓官區中老年人的健康行為與其健康狀況有關，三者假設均為部分成立。

關鍵字

中老年人 ； 成人預防保健 ； 健康行為 ； 健康狀況

並列摘要

The purpose of this research is to know current situation of the health behavior and the health condition for middle-aged and elderly people in Dashu district and Tzukuan district of Kaohsiung and also to investigate their health behavior and health condition in sociology of population with different variables and the correlation.
This research is used by secondary analysis and the objects are 294 health checkups of people over forty years old in Dashu district and Tzukuan district of Kaohsiung, with descriptive statistical analysis, chi-square test, and logistic regression analysis of Statistical Package for the Social Sciences in version 18.0.
The results of the research:
(1)Health behavior, in chi-square test, there are significant correlation between different sexes and smoking, drinking, and exercise behavior. In logistic regression analysis, the odds ratio for males with smoking behavior is 17.487 times females with smoking behavior; the odds ratio for males with drinking behavior is 6.370 times females with smoking behavior; the odds ratio for males with exercise behavior is 1.976 times females with exercise behavior.
(2) Health condition, in chi-square test, there are significant correlation between different sexes and renal function; between different ages and blood glucose; between long-term medication and blood glucose, blood pressure and BMI. In logistic regression analysis, the odds ratio for people with long-term medication and abnormal blood pressure is 9.974 times people without long-term medication but abnormal blood pressure; the odds ratio for males with abnormal renal function is 4.800 females with abnormal renal function; the odds ratio for people with long-term medication and abnormal renal function is 4.020 times people without long-term medication but abnormal renal function.
(3) Health behavior and health condition, in chi-square test, there are significant correlation between smoking behavior and blood pressure and BMI. In logistic regression analysis, the odds ratio for people with smoking behavior and abnormal BMI is 0.348 times people without smoking behavior but abnormal BMI.
The conclusion of the research:
Health behavior is related to the sociology of population with different variables for middle-aged and elderly people in Dashu district and Tzukuan district of Kaohsiung; health condition is related to the sociology of population with different variables for middle-aged and elderly people in Dashu district and Tzukuan district of Kaohsiung; health behavior and health condition are related to the sociology of population with different variables for middle-aged and elderly people in Dashu district and Tzukuan district of Kaohsiung. The result shows that the hypothesis of the three is partial established.

並列關鍵字

middle-aged and elderly people ； Adult Preventive Health ； health behavior ； health condition

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