台灣地區自殺死亡人數相關影響因子之探討,1995~2005

Suicide deaths and relevant risk factors in Taiwan,1995~2005

林廷峰(Ting-Feng Lin)

指導教授 ： 李子奇

高雄醫學大學/健康科學院/公共衛生學研究所/碩士(2010年)

摘要

自殺是一個很重要的全球性公共衛生議題，全世界每年約有一百萬人死於自殺。自殺行為與許多因素有關，其中最主要的為精神相關疾病因素；然而其他尚有如酒精與藥物濫用、賭博、久病、婚姻狀況、同儕人際關係、年齡、家庭經濟狀況，甚至周遭生活環境條件等也與自殺行為有關。台灣地區自殺從1999年至2008年已連續10年位居國人十大死因的第九位，自殺率從1999年每十萬人12.8人增加至2008年的每十萬人17.9人，已高於全球平均值約每十萬人14.7人，應當進一步探究造成此趨勢的原因。
本研究主要探討台灣地區358個鄉鎮市區自殺死亡人數的相關影響因子，研究以1995~2005年自殺死亡個案為主，從2000年台閩地區戶口及住宅普查資料取得各項人口學及社經資料，應用卜瓦松迴歸模式討論找出影響台灣地區自殺死亡人數的相關因子。研究結果發現，台灣地區自殺死亡人數的相對風險(Relative Risk,RR)，在性別部份，男性比女性相對風險為高(RR:2.085)，鄉村比都市相對風險為高(RR:1.086) 、年齡越高越相對風險越高(65歲以上、45~64歲、25~44歲分別比15~24歲，RR分別為5.768，3.265，2.460)。另外，行政中心海拔高度(RR:0.990)、高等教育人口百分比(RR:0.983) 、人口密度(RR:1.003)、生活失能人口百分比(RR:1.086)、失業人口百分比(RR:1.008)、離婚人口百分比(RR:1.167)等變數，可能為影響台灣地區自殺死亡人數的相關風險因子。透過此研究可於自殺防治的策略上提供更進一步的訊息。

關鍵字

自殺死亡人數卜瓦松迴歸

並列摘要

Suicide is a very important global public health issues, there are about one million people die worldwide each year commit suicide. Suicidal behavior with a number of factors, of which the most important factors for mental related diseases; but there are still others, such as alcohol and drug abuse, gambling, chronic illness, marital status, peer relationships, age, family, economic status, living environment and even the surrounding conditions also suicidal behavior. Suicide in Taiwan from 1999 to 2008 has been for 10 consecutive years among the people of the ninth leading cause of death, the suicide rate since 1999 has increased 12.8 per hundred thousand to 2008 were 17.9 per hundred thousand people had been higher than the the global average of about 14.7 per hundred thousand people who caused this trend should further explore the reasons.
To find out the relevant risk factors of suicide deaths in Taiwan, this thesis applies poisson regression model to analyze the suicide deaths during the period of 1995 and 2005 based on data collected from 358 administrative units in Taiwan.Demographics and social- economic data collected from Population and Housing Census in Taiwan-Fukien Area of the Republic of China,2000. Study found that suicide deaths relative risk (Relative Risk, RR), males compared with females (RR: 2.085), rural compared with urban (RR: 1.086), The more the higher the relative risk increasing with age (65 years or older, 45 to 64 years old, 25 ~ 44 years old respectively, compared with 15 to 24 years old, RR: 5.768 , 3.265 , 2.460 respectively). In addition, the administrative center altitude (RR: 0.990), higher percentage of the population (RR: 0.983), population density (RR: 1.003), percentage of the population living disability (RR: 1.086), the percentage of the unemployed population (RR: 1.008), Divorce percentage of the population (RR: 1.167) and other variables may affect the suicide deaths in Taiwan associated risk factors. Through this study,our conclusion can provide more information for the strategy of suicide prevention.

並列關鍵字

suicide deaths ； poisson regression

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