社區剝奪、個人社經地位 與非致命事故傷害

Community Deprivation, Individual Socioeconomic Status, and Prevalence of Non-fatal Injuries in Taiwan

蘇姵榕(Pei-Jung Su)

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(2004年)

https://doi.org/10.6342/NTU.2004.01285

摘要

研究目標：在探討20歲以上成人的社區剝奪和個人社經地位，對就醫事故傷害和住院事故傷害的影響。

研究設計：本研究採橫斷性研究，資料來源為行政院主計處的 2001 年社會發展趨勢調查，樣本數為 30,467 名，以及 2000 年台閩地區戶口及住宅普查。我們採用林慧淳 (2001) 所發展的地區剝奪指數，以初級行業人口比例和18-21歲不在學率，作為本研究社區剝奪指標。

主要結果測量：就醫事故傷害率和住院事故傷害率

研究結果：20歲以上成人三個月內發生就醫事故傷害的機率為3.7%，其中12.7%為住院事故傷害。對數複迴歸結果顯示，控制年齡和性別之後，個人社經地位及社區剝奪皆與就醫事故傷害具顯著相關，但與住院事故傷害則無顯著相關。

結論：個人社經與社區剝奪是影響就醫事故傷害的重要決定因素。

關鍵字

社區剝奪 ； 個人社經地位 ； 非致命事故傷害

並列摘要

Objective To examine the relationship of non-fatal injuries with community deprivation and individual socioeconomic status among population aged 20 years old and over.

Design Cross-sectional study using data from the 2001 Survey of Social Development Trends-Health and Safety, with a size of 30467 samples, and the 2000 Census of Population and Housing Taiwan- Fukien Area. Following HC Lin (2001), we used the proportion of primary occupation population and the prevalence of non-schooling among population aged 18-21years to develop an community deprivation score.

Main outcome measurement Prevalence of non-fatal injuries requiring medical attention, and non-fatal injuries requiring hospitalization.

Results The 3-month prevalence of non-fatal injuries requiring medical attention among population aged 20 years old and over were 3.7%; of them, 12.7% requiring hospitalization. By using logistic regression analysis, we found that, after controlling for sex and age, both individual socioeconomic status and community deprivation were significantly associated with the prevalence of non-fatal injuries requiring medical attention, but not associated with the prevalence of non-fatal injuries requiring hospitalization.

Conclusion Individual socioeconomic status and community deprivation are powerful in determining the rate of non-fatal injuries requiring medical attention.

並列關鍵字

community depriva ； individual socioeconomic status

參考文獻

呂宗學、黃熾凱、陳宜冠等：機動車事故傷害發生地、死亡地與戶籍關係之初探：花東經驗。中華衛誌 1999；18：28-33。

邱淑提、曹昭懿、王榮德：1974-90年間台灣地區老年人口意外災害死亡率及潛在生命損失之分析。中華衛誌 1993；12：405-418。

張鳳琴、蔡益堅、吳聖良：台灣地區非致命事故傷害狀況。台灣衛誌 2003；22：492-500。

Aller NE, Newman K. Socioeconomic disparities in health: pathways and policies. Health Affairs 2002; 21:60

Bartley M. Measuring socio-economic position. In: Health Inequality- An Introduction to Theories, Concepts and Methods. Cambridge: Polity Press 2004