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題名:臺灣地區非致命事故傷害狀況
書刊名:臺灣公共衛生雜誌
作者:張鳳琴 引用關係蔡益堅吳聖良
作者(外文):Chang, Fong-chingTsai, Yih-jianWu, Shang-liang
出版日期:2003
卷期:22:6
頁次:頁492-500
主題關鍵詞:事故傷害交通事故跌倒國民健康訪問調查Nonfatal unintentional injuriesMotor vehicle accidentsFallsNational health interview survey
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(10) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:10
  • 共同引用共同引用:19
  • 點閱點閱:206
     目標:瞭解臺灣地區非致命事故傷害流行狀況。方法:本研究利用2001年國民健康訪問調查家戶資料檔,分析就醫或住院之事故傷害盛行狀況,資料收集方法係以結構問卷面訪,由最瞭解家戶資料者回答家中成員過去一年曾否發生非致命就醫事故傷害狀況。完訪家戶包括臺灣代表性的5,798家戶、山地鄉代表性的532家戶及離島代表性的391家戶。結果:臺灣地區民眾自述過去一年主要之就醫事故傷害依其盛行率由高而低依序為:交通事故、跌倒/落、燒燙傷及割傷。其中交通事故與跌倒/落傷害盛行率皆為2.6%。交通事故與跌倒/落在年齡、家戶收入及地區別上皆有顯著差異。尤以男性、15-24歲或家戶收入少於3萬者之就醫交通事故盛行率較高。交通事故工具主要為機車(78.9%),事故傷害時有22.2%未戴安全帽或繫安全帶,3.5%事故傷害前有喝酒。按地區別,以山地鄉駕駛人事故傷害前喝酒的比例(34.6%)及未用安全帽(帶)的比例(38.5%)最高。在跌倒/落事故傷害方面,以65歲以上跌倒/落事故傷害盛行率(6.3%)最高;至於發生跌倒/落傷害的地點,14歲以下幼童較常發生在上下樓梯;15-24歲青壯年較常發生在運動場所或遊戲區;25歲以上較常發生於走在平坦或有坡度的路面。結論:臺灣民眾就醫事故傷害主要為交通事故與跌倒/落。交通事故的危險因子包括山地、男性、家戶收入較低者、駕駛人、機車使用者、事故前喝酒或未用安全帽(帶)等有關。跌倒/落則以幼童、職場及老人最常見。至有必要加強宣導行車前不喝酒及行車使用安全帽(帶),並建立學校、職場及社區之跌倒/落管理模式。
     Objectives: The study aims to understand the epidemiologic patterns of nonfatal unintentional injuries in Taiwan. Methods: Using the 2001 NHIS(National Health Interview Survey) household data, the study demonstrated the prevalence of medically attended unintentional injuries. The data was collected by a face-to-face questionnaire interview from respondents of 5,789 Taiwan households, 532 mountain households, and 391 off-shore island households, about the household members' nonfatal accident injuries in the past year. Results: Motor vehicle accidents, falls, burns/scalds, and lacerations were the top four causes resulting in medical care in the previous year for Taiwan residents. The prevalence of medically attended motor vehicle and fall injuries in the past year were 2.6%, and were significantly associated with age, household income, and geographic area. Males, aged from 15-24, and from low household income had higher prevalence of motor vehicle injuries. Of those who had motor vehicle injuries, 78.9% were involved with motorcycles, 22.2% did not wear a helmet or buckle up a seat-belt, and 3.5% had drunk alcoholic beverages. Mountain residents had the highest prevalence of drunken(34.6%) or unprotected(38.5%) riding. Respondents aged above 65 had the highest prevalence of fall injuries. The most common place of falling by age was: up/down stairs for ages 14 and under, at a sports field or play ground for ages 15-24, and on a smooth or sloping pathway for ages 25 and over. Conclusions: Motor vehicle accidents and falls were the two leading causes of medically attended injuries for Taiwan residents. Risk factors related to medically attended motor vehicle accident injuries included mountain residency, male, low household income, drivers, motorcycle riders, and drunk or unprotected driving. A high prevalence of medically attended fall injuries was observed in children, in work sites, and at ages 65 or over. It implies the necessity to promote the usage of helmets and seat-belts and the abstinence from drunken driving, and to establish falls management models in schools, in work sites and in communities.
