智能障礙青少年健康情形與醫療利用及其相關因素之研究

Health Status and Medical Services Utilization of Adolescents with an Intellectual Disability

嚴嘉楓(Chia-Feng Yen) ； 林金定(Jin-Ding Lin)

《身心障礙研究季刊》 7卷2期 (2009/06) Pp. 94-120

https://doi.org/10.30072/JDR.200906.0002

摘要

The benefits of preventing chronic diseases through healthy lifestyles, behaviors and usage of preventive health services have been well documented in the general population. However, the information regarding best practices to address the above characteristics toward adolescents with an intellectual disability are currently unavailable in Taiwan. The aims of the present study were to scrutinize the profiles of medical care services and to exam their determinants for adolescents with an intellectual disability in Taiwan. A cross-sectional survey design was employed in the present study. The study samples choosed by multistage sapmling from the National Register of the Disabled in Taiwan, those individuals with an intellectual disability whose aged 12-18 years were recruited in the study. Finally, there were 1,419 subjects included in the study (response rate 28%). Data was collected by a mail-structured questionnaire that was completed for each individual by their main carers. The results found there were 66.3% subjects used outpatient care, 4.7% were hospitalized and 9.8% used emergency services in the previous 6 months. The risk factors of their medical care utilization are self-perceived poor health status, used dental health screening and use of specific health examinations. The study suggests that the health authorities should pay more attention to the health promotion to prevent the occurrence of chronic diseases for adolescents with an intellectual disability in the future.

關鍵字

智能障礙者 ； 青少年 ； 健康情形 ； 醫療服務利用

並列摘要

The benefits of preventing chronic diseases through healthy lifestyles, behaviors and usage of preventive health services have been well documented in the general population. However, the information regarding best practices to address the above characteristics toward adolescents with an intellectual disability are currently unavailable in Taiwan. The aims of the present study were to scrutinize the profiles of medical care services and to exam their determinants for adolescents with an intellectual disability in Taiwan. A cross-sectional survey design was employed in the present study. The study samples choosed by multistage sapmling from the National Register of the Disabled in Taiwan, those individuals with an intellectual disability whose aged 12-18 years were recruited in the study. Finally, there were 1,419 subjects included in the study (response rate 28%). Data was collected by a mail-structured questionnaire that was completed for each individual by their main carers. The results found there were 66.3% subjects used outpatient care, 4.7% were hospitalized and 9.8% used emergency services in the previous 6 months. The risk factors of their medical care utilization are self-perceived poor health status, used dental health screening and use of specific health examinations. The study suggests that the health authorities should pay more attention to the health promotion to prevent the occurrence of chronic diseases for adolescents with an intellectual disability in the future.

並列關鍵字

Healthy lifestyle ； health behavior ； intellectual disability ； preventive health utilization ； adolescent ； children

參考文獻

內政部統計處(2001)。身心障礙者生活需求調查。內政部。

兒童與青少年肥胖定義及處理原則

李志偉、嚴嘉楓、羅慶徽、李宗楠、林金定(2005)。台灣地區智能障礙者的醫療利用特性與影響因素：以2001年門診利用分析。身心障礙研究。3，5-17。

李卓倫(1986)。民眾尋求與利用健康服務的行為模式。台灣公共衛生雜誌。14，42-60。

林金定、吳佳玲、李志偉、嚴嘉楓、張茂榕、賴朝英()。,未出版。