台灣山地鄕死亡型態與趨勢分析

Mortality Patterns and Trends in Taiwan Aborigional Areas

胡幼慧(Yow-Hwey Hu) ； 張苙雲(Li-Yuen Chang) ； 張玨(Chueh Chang)

《中華民國公共衛生學會雜誌》 9卷3期 (1989/09) Pp. 147-161

https://doi.org/10.6288/JNPHARC1989-09-03-04

摘要

本研究旨在探討近十二年（民63-74年）來台灣地區30個山地鄉人口的死亡型態及趨勢。根據省衛生處的死亡資料所進行之全死亡及病因別死亡率分析結果發現：山地鄉男性之年齡標準化死亡率並未下降，特別是生產年齡層(15-44)之男性人口，其死亡率反而嚴重上昇，形成一高峯。由十大死因之分析顯示出山地鄉傳染及非傳染性疾病死亡之共現，其中與人為因素有關之死因死亡率（如自殺、肝硬化）已遠超過台灣地區之死亡率，特別是生產年齡層男性人口在這些死因之死亡風險高達台灣地區同齡男性人口之八倍左右。以上發現顯示山地鄉人口已面臨與日俱增之健康危機及連帶社會問題，而目前政府在山地鄉投入的醫療服務之努力本身已無法足夠應付其文化社會變遷所導致之健康危害。

並列摘要

The purpose of this study is to assess recent (1974-1985) mortality patterns and trends in Taiwan aborigional areas. Based on mortality registration data, mortality due to all causes and specific causes are analyzed. The results indicate that regardless of the improvement in medical services provided by the government, age-adjusted death rates for males in these areas are still increasing, especially among productive ages (15-44). The major causes of death are characterized by the concurrance of high rates of infectious and degenerative/manmade causes of death. For example, death rates for TB, suicide, and liver cirrhosis among young aborigional males are 8 times those of young males in the entire Taiwan area. These results suggest that health and related social problems are not improving, and that these problemes are more associated with wider social-cultural changes than with narrowly-defined medical issues.

並列關鍵字

Mortality ； Aborigine