摘要
目的：探討臺灣原住民婦女的健康問題與衛生服務需求。方法：以方便取樣的方式，針對從事原住民醫療衛生相關業務或研究工作人員，進行自填式問卷調查。結果：共收集101份問卷，調查結果發現原住民婦女的健康問題與需求因地域的差別也有所不同。在山地鄉、平地鄉影響原住民婦女健康的主要因素是經濟壓力、隔代教養、教育程度偏低、事故傷害等，而在都會區則為性態度開放、少女未婚懷孕、單親家庭。另外，在開放式問題方面的研究結果顯示：生食、菸、酒、檳榔的使用等傳統文化習俗，以及騎機車未戴安全帽等因素，也會影響健康。受訪者認為應進行原住民婦女健康狀況的調查或評估、利用媒體宣導、民代或有力人士的爭取等策略，以加強原住民婦女的健康政策。結論：應考慮融合原住民特有的文化風俗習慣等特性及地域因素於醫療衛生服務。
並列摘要
Background and Purpose: To explore the health problems and needs of aboriginal women in Taiwan. Methods: Convenience sampling was employed to collect data through a self-administered questionnaire. The population sample consisted of persons engaged in work or research related to aboriginal people nationwide. Results: A total of 101 subjects were recruited. The results indicated that the health problems and needs of the aboriginal women vary by geographical area. Economic stress, grand-parenting, a lower education level and injuries were regarded as critical problems among the mountain and plain townships populations. Attitudes regarding sex, adolescent pregnancy and single-parent families were most critical in urban populations. It is noted that the results of the open-ended questions analysis revealed that certain cultural factors and customs significantly influenced aboriginal women's health behavior. These factors included eating raw fish and meat, smoking, drinking alcohol, betel-nut chewing and riding motorcycles without wearing helmets. Moreover, the subjects indicated that the conducting of surveys and evaluations of aboriginal women's health, together with increased media advocacy and political influence, would help to enhance health policies affecting aboriginal women. Conclusion: Cultural and geographical factors should be taken into consideration when planning and implementing health policies and services that affect aboriginal women.