原住民癌症標準化死亡比

Cancer Mortality Analysis Among Aborigines in Taiwan

葛應欽(Ying-Chin Ko) ； 劉碧華(Bih-Hwa Liu) ； 謝淑芬(Shu-Feng Hsieh) ； 王姿乃(Tsu-Nai Wang)

《The Kaohsiung Journal of Medical Sciences》 10卷7期 (1994/07) Pp. 379-391

https://doi.org/10.6452/KJMS.199407.0379

摘要

本研究蒐集1971-80及1981-90年，廿年間台灣地區30個山地鄉所有癌症死亡數(3403位)，在考慮年齡結構不同可能產生的干擾後，與同期台灣地區所有癌症死亡數(270634位)進行比較分析，以計算兩個兩代間山地原住民族別之癌症死因別標準化死亡比，及95%信賴區間。
結果顯示：各族別相對於臺灣地區癌症死亡情形各不相似，口腔癌以1971-80年代排灣族男性及1971-80、1981-90兩個年代排灣族的女性有顯著高於臺灣地區；鼻咽癌以1981-90年代布農、排灣、魯凱族的男性及1971-80、1981-90兩個年代希農、排灣族的女性死亡情形顯著高於臺灣地區；食道癌以布農女性死之情形在兩個年代顯著高；骨癌以泰雅、布農、排灣族之男、女，以及1971-80魯凱族男性、及1981-90年代鄒族及混合族群女性的死亡情形顯著高於臺灣地區；鼻腔、中耳及副鼻竇癌僅以1981-90年代魯凱族男性死亡情形顯著高於臺灣地區。結腸及直腸癌則以1971-80年代混合族群男性及1981-90年代泰雅族女性顯著低於臺灣地區。骨癌則以1981-90年代鄒族男性及泰雅族女性死亡情形顯著高於臺灣地區。結腸及直腸癌則以1971-80年代混合族群男性及1981-90年代泰雅族女性顯著低於臺灣地區。肺癌以1971-80年代泰雅族男性，及1981-90年代排灣族男性、混合族群男性，以及1971-80年代排灣族女性死亡情形顯著低於臺灣地區。
綜合以上，原住民全癌症死亡情況稍高台灣地區居民，各族別間也有差異存在，其中以鼻咽癌、骨癌、肝癌較嚴垂，口腔癌、食道癌稍高，也值得注意，而結腸及直腸癌、肺癌、膀胱癌死亡比顯著低，提供進一步探討研究。

並列摘要

Mortality among Aborigines tribes in Tai-wan from malignant neoplasms in the 1971-80 and 1981-90 decdes were analyzed. Sex and tri-be specific standardized mortality ratios were calculated from death certificate data and com-pared with the number of expected deaths de-rived from the cancer mortality of the entire population of Taiwan. Mortality due to oral ca-ncer was statistically significantly higher than expected among Paiwan men in the 1971-80 de-cade and among Paiwan women from 1971-80 and 1981-90; as was mortality from nasopharyngeal cancer among Bunun, Paiwan and Rrkai men from 1981-90 and among Bu-nun and Paiwan women from 1971-80 and 1981-90; mortality due to stomach cancer among the Atayal, Bunun and Paiwan people from 1971-80 and 1981-90, among Rukai men from 1971-80 and among the Tsou and mixed group wo-men from 1981-90;mortality from liver cancer among Atayal and Bunun men in 1971-80, among Bunun women from 1971-80 and 1981-90 and among Paiwan women in 1981-90; mor-tality due to nasal cavity, middle ear and para-nasal sinuses cancer among Rukai men from 1981-90; and mortality due to bone cancer amo-ng Tsou men and Atayl women from 1981-90. Mortality due to colerctal cancer was statistic-cally significantly lower than expected among mixed group men from 1971-80 and in Atayal women from 1981-90; as was mortality from lung canceer among Atayal men and Paiwan wo-men from 1971-80 and among Paiwan and mi-xed group men in the 1981-90 decade.
Overall, the standardized mortality ratio of all cancers in aborigines was a little higher than in the general population of Taiwan . However, differences for ratio or site existed in different tribes.

並列關鍵字

aborigines ； cancer ； standardized mortality ratio