期刊論文
1.Chiu, W. T.、Kuo, C. Y.、Hung, C. C.、Chen, Marcelo(2000)。The Effect of the Taiwan Motorcycle Helmet Use Law on Head Injuries。American Journal of Public Health,90(5),793-796。  new window
2.吳聖良、呂孟穎、張鳳琴(20010400)。原住民健康情形之研究。公共衛生,28(1),1-24。  延伸查詢new window
3.Thompson, P. G.(1996)。Preventing Falls in the Elderly at Home: A Community Based Program。The Medical Journal of Australia,164,530-532。  new window
4.Day, L.、Filders, B.、Gordon, I.、Fitzharris, M.、Flamer, H.、Lord, S.(2002)。Randomised factorial trial of falls prevention among older people living in their own homes。British Medical Journal,20(325),128-131。  new window
5.Campbell, A. J.、Robertson, M. C.、Gardner, M. M.、Norton, R. N.、Tilyard, M. W.、Buchner, D. M.(1997)。Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women。British Medical Journal,315(7115),1065-1069。  new window
6.Tinetti, M. E.、Baker, D. I.、McAvay, G.(1994)。A Multifactorial Intervention to Reduce the Risk of Falling among Elderly People Living in the Community。New England Journal of Medicine,331,821-827。  new window
7.Cambell, A. J.、Robertson, M. C.、Gardner, M. M.(1999)。Falls prevention over 2 years: a randomized controlled trial in women 80 years。Age and Ageing,28(6),513-518。  new window
8.林茂榮、蔡素蘭、陳淑雅、曾信嘉(20020200)。臺灣中部某鄉村社區老人跌倒之危險因子。臺灣公共衛生雜誌,21(1),73-82。new window  延伸查詢new window
9.張晉豪、梁燕青、廖勇柏、李文宗(20020800)。臺灣地區不同行政區域主要死因之累積死亡率與潛在生命損失累積率。臺灣公共衛生雜誌,21(4),243-252。new window  延伸查詢new window
10.姚克明、吳聖良、洪美玟、張瑛昭、羅素英、呂孟穎、洪百薰(1999)。臺灣省山地鄉特殊醫療保健需求之研究。公共衛生,26(3),221-250。  延伸查詢new window
11.Stalenhoef, P. A.、Crebolder, H. F. J. M.、Knottnerus, J. A.、van der Horst, F. G.(1997)。Incidence, Risk Factors and Consequences of Falls among Elderly Subjects Living in the Community: A Criteria-Based Analysis。Eur J Public Health,7,328-334。  new window
12.Tsai, Y. J.、Wang, J. D.、Huang, W. F.(1996)。Case-control Study of the Effectiveness of Different Types of Helmets for the Prevention of Head Injuries among Motorcycle Riders in Taipei, Taiwan。American Journal of Epidemiology,142,974-981。  new window
13.蔡益堅、王榮德(1994)。安全氣囊真安全嗎?。健康世界,98,55-57。  延伸查詢new window
14.American Geriatrics Society、British Geriatrics Society、American Academy of Orthopedic Surgeons(2001)。Guideline for the Prevention of Falls in Older Persons. American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopedic Surgeons Panel on Falls Prevention。J Am Geriatr,49,664-672。  new window
15.Plautz, B.、Beck, D. E.、Selmar, C.(1996)。Modifying the Environment: A Community-Based Injury-Reduction Program for Elderly Residents。American Journal of Preventive Medicine,12(Suppl 1),33-38。  new window
