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題名:中老年人生活型態與罹患胃炎相關性:健康篩檢資料分析
書刊名:臺灣老人保健學刊
作者:江慧珊林藍萍 引用關係徐尚為林金定
作者(外文):Chiang, Hui-shanLin, Lan-pingHsu, Shang-weiLin, Jin-ding
出版日期:2020
卷期:16:1/2
頁次:頁60-77
主題關鍵詞:胃炎生活型態中老年人健康檢查GastritisLifestyleElder
原始連結:連回原系統網址new window
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背景及目的:不當飲食習慣、濫用藥物、吸菸飲酒等不良生活型態會導致胃炎的發生,也是後續造成胃癌的危險因子。胃癌一直是我國十大癌症死因,全世界死因則排名第三位,其致死率居高不下,因此如何結合相關資源推動胃癌防治計畫是重要的衛生政策;如何藉由危險因子篩檢能夠早期診斷早期治療,以獲得有效的治療是防治胃癌發生的有效策略。本研究目的探討社區中老年民眾之生活型態與罹患胃炎相關性研究。方法:研究方式為橫斷性研究,以某縣健康篩檢問卷進行次級資料分析,調查對象為民國102年及103年50至69歲民眾糞便幽門螺旋桿菌陽性3302人,進一步進行胃鏡篩檢,以確診其胃部疾病。研究排除895人未做胃鏡檢查之民眾,最後2407人為本篇論文之研究對象;所獲得的資料以SPSS Statistics 21.0統計軟體進行描述性與推論性統計。結果:在健檢民眾的個人基本特質與罹患胃炎單變項分析中,僅個案之BMI值與罹患胃炎有相關;而性別、年齡、教育程度、鄉鎮別與罹患胃炎與否則無顯著差異。在生活型態與罹患胃炎單變項分析中,只有喝酒與罹患胃炎有顯著相關。羅吉斯回歸分析中飲酒1-5單位罹患胃炎有保護作用(OR=0.61, 95%CI=0.39-0.95)。結論:本研究並無發現造成胃炎的顯著生活型態風險(僅小單位飲酒可能相關)。然而幽門螺旋桿菌篩檢呈陽性者當中,轉介追蹤進行胃鏡檢查者,發現82%的民眾胃部有異常情形,其中胃炎占了57.6%,由此可見篩檢的重要性,可以讓民眾早期發現早期治療。
Background: Chronic atrophic gastritis, incomplete intestinal metaplasia, mucosal dysplasia and Helicobacter pylori infection are mucosal lesions that lead to precancerous gastric lesions. Previous studies showed that poor lifestyles could also lead to precancerous gastric lesions, such as poor diet, drugs misuse, smoking and alcohol drinking. Gastric cancer is one of the top ten cancer lead to death, particularly ranking top three in the world. Due to the high mortality rate of gastric cancer, the governments are incorporation with institutions of medical, health and community to promote stomach cancer prevention. Early prevention is better than disease treatments and should focus on decreasing risk factors of gastric cancer. Objective: The aims of the present study were to examine the relationships between lifestyle and gastritis in middle-old and old age people. Methods: A cross-sectional and secondary data analyses were conducted in this study. Data source was collected from annual health screening questionnaire in a County. The population covered 3,302 people aged 50-70 years with Helicobacter pylori-positive by stool antigen test in the year of 2013-2014. Finally, exclude 895 people without making gastroscopy to follow up; the final sample of the study was 2,460 participants. Result: People's BMI score has a correlation with gastritis prevalence. Variables of gender, age, education level, township of the participants were no significant differences. Alcohol drinking 5 or more units have a higher risk to get gastritis (OR=2.97). Conclusions: Although the present study does not find significant risks in lifestyle toward gastritis, however, the health check-up still identifies high prevalent gastritis in the population and it is an effective policy to prevent further negative consequences.
 
 
 
 
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