台灣地區民眾失智症盛行率之趨勢分析

目的：探討台灣民眾失智症標準化盛行率及年代趨勢之變化。方法：本研究利用我國「衛生福利部統計處」公告2011－2020年「身心障礙者福利」之「身心障礙人數按類別及年齡別分」資料，以每年約2,300萬人為研究對象，以2011年之年中人口數做為標準人口，計算失智症者之性別年齡標準化盛行率，透過EXCEL 2016進行資料彙整與描述性分析，再以Cytel Studio 8進行年代線性趨勢之檢定。結果：卜瓦松迴歸結果顯示，在年齡層方面，2011年至2020年間失智症者各年齡層標準化盛行率0－44歲呈現下降趨勢，45－64歲與65歲以上呈現上升趨勢。在各年齡層之性別分層方面，0－44歲男、女性標準化盛行率呈現下降趨勢，45－64歲與65歲以上男、女性標準化盛行率呈現上升趨勢，以上均達到統計上之顯著水準。結論：45歲以上標準化盛行率呈現上升趨勢，台灣失智症患者有年輕化之隱憂。建議衛生主管機關，加強失智症預防宣導，喚起民眾對失智症的重視。

關鍵字

失智症；盛行率；身心障礙

並列摘要

Objectives: To explore the standardized prevalence and linear trend of dementia among Taiwanese people. Methods: The data came from the "Number of People with Disabilities by Category and Age" in the "Welfare for Persons with Disabilities" announced by the "Statistical Office of the Ministry of Health and Welfare" in Taiwan from 2011 to 2020. About 23 million people are studied each year .Using the mid-year population in 2011 as the standard population, the gender and age-standardized prevalence of dementia were calculated. Data aggregation and descriptive analysis with Excel 2016 software, and linear trend testing was performed with Cytel Studio 8 software. Results: According to the results of the Poisson regression test, in terms of age groups, the standardized prevalence rate of dementia patients in each age group from 2011 to 2020 "0-44 years old" showed a downward trend, while "45-64 years old" and "65 years old and above" showed an upward trend. In terms of gender stratification of each age group, the standardized prevalence rates of "0-44 years old" men and women showed a downward trend, and the standardized prevalence rates of "45-64 years old" and "over 65 years old" men and women showed an upward trend reaching a statistically significant level. Conclusions: The prevalence of standardization over the age of 45 is on the rise, and the risk exists of Taiwanese dementia patients becoming younger. It is recommended that the competent authority for healthcare strengthen its publicity on dementia prevention and raise the public's awareness of dementia.

並列關鍵字

Dementia ； prevalence ； disability

參考文獻

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