台灣地區成人過重、肥胖對醫療利用的影響

The Effect of Overweight and Obesity on the Utilization of Health Services among the Adults in Taiwan

陳靜怡(ch'ên ching i)

指導教授 ： 張明正

亞洲大學/健康學院/健康管理研究所/碩士(2007年)

摘要

近年來隨著國人飲食習慣、生活型態改變、活動量減少，導致體重過重與肥胖的人口比例逐年增加，體重過重與肥胖現今已成為富裕國家的文明病之一，肥胖不只對民眾的健康、生活造成影響，肥胖人口的增加也對醫療資源造成間接影響。本研究目的是為瞭解過重與肥胖者相較正常體重者之就醫次數，及不同肥胖程度間(過重、肥胖)的就醫次數使用情形。本研究是以次級資料分析，利用行政院主計處2005 年「台灣地區社會發展趨勢調查訪問表-健康安全」資料庫，扣除未滿20 歲及體重過輕者後，以有效樣本31,146 人進行分析，分析方法分為描述性統計及推論性統計，描述性統計方面以個數、次數分配、百分比等呈現， 推論性統計則包含卡方檢定及多類別邏輯斯迴歸。研究結果發現在控制其它變項後過重與肥胖者在就醫次數的使用上明顯高於體重正常者，且肥胖者使用就醫次數情形又較過重者 多。此研究結果可以使政策制定者重視過重與肥胖所造成之社會醫療成本問題，並提供衛生主管單位對過重與肥胖族群擬定衛生教育計畫之參考

關鍵字

就醫次數、肥胖、過重、BMI 值

並列摘要

The prevalence of overweight and obesity is increasing every year in Taiwan. Overweight and obesity are not only the major contributors to chronic diseases and mortality; and also are one of the main reasons which increasing the utilization of health services. This study examined the differences of the utilization of health service between overweight/obesity and the normal weight. Furthermore, it explored the differences of the utilization between overweight and obesity.
This study used the data set of 2005 Survey of Social Development Trends -- Health and Security which was conducted by Directorate General of Budget, Accounting and Statistics Executive Yuan to conduct analysis. After deleting those who are younger than 20 and light-weighted, the sample size was 31,146. The descriptive analysis and the Chi-square test were employed to provide baseline and correlation statistics. Multivariate logistic regression was used to examine the differences of the utilization of health service between overweight/obesity and the normal weight, and between overweight and obesity. The results of logistic regression showed overweight and obesity were more likely to be associated with higher utilization of health service than the people with normal weight, and obese people were more likely to utilize more health service than the overweight. The findings may help policy makers to emphasize the utilization issues of overweight and obesity, and to schedule special health promotion plan for verweight and obese people.

並列關鍵字

utilization of health service, obesity, overweight, Body Mass

參考文獻

行政院衛生署國民健康局（2002）。國人肥胖定義及處理原則。

行政院衛生署（2001）。國人運動習慣調查。

行政院衛生署（1998）。國民營養現況－1993-1996國民營養健康狀況變遷調查結果。

吳肖琪(1990)。健康保險與醫療網區域資源對醫療利用之影響。台灣大學公共衛生研究所博士論文，未出版，台北市。

謝淑美(1980)。醫療服務與醫療行為之研究。私立東海大學社會學研究所碩士論文，未出版，台中縣。