臺灣地區20至49歲成年女性使用減重藥物現況之先驅性研究

A Pilot Study of the Usage of Anti-Obesity Drugs Among Taiwanese Female between 20 and 49 Years

張尹凡(Yin-Fan Chang) ； 吳至行(Chih-Hsing Wu) ； 吳坤陵(Kun-Ling Wu) ； 張秦松(Chin-Song Chang) ； 盧豐華(Feng-Hwa Lu) ； 張智仁(Chih-Jen Chang)

《臺灣家庭醫學研究》 1卷1期 (2003/10) Pp. 33-40

https://doi.org/10.29475/TFMR.200310.0004

摘要

為瞭解國人減重藥物使用之現況，本研究於民國90年12月22及23日，依性別、年齡及地區比例分層抽樣電話訪查臺灣地區20至49歲民眾共1,091人。以其中女性537人為本研究的分析對象。
結果顯示，在537位女性受訪者中，有63位(11.7%)曾經或正在使用減重藥物，使用西藥者佔55.6%，使用中藥者佔20.6%，中西藥併用者佔23.8%。教育程度越高使用減重藥物的比例就越高。63位使用減重藥物的女性中，有53位(84.1%)中途放棄而停止使用藥物，放棄原因則以效果不彰(58.5%)、副作用過大(54.7%)及費用太貴(47.2%)為主。經詢問537位女性受訪者未來若有需要使用減重藥物時，選擇的管道則以“到醫院看減重門診”(67.8%)、“由醫師處方至藥房購買”(34.6%)及“聽從親友建議”(25.9%)為主；而在挑選減重藥物時最重視的因素則是“無立即可見之副作用”(56.8%)。
經由本研究可以發現有高達11.7%的女性受訪者中曾經或正在使用減重藥物，若以臺灣地區20至49歲女性人口約541萬人來推估，可能高達63萬以上之20至49歲成人女性曾經或正在使用藥物減重。因此，國人在選擇與使用減重藥物方面需要更多正確的衛生教育及引導，以達到健康減重的目標。

並列摘要

To investigate the usage of anti-obesity drugs among Taiwanese female, a total of 1,091 Taiwanese subjects aged 20 to 49 years were sampled by systemic cluster sampling method and surveyed by telephone interview on Dec 22 and 23, 2001. All of the 537 female subjects interviewed were enrolled in the study for final analysis.
Of the 537 subjects, 63(11.7%) reported of taking or having taken anti-obesity drugs. Among them, 35 persons (55.6%) were taking anti-obesity drugs; 13(20.6%) used traditional Chinese herbs as anti-obesity agents; and 15(23.8%) took both. The higher the educational level, the more prevalence of using anti-obesity drugs. There were 53(84.1%) anti-obesity drug user withdrawn from the treatment subsequently, and the major reasons of withdrawal were ineffectiveness (58.5%), intolerance to adverse effect (54.7%) and the high cost of anti-obesity drug (47.2%). Asking the 537 subjects of what might be the major route of obtaining the anti-obesity drugs if they felt necessary. The answers were: ”Obesity special clinics (67.8%)”, ”drugstores recommended by the doctors' prescription (34.6%)” and ”followed the advices of family(25.9%)”. The most important factor for selecting anti-obesity agents will be ”no immediate adverse effect (56.8%)”.
Our study showed that 11.7% of the female subjects had used or were using anti-obesity drugs. In other words, nearly six hundred and thirty thousand Taiwanese female, aged 20 to 49 years had used anti-obesity drugs. Therefore, more accurate education and consultation in the selection and usage of anti-obesity drugs are needed to meet the goals of weight reduction in a healthy manner.

並列關鍵字

obesity ； weight reduction behavior ； anti-obesity drug ； telephone interview