本研究目的在於探討澎湖縣居民中老年慢性病與健康保健知識之現況,並根據研究分析的結果,提出具體可行的政策建議,研議其優先順序,以作為澎湖縣衛生局政策業務規劃的重要參考依據。材料與方法使用的分析資料來源為國民健康局委由澎湖縣衛生局完成的[民國九十一年台灣地區國民健康促進知識、態度與行為調查]問卷資料,該資料為澎湖地區年滿15歲以上人口為對象,分層抽樣共抽出795人。本研究針對中老年慢性病為主要議題,作深入之分析探討。結果;男女性體重過重的比率分別為31.0%和24.3%。目前正在吸菸男性,對於戒菸的態度,有43.3%想戒菸,有54.8%不想戒菸。澎湖縣40歲以上男性的糖尿病盛行率為千分之117,女性為千分之171。40歲以上的高血壓盛行率,男女性分別為千分之269.0和326.2。高血脂盛行率,男女性分別為千分之167.5和139.0。心臟病盛行率,男女性分別為千分之81.2和133.7。40歲以上男女性中風的盛行率,分別為千分之66.0和千分之42.。腎臟病盛行率,男女性分別為千分之76.1和69.5(表C-7)。 30歲以上婦女不知道乳房自我篩檢的比率有46.6%,知道如何做但不曾作過自我篩檢的比率有17.6%,沒有作過子宮頸癌篩檢的比率達41.0%,沒有作子宮頸癌篩檢的原因主要是覺得不需要(46.9%)與不喜歡或害羞(31.3%)。 以上結果顯示出對於離島地區住民之健康檢查,政府方面應多加鼓勵及宣導對於健康生活之認知。
The objective of the study was to investigate the status of chronic diseases and health care knowledge of the middle-aged and elderly residents in Peng-hu County, to propose concrete and viable policy suggestions based on the analysis outcome of the study and to set their priorities for Peng-hu County Health Bureau as important basis for their policy-related business projects. Source of the analysis information used for the material and method was “The 2002 Study on Health Promotion Knowledge, Attitude and Behavior of Taiwan People” questionnaire information accomplished by Peng-hu County Health Bureau for Bureau of Health Promotion. Subjects of the information were the population over 15 years of age in Peng-hu area and 795 samples from different age groups were adopted. The study conducted an in-depth analytical investigation on the Chronic Diseases in middle-aged and elderly population as its primary issue. Results: The overweight rate for male and female samples were 31.0% and 24.3% respectively. Among currently smoking males, 43.3% wanted to quit smoking while 54.8% didn’t want to quit smoking. Diabetic prevalence for the samples over 40 years of age was 11.7% for male and 17.1% for female. Hypertension prevalence for the samples over 40 years of age was 26.9% and 32.62% for male and female respectively. Hyperlipidemia prevalence was 16.75% for male and 13.9% for female respectively. Heart disease prevalence was 8.12% for male and 13.37% for female respectively. Stroke prevalence for the samples over 40 years of age was 6.6% for male and 4.2% for female. Kidney disease prevalence was 7.61% for male and 6.95% for female (Table C-7). Among women over 30 years of age, 46.6% of them didn’t know how to perform a Breast Self-Examination, 17.6% of them had never performed it though they did know how to do it, also 41.0% of them had never received a Pap’s Smear Examination primarily because they felt didn’t need it (46.9%), they didn’t like it or they felt shy (31.3%).The above results illustrate that with regard to the health examination performed on the residents of offshore islands, the government should encourage and promote people’s understanding to healthy life.
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