山地醫療是台大醫院輔導花蓮醫療綱計畫的重點工作。本研究以家戶為單位,採系統抽樣問卷調查方法,針對山地原住民常見健康問題,如飲酒習慣、農藥中毒、意外傷害、絛蟲感染以及各種慢性疾病,研究其盛行率並分析各種健康問題與年齡、性別、族別、收入、教育程度、婚姻狀況、宗教信仰和職業的關係,以確認伴同健康問題的人口學特性,做為進一步防治規畫的參考。
The study aims to investigate several common health problems known of the inhabitants in the three aboriginal villages of Hua-Lien county. Chronic diseaes were also included. One third of total household was sampled. There were 1,834 adults in 1,572 households. The survey was conducted from April 1989 to Jamuary 1990 by district nurses using a semi- structured questionnaire. The crude complete rate was 69.4%. Data was gathered from 1,113 adult aborgines. Results were summarized as follows: (1) The prevalence rate of alcohol overuse was 16.4%; alcoholism, 7.3%;agricultural drug poisoning, 3.9%; accident, 17.1%; tape worm infection, 27.3%; and pulmonary tuberculosis, 5.0%. (2) Peptic ulcer diseases was the leading chronic disease with a prevlence rate of 21.1%. It was followed by arthritis, 11.7% and hypertension, 7.6%. (3) Those health problems with their personal social profile as age, sex, tribe, income, education, marrital status, religion and occupation were examined. Each health’ problem with its demographic characteristics was identified. (4) The tendency of increasing alcohol drinking problem was associated with the occurrence of accident, agricultural drug poisoning, tape worm infection, pulmonary tuber-culosis, osteoarthritis and hypertension.