- 學位論文
台灣地區40歲以上婦女代謝症候群之探討
Factor Analysis of Metabolic Syndrome among Women Aged 40 and Older in Taiwan
摘要
本研究的目的在了解台灣地區40歲以上婦女之代謝症候群盛行率，並針對代謝症候群可能的影響因子進行分析探討。研究資料取自行政院衛生署國民健康局91年之高血壓、高血糖、高血脂盛行率調查研究資料庫，採橫斷面研究設計。代謝症候群診斷則採用行政院衛生署國民健康局公告之2007版診斷標準。統計分析包含：描述性統計、卡方檢定以及邏輯斯迴歸分析。本研究針對全體女性樣本以及已停經婦女樣本進行探討，全體樣本共計1324人，平均年齡為53.25歲；停經婦女樣本為681人，平均年齡為60.59歲。 研究結果發現，全體樣本之代謝症候群盛行率約為2.1%，50歲以上(參考組：40-49歲)、居住地區為台中、彰化、南投、高雄、屏東、澎湖（參考組：大台北地區）、已停經婦女、父母親有糖尿病、高血壓者及父母沒有心臟病者，其發生代謝症候群的機率較高，達統計上顯著差異。而停經婦女之代謝症候群盛行率約為3.2%，60歲以上(參考組：40-49歲)、居住地區為台中、彰化、南投、高雄、屏東、澎湖（參考組：大台北地區）者，其發生代謝症候群的機率較高，達統計上顯著差異。 本研究發現停經後之婦女較易成為代謝症候群的高危險群，其結果可提供有關衛生單位參考研究，以便針對40歲以上不同年齡層及不同地區之婦女提供預防宣導及提供最適切之照護。
並列摘要
This study aims to understand the prevalence rate of metabolic syndrome of the women aged above 40 in Taiwan and explore the factors that may affect the metabolic syndrome. Adopting cross-sectional study design, the research data of this study is taken from the Survey Research Database for the Prevalence Rates of Hypertension, Hyperglycemia and Hyperlipidemia of the Bureau of Health Promotion, Department of Health, Executive Yuan in 2002. The diagnoses for the metabolic syndrome are from the Diagnostic Criteria 2007 proclaimed by the Bureau of Health Promotion. And the statistic analyses used in this study include: descriptive statistics, chi-square test and logistic regression analysis. Besides, this study divides the study samples into total samples and post-menopausal women samples subdivided based on the total samples. There are 1324 women in the total samples, aged 53.25 averagely; and there are 681 women in the post-menopausal women samples, aged 60.59 averagely. Based on the metabolic syndrome criteria of the Bureau of Health Promotion, Department of Health, Executive Yuan, the research results find that the prevalence rates of the metabolic syndrome of the total samples and the post-menopausal are respectively 2.1% and 3.2%. Statistically, for women at different age groups and regions, there are significant differences in the terms of whether the women are in menopause and whether their parents have cardiovascular disease or diabetes. It is found that the women groups aged above 40 are easier to enter into high risk period of metabolic syndrome, which can be provided to relevant health authorities for references, in order to offer preventative propaganda and more suitable care for the women aged above 40 at different age groups and regions.