雄性禿在台灣男性的盛行率以及與抽煙之間的相關性

The Prevalence of Androgenetic Alopecia in Men in Taiwan and its Association with Smoking

蘇琳惠(Lin-Hui Su)

指導教授 ： 邱顯清 ； 陳秀熙

國立臺灣大學/公共衛生學院/預防醫學研究所/碩士(2005年)

https://doi.org/10.6342/NTU.2005.02583

摘要

前言：
在不同種族，雄性禿的盛行率及嚴重度不同。但是，目前台灣欠缺男性雄性禿盛行率的資料。此外，回顧文獻，抽煙和雄性禿之間的關係仍無定論。

目的：
為估計台灣男性雄性禿之盛行率，以及釐清抽煙和雄性禿之間之相關性。

方法：
以743位32至91歲之男性民眾自主參加台南縣社區整合型疾病篩檢、以及758位20至64歲之基隆市男性警察人員參加職業整合型疾病篩檢者為對象，進行橫斷面研究，以整合型疾病篩檢為平台，蒐集雄性禿、抽煙、家族史、疾病史、及其他流行病學資料。以此分析雄性禿之盛行率、並以邏輯式迴歸模式分析抽煙與雄性禿之間的相關性。

結果：
台灣男性雄性禿的盛行率隨著年齡增加而上升，此發現與文獻回顧相同，但是和白種人相比，盛行率較低。而台南縣社區研究中，在調整年齡及雄性禿家族史兩個變項之後，抽煙和雄性禿之間呈現統計上顯著意義的正相關。

結論：
這是第一個針對台灣男性雄性禿盛行率、以群體為基礎的橫斷面研究。而且，抽煙和雄性禿之間有顯著之正相關存在。

關鍵字

雄性禿 ； 抽煙 ； 盛行率

並列摘要

Background: Prevalence and types of androgenetic alopecia (AGA) are fraught with great variation and the association between smoking and AGA remains controversial.

Objective: To estimate the prevalence of AGA in Taiwanese men and to evaluate its association with smoking.

Methods: Two data from Community-based sample of men (n=743) aged 32 to 91 years and from occupation-based sample of the policemen (n=758) aged 20 to 64 years were available for analysis. All were interviewed in person and direct observations of AGA were made by the trained staffs using standardized classification for AGA. The association between smoking and AGA was assessed by using unconditional logistic regression.

Results: The prevalence of AGA in men in Taiwan increased with age, but was lower than that in Caucasians. After adjusting for age and family history of AGA, we found a significant positive association between smoking and AGA in the community-based program but not in occupation-based program. The relationships of family history of AGA or degrees of relationship to occurrence of AGA was demonstrated to be statistically significant.

Conclusions: This is the first population-based cross-sectional survey for the prevalence of AGA in Taiwanese men. Smoking is found to be positively associated with moderate or severer AGA.

並列關鍵字

androgenetic alopecia ； smoking ； prevalence

參考文獻

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