Prevalences and Related Factors of Substances Use in Female Aborigines in Southern Taiwan

原住民婦女物使用盛行率及相關因素之探討

楊美賞(Mei-Sang Yang) ； 葛應欽(Ying-Chin Ko) ； 文榮光(Jung-Kwang Wen)

《The Kaohsiung Journal of Medical Sciences》 12卷11期 (1996/11) Pp. 634-640

https://doi.org/10.6452/KJMS.199611.0634

摘要

本研究之目的在於探討原住民婦女飲酒、吸菸、嚼食檳榔及藥物使用之盛行率以及婦女使用上列物質之相關因素，以分層隨機抽樣法在台灣南部某山地鄉抽取原住民15歲到50歲之已婚婦女為研究對象，有效樣本300人。以家庭訪視及結構式問卷訪談收集資料，研究結果顯示原住民婦女飲酒之盛行率為67.7%，吸菸為11.6%，嚼檳榔為36.4%，藥物使用（街坊藥物）為8%，研究的結果也發現吸菸、飲酒、嚼檳榔的不良健康行為在原住民婦女有聚集發生的現象。多變項對數迴歸分析影響婦女物質使用之相關因素如下，飲酒為：婦女低教育程度、丈夫有飲酒習慣及同意女性飲酒；吸菸為：丈夫為飲酒者及宗教為民俗信仰者；嚼檳榔為：婦女低教育程度、丈夫有嚼檳榔習慣及無法正確認知檳榔對健康之危害。同時也發現健康決控為外控型者顯著的有飲酒及嚼檳榔的行為，在健康危害知識方面，80%的婦女知道飲酒、抽菸對懷孕的不良影響，43%－64%的婦女知道嚼檳榔對懷孕的不良影響。但只有48%－60%的人於懷孕期間停止嚼檳榔、吸菸或飲酒，因此基層健康照顧人員宜指導婦女及其配偶有關飲酒、吸菸、嚼檳榔對健康及生殖的危害，特別是懷孕時更應停止使用。

並列摘要

Alcohol use and betel quid chewing are common in aborigines in Taiwan. The aims of this study were to evaluate the patterns of drinking, smoking, betel quid chewing and to assess the related factors of the above substance use among female aborigines. Three hundred female Bunun aborigines aged between 17 and 50 years were recruited into this study via a stratified-random sampling. Subjects were interviewed at their homes by trained interviewers using a structured questionnaire. Prevalences of various substances use were estimated as follows: alcohol, 67.7%; betel quid chewing, 36.4%; smoking, 11.6%; and over-the-counter drugs, 8%. Related factors of substances use were analyzed by multiple logistic regression as follows. Alcohol use was significantly related to low educational level, where the spouse was a drinker and there was an attitude in favor of female drinking. Significant factors related to smoking were folk religion and where the spouse was a smoker. Significant factors related to betel chewing were low educational level, and where the spouse was a betel chewer, and poor knowledge about the adverse health effects of betel chewing. We also found women who consumed alcohol and chewed betel quid were significantly to show more external health locus control.
About 80% of women recognized the adverse effects of alcohol consumption and smoking to pregnancy outcomes. Although they knew the harmful effects of substance use, only half of them stopped using these substances during their pregnancy. Health education on the harmful effects of alcohol, betel quid, and cigarettes, especially during pregnancy is essential in primary care.

並列關鍵字

related factors ； substance use ； female aborigines