影響都市原住民中年男子憂鬱傾向及酒精使用之因素探討

Related factors associated with depression and alcohol use among middle-aged male urban aborigines

徐佩蘭(Pei-Lan Hsu)

指導教授 ： 楊美賞

高雄醫學大學/護理學院/護理學系研究所/碩士(2004年)

摘要

中文摘要
本研究旨在探討都市中年原住民男子之憂鬱傾向與酗酒傾向盛行率及其影響因素、以及憂鬱與酗酒之相關。以CESD (Center for Epidemiological Studies – Depression Scales)、C-CAGE (the experimental Chinese CAGE) 問卷分別評估憂鬱傾向及酗酒傾向。採立意取樣，於原住民固定集會定點或家訪方式邀請年滿40至64歲之原住民男性為對象以結構式問卷收集資料，共得有效問卷226份，有效反應率為70%。
研究結果顯示研究對象之憂鬱傾向盛行率為33.2%，單變項分析結果發現顯著影響憂鬱傾向之因素為個案教育程度國中（含）以下者及其伴侶教育程度為國中（含）以下者、無伴侶者（未婚、離婚、分居）、家庭收入不足者、家庭功能障礙者、沒有運用求助資源者等。以對數複迴歸分析後，發現無運用求助資源、家庭功能障礙者為憂鬱傾向之顯著影響因子。在飲酒情形方面，研究對象最近一年飲酒盛行率為71.7%，最近一個月飲酒盛行率為65.5%，有酗酒傾向盛行率為48.2%，喝酒原因以社交性飲酒居多，喝酒種類以啤酒為主。單變項分析結果發現顯著影響酗酒傾向之因素為個案沒有伴侶者、未定期參加宗教活動者、有吸菸者、有嚼食檳榔者、參加同鄉會者、經常飲酒者。以對數複迴歸分析後，發現吸菸、嚼食檳榔、參加同鄉會為酗酒傾向之顯著影響因子。此外，發現酗酒與憂鬱傾向顯著相關，有19.9% 都市中年原住民男子，同時具酗酒與憂鬱傾向。本研究結果可供基層醫療照顧人員研擬原住民中年男子身心健康策略之參考。

關鍵字

憂鬱 ； 酒精使用 ； 原住民

並列摘要

The purpose of this study was to explore the prevalence and the related factors of depression and problematic drinking among middle-aged male urban aborigines. The instruments of this study included the CESD (Center for Epidemiological Studies – Depression Scales) and C-CAGE (Chinese version-CAGE) questionnaire. Purposive sampling was used for data collection. Two hundred and twenty-six participants were recruited for this study (the responding rate was 70%). The prevalence of depression assessed by CESD was 33.2%. By chi-square analysis, the significant related factors of depression were single, poor income, family dysfunction, did not attempt to seek the help and less educational years of himself or his wife. Significant related factors of depression, which were analyzed by multiple logistic regression, revealed that did not attempt to seek help and family dysfunction. The prevalence of alcohol used within the previous 12 months was 71.7%. Past month prevalence of alcohol used was 65.5%. The prevalence of problematic drinking assessed by C-CAGE was 48.2%. The most common reason for alcohol used was for social activities. The beer is an aborigines’ favor. By chi-square analysis, the significant related factors of problematic drinking were single, smoking, betel chewing, attend the aboriginal activities and highest rate of frequently drinking. Significant related factors of problematic drinking, which were analyzed by multiple logistic regression, revealed that smoking, betel chewing and attending aboriginal activities. In addition, an association was found between depression and problematic drinking. 19.9% (45/226) of participants who were the co-occurrence of depression and problematic drinking. Hopefully, these results will provide the references of a primary care program to promote mental health of middle-aged male urban aborigines.

並列關鍵字

aborigines ； depression ； alcohol use

參考文獻

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