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題名:台灣原住民之酒癮與勃起功能障礙及其它相關因子之研究
作者:趙建剛
作者(外文):Jian-Kang Chao
校院名稱:樹德科技大學
系所名稱:人類性學研究所
指導教授:林燕卿
學位類別:博士
出版日期:2011
主題關鍵詞:原住民酒癮動脈硬化因子勃起功能障礙睪固酮aboriginealcoholismaboriginealcoholismatherosclerosis risk factorserectileatherosclerosis risk factorserectile
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背景:台灣原住民飲酒所衍生的問題除個人身心健康及婚姻、家庭受
影響外,其性功能之相關問題,實證性調查較少,因此本研究目的包
含:一、了解原住民有、無酒癮之勃起功能的情形。二、探討影響勃
起功能障礙之因素及相關性。方法:本研究利用健檢、門診及家訪時
收集同意參與研究之對象(包括原住民有酒癮男性個案94 名和無酒癮
者98 名),蒐集參與者之基本資料、動脈硬化相關指數及血液生化檢
查值,及填答之性功能及性需求量表等問卷,有效樣本共192 人。進
行敘述性分析及找出變數間之差異或相關性,以邏輯斯迴歸模型,找
出可能影響勃起功能障礙之變數,並對其結果做更進一步的討論。結
果: 在192 名原住民研究對象中,酒癮者94 位(49%),無酒癮者98
位(51%)。研究發現原住民酒癮者與勃起功能障礙相關。影響勃起功
能障礙之因素,有年齡、酒癮、動脈硬化指標之高敏感度C 反應蛋
白及高密度脂蛋白膽固醇、代謝症候群及相關指標。而原住民有勃
起功能障礙者也呈現較低的游離睾固酮、總睾固酮及生物活性睾固
酮。在多變項邏輯斯迴歸分析中,原住民有勃起功能障礙者與游離
睪固酮、年齡、代謝症候群及酒癮等四變項,皆呈顯著相關。
II
結論: 原住民有代謝症候群、勃起功能障礙及肥胖的比率皆非常
高,而這些皆為心臟血管疾病的危險因子。原住民酒癮者之代謝症候
群盛行率又非常高,其中原住民酒癮者有勃起功能障礙盛行率又更
高。原住民勃起功能障礙與酒癮、代謝症候群、年齡及游離睾固酮有
密切相關。然而代謝症候群、動脈硬化相關指標及勃起功能障礙皆為
心臟血管疾病危險因子。因此我們不得不重視原住民酒癮又有勃起功
能障礙者。
Background: The complications from alcoholism to aborigines from Taiwan do not only include physical, mental health, marital, family problems, but it is also associated with sexual functions problems. As the related researches are few in the field, hence the aim of this research includes the association between alcoholism and erectile dysfunction for aborigines in Taiwan and to investigate the factors and correlation of alcoholism with erectile dysfunction. Method: This research we collected 94 aborigines with alcoholism and 98 aborigines without alcoholism, the
data are collected with consent from health examination from local government, clinic and house calls. The data include subjects’ basic personal data, indicator of arteriosclerosis, blood examination and questions about sexual function and sexual desires, the total valid sample
collected were 192. The data were processed by narrative analysis to find the variables, associations and differences and via using logistic regressive model to find the possible variable that affected erectile dysfunction and further discussion with the outcome. Result: With the
192 aborigine participants, there were 94 who has alcoholism and 98 who does not have alcoholism. The study has found that alcoholism and erectile dysfunction are related for those aborigines. The factors that may IV
affect erectile function include age, alcoholism, atherosclerosis index for high sensitivity C-reactive protein and high-density lipoprotein cholesterol, metabolic syndrome and others. The study also shown free testosterone, total testosterone and bioaviable testosterone are lower for those Taiwanese aborigines who has erectile dysfunction. After the multiple logistic regression analysis it demonstrated that erectile dysfunction, free testosterone, age, metabolic syndrome and alcoholism shown a significant relation between the four factors. Discussion: Rate of having metabolic syndrome, erectile dysfunction and obesity is higher in Taiwanese aborigine, and these are the risk factors for cardiovascular
diseases. Prevalence of alcoholism and metabolic syndrome are high among the aborigines’ community, within these aborigines the prevalence for erectile dysfunction are even higher. Erectile dysfunction is closely related to alcoholism, metabolic syndrome, age and free testosterone
among these aborigines. Metabolic syndrome, atherosclerosis and erectile dysfunction are the risk factors for cardiovascular diseases. Hence we need to pay more attention to those Taiwanese aborigines who have erectile dysfunction.
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