- 期刊
機動車事故與台灣城鄉平均餘命差距之相關分析
Analysis of the Association of Urban/Rural Gap between Motor Vehicle Accidents and Life Expectancy in Taiwan
摘要
Objectives: To explore the differential impact of urban and rural areas on motor vehicle accidents (MVA) and life expectancy in Taiwan. Methods: Data for population, death registration, income, and motor vehicle registration were acquired from the government. Life expectancy (LX) and its gains after MVA deaths were eliminated were calculated for Taiwan as a whole and for each city and county. Stepwise Regression Models were used to examine the association of MVA with the gap in LX. Results: Residents in most of the rural areas had a shorter LX, ranging from 71.6 to 77.6 years, than did urban residents whose LX ranged from 76.9 to 80.8 years. MVA mortality contributed 4.0% to 16.2% of the gaps in LX between Taipei City and each of the counties or cities. The impact of MVA on LX ranged from 0.6 to 1.1 years in rural areas and from 0.2 to 0.5 years in urban areas. MVA mortality was significantly negatively correlated with life expectancy (r=-0.87, p＜0.01) and influenced the gaps in LX (Partial R^2=0.75, p＜0.0001). Urbanization was the most important factor in reducing MVA mortality (Partial R^2=0.66, p＜0.0001) and heavy motorcycle was the only significantly influential motor vehicle on MVA mortality (Partial R^2=0.03, p＜0.0001). Conclusions: Motor vehicle accidents were responsible for the worsening health disparity between urban and rural areas in Taiwan. The rural suffered a higher impact from motor vehicle density and its associated accidents on life expectancy than their urban counterparts. Reducing motor vehicle accidents would most benefit the life expectancy of populations in rural areas.
並列摘要
Objectives: To explore the differential impact of urban and rural areas on motor vehicle accidents (MVA) and life expectancy in Taiwan. Methods: Data for population, death registration, income, and motor vehicle registration were acquired from the government. Life expectancy (LX) and its gains after MVA deaths were eliminated were calculated for Taiwan as a whole and for each city and county. Stepwise Regression Models were used to examine the association of MVA with the gap in LX. Results: Residents in most of the rural areas had a shorter LX, ranging from 71.6 to 77.6 years, than did urban residents whose LX ranged from 76.9 to 80.8 years. MVA mortality contributed 4.0% to 16.2% of the gaps in LX between Taipei City and each of the counties or cities. The impact of MVA on LX ranged from 0.6 to 1.1 years in rural areas and from 0.2 to 0.5 years in urban areas. MVA mortality was significantly negatively correlated with life expectancy (r=-0.87, p＜0.01) and influenced the gaps in LX (Partial R^2=0.75, p＜0.0001). Urbanization was the most important factor in reducing MVA mortality (Partial R^2=0.66, p＜0.0001) and heavy motorcycle was the only significantly influential motor vehicle on MVA mortality (Partial R^2=0.03, p＜0.0001). Conclusions: Motor vehicle accidents were responsible for the worsening health disparity between urban and rural areas in Taiwan. The rural suffered a higher impact from motor vehicle density and its associated accidents on life expectancy than their urban counterparts. Reducing motor vehicle accidents would most benefit the life expectancy of populations in rural areas.
參考文獻
被引用紀錄
延伸閱讀
- 賴冠霖（2004）。台灣地區機動車事故死亡率之年齡、年代及世代效應分析〔碩士論文，臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-1704200714571499
- 張洺瑋（2019）。以存活理論分析臺灣汽機車駕駛人交通違規舉發記錄對未來事故發生時間之影響〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU201901472
- 林淑君（2015）。探索臺灣鄉鎮市區死亡率與環境脈絡的關係〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2015.02396
- 李宜瑄（2015）。城鄉差距與可避免住院之相關性研究〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2015.00080
- 蔡益堅、吳秀英、林宇旋、陳瑞菊、吳淑惠（2011）。A Study of the Association between Household Safety and Injury among three-year-old Children in Taiwan。台灣公共衛生雜誌，30(3)，207-216。https://doi.org/10.6288/TJPH2011-30-03-02