臺灣地區原住民健康危害行為與代謝症候群之相關研究

The Association between Health Risk Behavior and Metabolic Syndrome of Aborigines in Taiwan

洪麗玲(Li-Ling Hung) ； 熊曉芳(Hsiao-Fang Hsiu) ； 陳敏麗(Min-Li Chen) ； 張麗春(Li-Chun Chang) ； 陳秋月(Chiu-Yueh Chen) ； 陳真美(Chen-Mei Chen)

《北市醫學雜誌》 7卷3期 (2010/09) Pp. 255-264

https://doi.org/10.6200/TCMJ.2010.7.3.06

摘要

目的：本研究旨在探討原住民人口學特徵及健康危害行為與代謝症候群之相關性。方法：本研究引用2008年嘉義縣整合性篩檢服務資料進行次級資料分析，選取嘉義縣某山地鄉參與篩檢之原住民共計725人為研究對象；整合性篩檢服務資料含身體理學檢查、血液生化值檢查及問卷等內容，以了解原住民之吸菸、飲酒及嚼食檳榔與其罹患代謝症候群之相關性；資料以描述性統計、卡方分析以及邏輯式迴歸進行分析。結果：研究之原住民樣本中，整體代謝症候盛行率為42.6%，其中男性代謝症候群盛行率為41.5%，女性為43.5%；健康危害行為以飲酒之比率最高佔60.0%。在控制其他自變項後，年齡、教育程度、飲酒行為、嚼食檳榔行為對於罹患代謝症候群有顯著影響。結論：原住民之健康危害行為為罹患代謝症候群之顯著影響因素，本研究結果可作為原住民代謝症候群之預防保健政策與研究之參考。

關鍵字

原住民 ； 健康危害行為 ； 代謝症候群

並列摘要

Objectives: The aim of the present study was to investigate the relationship between health risk behavior and the prevalence of the metabolic syndrome (MetS) among aborigines in Chia-yi county. Methods: This cross-sectional study collected related information from aboriginals attending an integrated screening program in Chia-yi county. The instruments included a physical examination, a serum biochemical test and an integrated screening service questionnaire. Results: A total of 725 aboriginal subjects were enrolled. The prevalence of alcohol consumption was the highest at 60%. The prevalence rate for MetS was 42.6%; it was 43.5% for females, which was higher than for males at 41.5%. Using logistic regression, we found that an older age, a lower education level, drinking alcohol and chewing betel quid were related to a statistically significant greater risk of MetS. Conclusions: These results indicate that the prevalence rates for health risk behaviors and MetS among aborigines in Chia-yi county have increased. This result will be useful as references for future health providers and help the system to plan health prevention programs for MetS among aborigines.

並列關鍵字

aboriginal ； health risk behavior ； metabolic syndrome