民眾對於慢性腎臟病認知情形分析－以彰化縣民眾為例

The Analysis of the Citizen's Knowledge about Chronic Kidney Disease-A Case Study of Changhua County

黃英家(Y.C. Huang) ； 紀美智(M.J. Gee) ； 陳慶旭(C.H. Chen) ； 何清松(C.S. Ho)

《智慧科技與應用統計學報》 10卷1期 (2012/06) Pp. 71-81

https://doi.org/10.29807/JTITAS.201206.0005

摘要

慢性腎臟病已成為全球性的健康負擔，在台灣，慢性腎臟病排名十大死因第八位，盛行率也位居全球第二位，僅次於日本，然而對慢性腎臟病的低認知率相對於高盛行率已形成台灣嚴重的公共衛生問題，本研究擬利用電話訪問調查，分析彰化縣民眾對於腎臟病相關危險因素的認知，以提供衛生主管擬訂宣導策略之參考。本文以中華電信2010年版住宅電話簿所列電話號碼為母群體，進行系統隨機抽樣，電訪時間為2010年6月到9月，完成訪問樣本數為2400位民眾，其中有效的個案數則為2213位，用以分析民眾對慢性腎臟病認知情形共五題。研究結果發現，民眾對於腎臟病認知情形，以有糖尿病的人，若血糖沒控制好，容易引起腎臟病答對比率最高（78.6%），其次為有高血壓的人，若血壓沒控制好，容易引起腎臟病（50.8%），其他題目答對比率皆未達40%，利用迴歸模式探討不同人口學因素在各題答對率之差異情形，有關男女性腰圍大小正常值的認知，以女性、64歲以下、已婚或同居及教育程度為專科以上認知率較高。建議衛生主管機關應針對腎臟病預防認知正確率較低的族群，設計有效的宣導方案。

關鍵字

慢性腎臟病 ； 腰圍 ； 糖尿病 ； 齊一性檢定 ； 邏輯斯迴歸

並列摘要

Chronic kidney disease (CKD) has become a global health burden, it was ranked the eighth leading cause of death in Taiwan, the prevalence was the second highest in the world, just next to Japan. The problem became more serious for the high prevalence but low recognition rate about the CKD of the people. The aim of this study is to analyze the knowledge about the CKD of the people in the Changhua County and to offer the evidence for health authorities to develop promotion strategies.The population was drawn from the phone number listed in residential telephone directories of Chunghwa Telecom 2010 edition. 2400 people were surveyed and the effective samples were 2213. A self-administrated structured questionnaire containing five items was used to collect the information of knowledge of CKD of the people. The telephone survey was taken from June to September, 2010.The people have the better knowledge rate (78.6%) about the item of ”the diabetes patients without controlling the blood sugar will easily lead to kidney disease”, the second high correct rate (50.8%) is the item of ”the people with hypertensin without controlling the blood pressure will easily lead to kidney disease”, the correct rate of the other three items are all below the 40%. The logistic regression was used for the comparing the difference of cognition rates among the socio-demographic factors, the results revealed that the people of female, aged under 64, married and higher education level have better cognition about the CKD. We suggest the health authorities should design the effective propaganda strategies for the people without the correct knowledge about the prevention of CKD.

並列關鍵字

CKD (chronic kidney disease) ； Waistline ； DM (diabetes mellitus) ； test for homogeneity ； logistic regression