台灣地區民眾自述高血脂疾病狀況及其相關疾病之分析

An Analysis of Hyperlipidemia Presence and Its Correlation with Related Diseases

涂翠婷(TU TSIE TING)

指導教授 ： 張明正

亞洲大學/健康學院/健康管理研究所/碩士(2006年)

摘要

根據衛生署1993至2004年台灣地區十大死因統計資料顯示，心臟病、腦血管疾病、糖尿病及高血壓均分列其中，為國人最常見的疾病，而這四項疾病造成的死亡人數加總更遠高於排名第一之癌症。國人對這些慢性病耳熟能詳，但卻少有人知道高血脂(hyperlipidemia)為其共同致病因子之一。

有效防治高脂血之發生乃是國內健康防治工作重要的一環，本研究嘗試從國民健康訪問調查資料庫中，探討台灣民眾自述高血脂疾病狀況與其相關疾病之關係，藉以間接推估隱藏高血脂疾病脂比率及特性。同時針對自述具有高脂血患者分析其自覺性健康防治與醫療利用所處的狀態，以便提供相關決策者及服務人員在高血脂疾病症狀預防及醫療利用改善方面之有效資訊。

研究結果顯示自述高血脂疾病狀況對相關疾病均達統計顯著水準，但疾病數方面結果並不顯著。而男性慢性病與高血脂罹患率較高；年齡越大，相關疾病罹患率越高且疾病數越多；離婚分居喪偶自述不知道高血脂疾病狀況者較多；BMI值與相關疾病及疾病數成正比；有工作者相關疾病較少；自述有高血脂者，其自述有糖尿病比例最高；桃、竹、苗及中、彰、投地區較清楚自身高血脂疾病狀況，而高雄、屏東、澎湖為自述不知道有高血脂機率最高地區；另外自述高血脂疾病狀況對心臟病、高血壓、糖尿病及腎臟病均達統計顯著水準。本研究結果可供相關單位參考，針對不知道及不瞭解自身疾病狀況者，進行進一步篩檢與預防措施，以期儘早發現及治療，減少醫療負擔與支出。

關鍵字

高血脂症 ； 健康篩檢 ； 慢性病 ； 國民健康訪問調查

並列摘要

According to the death factor statistics issued by the Department of Health from year 1993 to 2004, heart disease, brain vessel disease, diabetes, and high blood pressure rank high among the common disease. Their collective number of death is greater than the number one killer-cancer. While chronic diseases are not foreign to most people, few are aware that hyprelipidemia is common cause of such diseases.

Measures to prevent hyperlipidemia are seen critical to health prevention task. This research aims at analyzing data from the 2001 National Health Interview Survey and probes the status of hyprelipidemia and its related diseases so as to indirectly estimate the proportion of hyperlipidemia and its characteristics. Meanwhile, those who self-report having hyperlipidemia are further analyzed in terms of their self-preventive measures and medical services.

Preliminary results show that it is statistically significant that those with hyperlipidemia are related to other diseases individually, but not collectively. Male chronic disease is related to hyperlipidemia. Aging is related to higher number of related diseases. Those lived alone with divorce status have a higher percentage of unawared hyperlipidemia. BMI value correlates positively with related diseases and number of diseases. Job holders reported less related diseases. Those who report having hyperlipidemia also register a higher percentage of diabetes. Population in Tauyuan, Shinchu, Miali, Taichung, Chunghua and Nantou counties have higher awareness of self-reporting hyperlipidemia, while population in Kaohsiung, Pingtung and Penhu counties (in southern Taiwan) have much lower self-awareness. Furthermore, those having self-reporting hyperlipidemia are statistically significant with their conditions in heart-disease, high-blood pressure, diabetes and kidney disease. It is suggested that concerned agencies can follow up on those who are unaware of or uninformed of their health status with mass screening to prevent outbreak of related diseases and unnecessary medical spending.

並列關鍵字

Hyperlipidemia ； Screening ； Chronic disease ； National Health Interview Survey

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