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題名：921震災對中老年人死亡風險的影響
書刊名：人口學刊
作者：陳芝嘉／余清祥 引用關係／蔡偉德 引用關係
作者(外文)：Chen, Chih-chia／Yue, Jack C.／Tsai, Wei-der
出版日期：2015
卷期：50
頁次：頁61-99
主題關鍵詞：921震災；死亡風險；健保資料庫；修勻；921 earthquake；Mortality risk；Taiwan National Health Insurance database；Graduation
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(4) 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:4
  • 共同引用共同引用:40
  • 點閱點閱:103
地震及颱風等天災往往在非常短時間內，對生命與健康造成全面性的傷害與破壞，即便是倖存者也必須面對災害造成的身心苦痛，因而增加了死亡風險。其中，中高齡人口由於生理機能退化，容易因為天災及氣候環境變化罹患疾病，後續醫療救護需求往往高於其他年齡層。過去文獻大多論及重大天災對死亡率立即的衝擊，較少探討後續災民死亡風險的變化，亦即災民死亡風險回復至與震災前的水準的恢復期間，本文利用全民健保資料庫分析921地震所屬的南投縣和臺中縣，與相鄰非災區彰化縣比較，估計震災前後的死亡風險的變化，衡量震災對災民的影響。研究發現：震災在短時間內造成災區嚴重的死傷，在震災中倖存之災民後續仍必須承受震災傷害的死亡風險，震災後災區領有震災卡之災民在震災後第一季的死亡風險顯著高過非災區1.27倍，震災後一年仍顯著高過非災民1.16倍，此結果顯示震災對於在震災中倖存但受創嚴重之災民的影響效果不會在短時間內消失，而是會持續一段時間。本研究對中老年人死亡風險的估計結果，可提供政府評估未來中高齡人口的緊急醫療，以及長期的照護需求之政策參考依據。
Earthquakes, typhoons and many natural disasters often cause comprehensive damage and destruction to human life and health in a very short time. The survivors of natural disasters bear physical and mental damage, which increases the risk of death. Particularly, the middle-aged and elderly are most vulnerable after natural disasters, due to their weakened physiological conditions. Their demand for medical care is also higher than that of other age groups. Most past work addressed the immediate impact of disasters on the morality risk of survivors, while little literature has focused on the aftermath of natural disasters to the morality risk of survivors. In this study, we use the National Health Insurance database and explore the mortality risk of the 921 Chi-Chi Earthquake’s survivors. Specifically, we study the mortality risk of earthquake survivors aged 50 and beyond in Nanto and Taichung counties (the disaster area), and compare them with those in Changhua county (a non-disaster area). The major findings include the face that the earthquake caused severe casualties within a short period of time, yet the survivors still had higher a mortality risk, which was about 1.27 times higher than that of the people of the non-disaster area for the first 3 months after the earthquake, and 1.16 times higher one year later. This suggests that the earthquake’s effect on the mortality risk did not disappear immediately after the disaster and, in fact, lasts almost one year. Our results can provide the government with some policy implications regarding the assessment of emergency medical care and long-term care for the elderly.
期刊論文
1.Liang, N. J.、Shih, Y. T.、Shih, F. Y.、Wu, H. M.、Wang, H. J.、Shi, S. F.、Wang, B. B.、Liu, M. Y.(2001)。Disaster Epidemiology and Medical Response in the Chi-Chi Earthquake in Taiwan。Annals of Emergency Medicine，38(5)，549-555。  new window
2.Chou, Y. J,、Huang, N.、Lee, C. H.、Tsai, S. L.、Tsay, J. H.、Chen, L. S.(2003)。Suicides after the 1999 Taiwan earthquake。International Journal of Epidemiology，32(6)，1007-1014。  new window
3.李大正、楊靜利、王德睦(20111200)。人口老化與全民健保支出：死亡距離取向的分析。人口學刊，43，1-35。new window  延伸查詢new window
4.林民浩、楊安琪、溫在弘(20110800)。利用地區差異與人口學特徵評估全民健保資料庫人口居住地變項之推估原則。臺灣公共衛生雜誌，30(4)，347-361。new window  延伸查詢new window
5.連賢明(20110900)。如何使用健保資料推估社經變數。人文及社會科學集刊，23(3)，371-398。new window  延伸查詢new window
6.顏貝珊、余清祥(20100600)。2010年各國人口普查制度之研究。人口學刊，40，203-229。new window  延伸查詢new window
7.Allen, M. J.、Sheridan, S. C.(2014)。High-Mortality Days During the Winter Season: Comparing Meteorological Conditions Across 5 US Cities。International Journal Biometeorology，58(2)，217-225。  new window
8.Boscarino, J. A.、Adams, R. E.、Figley, C. R.(2004)。Mental Health Service Use 1-Year After the World Trade Center Disaster: Implications for Mental Health Care。General Hospital Psychiatry，26(5)，346-358。  new window
9.Chan, C. C.、Lin, Y. P.、Chen, H. H.、Chang, T. Y.、Cheng, T. J.、Chen, L. S.(2003)。A Population-Based Study on the Immediate and Prolonged Effects of the 1999 Taiwan Earthquake on Morality。Annals of Epidemiology，13(7)，502-508。  new window