16.李中一、陳凱倫、吳家興(2000)。職業非死亡意外事故危險因子之病例對照研究。中華公共衛生雜誌,19,261-271。new window  延伸查詢new window
會議論文
1.何鐵樑(1994)。高雄市老人跌跤及其相關因子之探討與評估。沒有紀錄。  延伸查詢new window
2.蔡益堅、Wilinson, P.、周碧瑟(2002)。老人跌倒之健康照護負擔及預防效果。沒有紀錄。  延伸查詢new window
研究報告
1.行政院衛生署(2002)。中華民國九十年衛生統計。台北:行政院衛生署。  延伸查詢new window
2.行政院衛生署(2003)。臺灣地區歷年事故傷害與自殺死亡概況。  延伸查詢new window
3.劉文良、林麗嬋、林佩欣(1999)。老人跌倒傷害防治計畫的先期研究(II)。臺北。  延伸查詢new window
4.蔡益堅、周碧瑟、孫文榮(2001)。八十九年度社區老人跌倒之追蹤調查暨其健康衝擊評估研究。臺中。  延伸查詢new window
5.劉文良、林佩欣、梁繼權(1996)。社區老人跌倒危險因子的發現。臺北。  延伸查詢new window
6.吳中興、李福春、李世代(1993)。基層社區老年人跌倒預防之介入性研究。臺北。  延伸查詢new window
學位論文
1.吳俊盛(1998)。國小學童事故傷害之調查研究(碩士論文)。高雄醫學院,高雄。  延伸查詢new window
2.徐慧娟(1994)。跌倒對老人健康生活品質的影響(碩士論文)。國立臺灣大學。  延伸查詢new window
3.Tsai, Y. J.(2002)。Study on Risk Factors and Prevention Strategies of Falls in the Elderly in Taiwan,London, UK。  new window
4.黃彥芳(1994)。國小學童事故傷害與影響申請學生團體保險給付的因素之探討,臺北。  延伸查詢new window
5.葉玉枝(1996)。高雄市某國民中學學校傷害事故之流行病學研究,高雄。  延伸查詢new window
圖書
1.林淑慧(2002)。「國民健康訪問調查」實地訪查資料搜集與完成狀況。「國民健康訪問調查」實地訪查資料搜集與完成狀況。臺北:行政院衛生署國民健康局/財團法人國家衛生研究所。  延伸查詢new window
2.張鳳琴、張晞雁、劉夏園、吳聖良(2002)。國民健康訪問調查問卷設計介紹。臺北:行政院衛生署國民健康局/財團法人國家衛生研究所。  延伸查詢new window
3.洪永泰(2002)。「國民健康訪問調查」抽樣設計。臺北市:行政院衛生署國民健康局、財團法人國家衛生研究院。  延伸查詢new window
4.林惠生、張新儀、林明珠(2002)。國民健康訪問調查實住人口受訪者之人口背景特性。國民健康訪問調查實住人口受訪者之人口背景特性。臺北。  延伸查詢new window
5.吳聖良、張鳳琴(2001)。臺灣原住民事故傷害分析及改善策略研究。臺灣原住民事故傷害分析及改善策略研究。臺北。  延伸查詢new window
6.Liu, W. L.、Lin, P. S.、Chan, C. P.(1998)。Factors Associated with Fall Events in a Taiwanese Elderly Population。Factors Associated with Fall Events in a Taiwanese Elderly Population。Taipei。  new window
7.行政院衛生署國民健康局(2002)。跌倒(墜落)死亡率及六十五歲以上老人跌倒盛行率。2010年國民健康指標(草案)。臺中。  延伸查詢new window
8.National Center for Injury Prevention and Control(2000)。Surveillance of Central Nervous System Injury。Surveillance of Central Nervous System Injury。Atlanta, GA。  new window
其他
1.World Health Organization(2001)。A 5-Year WHO Strategy for Road Traffic Injury Prevention,沒有紀錄。  new window
2.World Health Organization(2002)。Building Safe Communities in NSW - Working Together to Make It Happen,沒有紀錄。  new window
3.行政院衛生署(2002)。中華民國八十九年全民健康保險統計月報檔,臺北。  延伸查詢new window
4.World Health Organization(2002)。Unintentional Injuries Prevention,沒有紀錄。  new window
5.World Health Organization(2002)。The Global Burden of Injuries,沒有紀錄。  new window
6.World Health Organization(2002)。World Health Day 2004 and World report on Road Traffic Injury Prevention,沒有紀錄。  new window
 
 
 
 
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