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引文資料
題名:
中老年人吸戒菸行為對失能影響之長期追蹤研究
書刊名:
臺灣公共衛生雜誌
作者:
范雅渝
/
李玉春
作者(外文):
Fan, Ya-yu
/
Lee, Yue-chune
出版日期:
2015
卷期:
34:1
頁次:
頁86-102
主題關鍵詞:
吸菸
;
戒菸
;
失能
;
Smoking
;
Smoking cessation
;
Physical functional disability
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:0
共同引用:
20
點閱:15
目標:本研究應用失能形成進程模式,探討中老年人不同吸、戒菸行為對失能情形之影響,以進一步了解生活型態中的風險因子-吸菸與身體活動功能間的關聯。方法:採縱貫性研究設計,使用『台灣地區中老年身心社會生活狀況長期追蹤調查』1989~2007年共計6波之調查資料,以50歲以上且調查基期時未失能之中老年人為研究對象;並以邏輯斯迴歸及Cox's比例風險模式分析校正人口學特質及健康狀況等背景變項後,吸、戒菸行為對中老年人失能之影響。結果:控制相關影響因素後,吸菸者之失能風險顯著較未吸菸者高,但已戒菸者之失能風險則與未吸菸者無顯著差異;吸菸年數亦與失能有關;而戒菸部分,在60歲前戒菸與戒菸年數大於15年者,其失能風險皆與未吸菸者無顯著差異。結論:中老年人不同之吸、戒菸行為對失能情形有不同之影響,故菸害防制相關政策除勸導大眾勿吸菸外,亦應鼓勵吸菸者儘早戒菸。
以文找文
Objectives: To determine whether or not different smoking behavior would have different effects on the elderly, we used the disablement process model to examine the associations between smoking, smoking cessation, and physical functional disability among middle-aged and elderly persons. Methods: This study was based on a longitudinal study design, applying data obtained from the "Survey of Health and Living Status of Middle Aged and Elders in Taiwan," which had been conducted in 1989, 1993, 1996, 1999, 2003, and 2007 by the Health Promotion Administration of the Ministry of Health and Welfare. The study populations were middle-aged and elderly persons > 50 years of age, and physically functional independent in Taiwan. Logistic regression and Cox's proportional hazards model were performed to examine the relationship between the independent and dependent variables after controlling for confounding factors. Results: There was a positive association between smoking, smoking cessation, and physical functional disability among middle-aged and elderly persons. Smokers had higher risks of physical functional disability than never-smokers after controlling for other factors. There were no significant differences on physical functional disability between former smokers and neversmokers. Whether former smokers or smokers, a longer duration of smoking was associated with poorer physical performance. No significant differences existed between former smokers who had quit smoking > 15 years, former smokers who had quit smoking under 60 years of age, and neversmokers. Conclusions: Different smoking status and different smoking cessation behavior leads to different effects on physical performance. Based on the results of this study we suggest that the Health Promotion Administration of the Ministry of Health and Welfare should recommend people not to smoke, encourage smokers to quit smoking as soon as possible, and be committed to promoting a smoke-free environment.
以文找文
期刊論文
1.
Verbrugge, L. M.、Jette, A. M.(1994)。The Disablement Process。Social Science and Medicine,38(1),1-14。
2.
Seeman, T. E.、Charpentier, P. A.、Berkman, L. F.(1994)。Predicting changes in physical performance in a high-functioning elderly cohort: MacArthur studies of successful aging。Journal of Gerontology,49(3),M97-M108。
3.
LaCroix, A. Z.、Guralnik, J. M.、Berkman, L. F.、Wallace, R. B.、Satterfield, S.(1993)。Maintaining mobility in late life. II. Smoking, alcohol consumption, physical activity, and body mass index。American Journal of Epidemiology,137(8),858-869。
4.
李采娟、林正介、賴世偉、賴學洲(20051200)。Community-Based Epidemiological Study of Impaired Activities of Daily Living in Older People。中臺灣醫學科學雜誌,10(4),165-170。
延伸查詢
5.
Jung, S. H.、Ostbye, T.、Park, K. O.(2006)。A longitudinal study of the relationship between health behavior risk factors and dependence in activities of daily living。J Prev Med Public Health,39,221-228。
6.
Wang, C.、Song, X.、Mitnitski, A.(2013)。Gender differences in the relationship between smoking and frailty: results from the Beijing Longitudinal Study of Aging。J Gerontol A Biol Sci Med Sci,68,338-346。
7.