10.Chen, Kow-Tong、Chen, Wei J.、Malilay, Josephine、Twu, Shiing-Jer(2003)。The Public Health Response to the Chi-Chi Earthquake in Taiwan, 1999。Public Health Reports，118(6)，493-499。  new window
11.Friedsam, H. J.(1960)。Order Person as Disaster Casualties。Journal of Health and Human Behavior，1，264-273。  new window
12.Kar, N.(2006)。Psychosocial Issues Following a Natural Disaster in a Developing Country: A Qualitative Longitudinal Observational Study。International Journal of Disaster Medicine，4(4)，169-176。  new window
13.Kario, K.、Matsuo,T.、Kayaba, K.、Soukejima, S.、Kagamimori, S.、Shimada, K.(1998)。Earthquake-Induced Cardiovascular Disease and Related Risk Factors in Focusing on the Great Hanshin-Awaji Earthquake。Journal of Epidemiology，8(3)，131-139。  new window
14.Lu, T. H.(2004)。Earthquake and Suicide: Bring Context Back into Disaster Epidemiological Studies。International Journal of Epidemiology，33(6)，1406-1409。  new window
15.Klot, S. V.、Zanobetti, A.、Schwartz, J.(2012)。Influenza Epidemics, Seasonality, and the Effects of Cold Weather on Cardiac Morality。Environmental Health，74(11)，217-225。  new window
16.Liao, Y. H.、Hwang, L. C.、Chang, C. C.、Hong, Y. J.、Lee, I. N.、Huang, J. H.(2003)。Buding Collapse and Human Deaths Resulting from the Chi-Chi Earthquake in Taiwan, September 1999。Achieves of Environmental Health，58(9)，572-578。  new window
17.Kowalski, K. M.、Kalayjian, A.(2001)。Responding to Mass Emotional Trauma: A Mental Health Outreach Program for Turkey Earthquake Victims。Safety Science，39，71-81。  new window
18.Rossum, C. T.、Shipley, M. J.、Hemingway, H.、Grobbee, D. E.、Mackenbach, J. P.、Marmot, M. G.(2001)。Seasonal Variation in Cause-Specific Morality: Are There High-Risk Groups? 25-Year Following-Up of Civil Servants from the First Whitehall Study。International Epidemiological Association，30(5)，1109-1116。  new window
19.Siddiqi, K.、Siddiqi, N.、Saeed, K.、House, A. O.(2006)。Assessing Mental Health Needs After a Major Disaster: Experience from the Pakistan Earthquake。International Journal of Disaster Medicine，4，177-182。  new window
20.張新儀、林明珠、洪永泰、林淑慧(20031000)。臺灣地區「常住人口」與「移動人口」的比較：2001年國民健康訪問調查資料的實證分析。調查研究，14，5-29。new window  延伸查詢new window
21.Armenian, H. K.、Melkonian, A. K.、Hovanesian, A. P.(1998)。Long Term Mortality and Morbidity Related to Degree of Damage Following the 1988 Earthquake in Armenia。American Journal of Epidemiology，148(11)，1077-1084。  new window
22.Chou, F. H. C.、Wu, H. C.、Chou, P.、Su, C. Y.、Tsai, K. Y.、Chao, S. S.、Ouyang, W. C.(2007)。Epidemiologic Psychiatric Studies on Post-Disaster Impact Among Chi-Chi Earthquake Survivors in Yu-Chi, Taiwan。Psychiatry and Clonical Neuroscience，61(4)，370-378。  new window
23.余清祥(20020600)。Oldest-Old Mortality Rates and the Gompertz Law: A Theoretical and Empirical Study Based on Four Countries。人口學刊，24，33-58。new window  new window
24.陳肇男、劉克智(20021200)。臺灣2000年戶口普查結果的評價--常住人口與戶籍登記人口的比較分析。人口學刊，25，1-56。new window  延伸查詢new window
25.Chou, Y. J,、Huang, N.、Lee, C. H.、Tsai, S. L.、Chen, L. S.、Chang, H. J.(2004)。Who Is at Risk of Death in an Earthquake?。American Journal of Epidemiology，160(7)，688-695。  new window
研究報告
1.李丞華、周穎政(2000)。九二一地震對醫療服務利用率的影響 (計畫編號：DOH89-NH-052))。臺北：行政院衛生署。  延伸查詢new window
2.衛生福利部統計處。死因統計。  延伸查詢new window
學位論文
1.林惠萍(2002)。九二一地震災區民眾疾病型態分析與探討(碩士論文)。中國醫藥學院。  延伸查詢new window
2.黃清發(2001)。921震災健保醫療資源利用相關研究--中區分局資料分析(碩士論文)。中國醫藥學院。  延伸查詢new window
圖書
1.Everitt, B. S.(2002)。The Cambridge Dictionary of Statistics。Cambridge：Cambridge University Press。  new window
2.余清祥(1997)。修勻：統計在保險的應用。臺北：雙葉書廊。  延伸查詢new window
其他
1.內政部統計處(2014)。我國生命表，http://www.moi.gov.tw/stat/life.aspx， 2015/01/20。  延伸查詢new window
2.勞動部(1999)。921震災勞動情勢分析新聞稿，http://statdb.mol.gov.tw/html/com/h0934.htm， 2011/03/17。  延伸查詢new window
 
 
 
 
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