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題名:環境污染與惡性腫瘤空間關係--以癌症地圖之肝癌及肺癌為例
書刊名:地圖
作者:范慶龍賴進貴 引用關係
作者(外文):Fan, Ching-lungLay, Jinn-guey
出版日期:2006
卷期:16
頁次:頁205-220
主題關鍵詞:惡性腫瘤地理資訊系統癌症地圖Malignant tumorGeographic information systemGancer map
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:7
  • 點閱點閱:136
近年來醫學科技一日千里,多年前所謂「不治之症」的疾病,現在大部分皆可透過醫療或現代醫學技術而獲得有效的改善,也降低許多疾病的死亡率。但目前國內惡性腫瘤的死亡率並沒有因為醫療科技的進步而降低,反而屢創國內惡性腫瘤死亡率的新紀錄。 本文試圖利用臺灣地區95個主要工業區位置分布,研究環境污染因子與惡性腫瘤的空間關係,瞭解污染物質如何透過媒介(河流、地下水)影響該地區惡性腫瘤的發生率及死亡率。 利用中華民國癌症地圖系統之卜瓦松趨勢面分析(Poisson Trend Surface)交叉比對工業區位置與肺癌、肝癌空間分布的關係,進一步利用地理資訊系統(Geographic Information System)的空間密度分析、環域分析及圖層套疊等功能,探討臺灣地區肺癌及肝癌發生的空間關係,並結合衛生署所公佈各縣市地區惡性腫瘤死亡率統計資料,檢測環境污染因子與肺癌及肝癌分布之關連性。 本研究希望透過GIS各種空間分析功能,提供未來在醫療地理在惡性腫瘤及慢性疾病領域內有效管理、監控及追蹤,建立一套臺灣地區疾病追蹤及健康管理系統,對於各項疾病發生因子進行分析及預防,提升民眾生活環境品質與保障生命健康。
The rapid development of medical technology has allowed the better treatment of many incurable diseases, such as cancers. Such development, however, has not been able to help reduce the mortality from malignant tumours in Taiwan. Instead, the death rate repeatedly reaches higher peak. The crux of this paper lies in exploring the spatial relations between the factors that lead to environmental pollution and those that cause malignant tumours. By analyzing the spatial distribution of ninety-five main industrial zones in Taiwan, we seek to capture how environmental pollutants, through the spread of diverse media (e.g. rivers, groundwater), influence the occurrence and death rate of malignant tumours. Methodologically, we first utilize the poisson trend surface analysis of the Cancer Mapping System of the Republic of China to conduct a cross-comparison of the relations between industrial zones' location and the spatial distribution of lung and liver cancer. Secondly, we use Geographic Information System (GIS) to undertake density analysis, buffer analysis and overlay analysis of the spatial relationship of lung and liver cancer occurrence in Taiwan. Lastly, we use statistical data obtained from the National Health Administration, incorporating the death rate of malignant tumour in all counties to measure the relationship between the factors that lead to environmental pollution and those that cause the occurrence of lung and liver cancer. It is expected that this research provides an example of how GIS can contribute to effective management, monitoring and tracking of malignant tumours and other chronicle diseases. In the future, we suggest establishing a set of disease tracking and health administrative system, to facilitate the analysis and prevention of diseases and to ensure a better living environment for the public.
期刊論文
1.Kennedy, T. C.、Brody, J. G.(2003)。Mapping the Environment and Breast Cancer on Cape Cod, MA。Silent Spring Institute,8,4-7。  new window
2.Brody, J. G.、Rudel, R. A.(2003)。Environmental Pollutants and Breast Cancer。Environmental Health Perspectives,111(8),1007-1019。  new window
3.賴進貴、葉高華、陳汶軍(20050600)。地理資訊系統應用於登革熱疫情防治之檢討與建議。環境與世界,11,65-81。new window  延伸查詢new window
4.廖勇柏、陳建仁、李文宗、徐書儀(20030600)。臺灣地區癌症死亡率與發生率電子地圖的建構及使用。臺灣公共衛生雜誌,22(3),227-236。new window  延伸查詢new window
研究報告
1.賴進貴、張春蘭(2003)。教育部e世代地理資訊系統(GIS)資訊人才培育計畫期末報告。  延伸查詢new window
學位論文
1.施義雄(1999)。台灣地區癌症發生率與環境之相關分析及其地理資訊系統的建構(碩士論文)。中國醫藥學院。  延伸查詢new window
2.廖勇柏(2000)。癌症地圖的繪製: 趨勢面分析法的改變與其在時空特性探討之應用(博士論文)。國立臺灣大學。  延伸查詢new window
3.潘碧珍(1994)。石油及石化工業社區居民癌症死亡率研究(博士論文)。高雄醫學大學。  延伸查詢new window
4.王昶弼(2001)。台灣地區癌症發生率與癌症死亡率相關性研究(碩士論文)。中國醫藥學院。  延伸查詢new window
圖書
1.Frerichs, R.(1999)。John Snow--A Historical Giant in Epidemiology and Anesthesiology。Los Angeles:UCLA。  new window
2.Steingraber, S.(1998)。Living Downstream: a scientist's personal investigation of cancer andthe environment。Washington:Knopf Publishing Group。  new window
 
 
 
 
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