Strawbridge, W. J.、Camacho, T. C.、Cohen, R. D.、Kaplan, G. A.(1993)。Gender differences in factors associated with change in physical functioning in old age: a 6-year longitudinal study。Gerontologist,33,603-609。
8.
Liao, W. C.、Li, C. R.、Lin, Y. C.、Wang, C. C.、Chen, Y. J.、Yen, C. H.、Lin, H. S.、Lee, M. C.(2011)。Healthy behaviors and onset of functional disability in older adults: results of a national longitudinal study。J Am Geriatr Soc,59,200-206。
9.
Østbye, T.、Taylor, D. H.、Jung, S. H.(2002)。A longitudinal study of the effects of tobacco smoking and other modifiable risk factors on ill health in middle-aged and old americans: results from the health and retirement study and asset and health dynamics among the oldest old survey。Prev Med,34,334-345。
10.
Ferrucci, L.、Izmirlian, G.、Leveille, S.(1999)。Smoking, physical activity, and active life expectancy。Am J Epidemiol,149,645-653。
11.
Strand, B. H.、Mishra, G.、Kuh, D.、Guralnik, J. M.、Patel, K. V.(2011)。Smoking history and physical performance in midlife: results from the British 1946 birth cohort。J Gerontol A Biol Sci Med Sci,66,142-149。
12.
Sulander, T.、Martelin, T.、Rahkonen, O.、Nissinen, A.、Uutela, A.(2005)。Associations of functional ability with health-related behavior and body mass index among the elderly。Arch Gerontol Geriatr,40,185-199。
13.
Takashima, N.、Miura, K.、Hozawa, A.(2010)。Cigarette smoking in middle age and a long-term risk of impaired activities of daily living: NIPPON DATA80。Nicotine Tob Res,12,944-999。
14.
Abbott, R. D.、Kadota, A.、Miura, K.(2011)。Impairments in activities of daily living in older Japanese men in Hawaii and Japan。J Aging Res,1-8。
15.
Støvring, N.、Avlund, K.、Schultz, L. K.、Schroll, M.(2004)。The cumulative effect of smoking at age 50, 60, and 70 on functional ability at age 75。Scand J Public Health,32,296-302。
16.
Wu, Y.、McCrone, S. H.、Lai, H. J.(2008)。Health Behaviors and Transitions of Physical Disability Among Community-Dwelling Older Adults。Res Aging,30,572-591。
17.
Doll, Richard(2004)。Mortality in Relation to Smoking: 50 Years' Observations on Male British Doctors。British Medical Journal,328(7455),1519。
18.
董和銳(20050600)。臺灣老年人口自評健康與功能障礙情形之轉變。身心障礙研究,3(2),72-87。
延伸查詢
19.
Katz, S.、Ford, A. B.、Moskowitz, R. W.、Jackson, B. A.(1963)。Studies of illness in the aged。JAMA: The journal of the American Medical Association,185(12),914。
20.
李玉春、林麗嬋、吳肖琪、鄭文輝、傅立葉、衛生署長期照護保險籌備小組(20130300)。臺灣長期照護保險之規劃與展望。社區發展季刊,141,26-44。
延伸查詢
21.
董和銳(20040700)。族群與臺灣老年人之日常生活障礙與功能限制。身心障礙研究,2(3),160-175。
延伸查詢
22.
經建會人力規劃處(20091000)。我國長期照護需求推估及服務供給現況。臺灣經濟論衡,7(10),54-71。
延伸查詢
23.
Kaplan, G. A.、Strawbridge, W. J.、Camacho, T.、Cohen, R. D.(1993)。Factors Associated with Change in Physical Functioning in the Elderly: A Six Year Prospective Study。Journal of Aging and Health,5,140-153。
24.
Wu, S. C.、Leu, S.-Y.、Li, C.-Y.(1999)。Incidence of and predictors for chronic disability in activities of daily living among older people in Taiwan。Journal of American Geriatric Society,47(9),1082-1086。
學位論文
1.
張芬娜(2008)。社經地位因素與老年人失能軌跡之探討(碩士論文)。國立陽明大學。
延伸查詢
2.
劉紘志(2004)。臺灣地區老人健康行為對身體功能之影響(碩士論文)。臺中健康暨管理學院。
延伸查詢
3.
吳玨萱(2004)。戒菸與健康(碩士論文)。國立東華大學,花蓮。
延伸查詢
4.
沈明輝(2002)。影響社區老人身體功能退化的因素(碩士論文)。國立臺灣大學。
延伸查詢
圖書
1.
行政院衛生署國民健康局(2012)。臺灣菸害防制年報。臺北:行政院衛生署國民健康局。
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