Disease-specific Mortality Associated with Earthquake in Taiwan

台灣中部地區九二一地震與特定疾病死亡率之相關性研究

郭憲文(Hsien-Wen Kuo) ； 吳淑貞(Shu-Jen Wu) ； 邱明珠(Ming-Chu Chiu)

《Mid-Taiwan Journal of Medicine》 8卷3期 (2003/09) Pp. 157-164

https://doi.org/10.6558/MTJM.2003.8(3).6

摘要

目的　在1999年9月21日灣地區在集集鎭發生芮氏7.3級的大地震。造成2347人死亡及許多房屋倒塌不幸的事件。本研究之目的在比較地震前後災區及非災區民眾三種疾病包括心臟血管、意外事故及自殺之標準化死亡率變化。　方法　收集內政部1998及1999年中部地區人口及衛生署死因統計資料，經年齡標準化計算1998及1999年之災區及非災區民眾總死亡率及原因別心臟血管、意外事故及自殺之死亡率。災區地區之劃定是依內政部消防署劃定為依據。　結果　在傷害事故之死亡率因地震所增加之比率在男性為124．4％及女性為438.1不論男女別在1999年自殺死亡率皆高於1998年，但在心臟血管疾病卻無顯著的差異。圍算兩年間災區之死亡率比值(MRR)皆以1999年9月傷害事故最高。在自殺方面MRR主要尖峰(peak)在10月份，但在心臟血管標準化死亡率在8至11月份並無明顯差異。
結論 台灣中部地區發生921地膿後，在災區自殺死亡率有增加現象，然而心臟血管疾病死亡率並末有明顯之增加現象。然而，如何處理地震過後災民在身體上及心理上之影響，是公共衛生及其他社福機關人員主要救援工作的重點。(中台灣醫誌2003;8:157-64)

關鍵字

心臟血管疾病 ； 地震 ； 傷害事故 ； 標準化死亡率 ； 自殺

並列摘要

Objectives. On September 21,1999, an earthquake of magnitude 7.3 on the Richter scale occurred in Chi-Chi, Nantou county in central Taiwan. Two thousand three hundred forty-seven persons were killed and many buildings were damaged. The objective of this Study was to invcstigate the mortalit rates of cardiovascular diseases, injury and suicide associated with the earthquake.
Methods. Age-standardized cause-specific mortality rates and mortality rate ratio (MRR) were calculated for 1998 and 1999 in disaster and non-disaster areas.
Results Changes I mortality rates for injury among men and womensignificantly increased after the earthquake (124.4% and 438.1%, respectively). The mortality rate of suicide was higher in 1999 compared with 1998 for men and women. There were no significant differences between 1998 and 1999 for cardiovascular disease (CVD).MRR for injury was highest in September 1999 for men and women. The MRR peaked in October for suicide, but there was no difference for CVD.
Conclusions There was a considerable increase in the number of suicides after the earthquake. In addition to treating the physical symptoms of earthquake survivors, it is also very important that public health personnel meet the psychological and emotional needs of the victims. (Med Taiwan J Med 2003;8:157-64)

並列關鍵字

cardiovascular disease ； earthquake ； injury ； standardized mortality ； suicide