臺灣原住民族社經地位與健康的關係

Relationship Between Socioeconomic Position and Health Among Indigenous People in Taiwan

劉玉娟(Yu-Chuan Liu)

指導教授 ： 江東亮

國立臺灣大學/公共衛生學院/衛生政策與管理研究所/碩士(2008年)

https://doi.org/10.6342/NTU.2008.01069

摘要

背 景：臺灣原住民與非原住民間長期存在健康不平等，社會經濟原因為所有因素中最重要的決定因素，過早或過多的健康不適、失能、自覺不健康及死亡與社經地位密不可分，而這樣的健康不平等亦存在原住民族群內，本研究目標為探討臺灣原住民族的健康之社會坡度。
目 標：探討社經地位對臺灣原住民健康之影響。
方 法：資料來自2005年原住民家戶（個人）20歲以上共20,501份就業狀況問卷資料，並連結2006年全國原住民全死因資料檔。社經地位的主要指標為教育程度、個人收入及職業階級，健康結果以自覺不健康感受及2006年的死亡情形，作為社經地位與原住民健康之關係探討。
結 論：所有樣本中自覺不健康者占13.5%，於一年後去逝者佔有1.0%。在調整性別、年齡及地區別後，以邏輯式回歸來看，自覺不健康者在教育程度上之勝算比( OR=1.62-3.70, P<0.001)、個人收入(OR=2.09, P<0.001)及職業階級(OR=3.18, P<0.001).等三個社經地位指標皆呈現顯著統計意義。而在追蹤一年的2006年之死亡情形的迴歸分析上，僅有職業階級（無工作者）呈現顯著關係(RR=5.83, P<0.001)。
結 果：社經地位為臺灣原住民重要的健康決定因素，要改善臺灣原住民族健康情形，必須考慮更寬廣的社會經濟狀況。

關鍵字

原住民 ； 社經地位 ； 健康

並列摘要

Background:
Substantial health disparities between Taiwan’s indigenous people and their non-indigenous counterparts have been observed, with socioeconomic position found to be one of the most important determinants. However, whether such disparities in health exist within the indigenous people remains unclear. This study aimed to examine the social gradient of health among the indigenous people in Taiwan.

Methods:
A representative sample of 20501 indigenous people aged 20 years and over were interviewed with a questionnaire in 2005. The survey data was further linked with the Death Registration Database in 2006. Socioeconomic characteristics to examine health disparities among the indigenous included educational attainment, individual income, and occupational class. Health outcome measures were self-report poor health and all-cause mortality in the year of 2006.

Results:
Overall, 13.5% reported poor health and 1.0% died in 2006. The results of multiple variables analysis showed that, after controlling for gender, age, and place of residence, self-reported poor health was significantly associated with educational attainment (OR=1.62-3.70, P<0.001), individual income (OR=2.09, P<0.001), and occupational class (OR=3.18, P<0.001). However, only employment status had a bearing on 1-year mortality (RR=5.83, P<0.001).

Conclusion:
Socioeconomic position is also an important determinant of health among the indigenous people in Taiwan. To improve the health of the indigenous people has to take the wider socioeconomic conditions into account.

並列關鍵字

indigenous ； socioeconomic position ； health

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