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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 賴進貴(Jinn-Guey Lay) | |
dc.contributor.author | Li-Chun Hu | en |
dc.contributor.author | 胡立諄 | zh_TW |
dc.date.accessioned | 2021-06-13T00:30:27Z | - |
dc.date.available | 2008-01-01 | |
dc.date.copyright | 2007-07-30 | |
dc.date.issued | 2007 | |
dc.date.submitted | 2007-07-24 | |
dc.identifier.citation | 中文文獻
王昶弼 (2001) 台灣地區癌症發生率與癌症死亡率相關性研究,中國醫藥學院環境醫學研究所碩士論文。 王宥人 (2001) 地區剝奪與女性乳癌及子宮頸癌之相關性研究,國立臺灣大學衛生政策與管理研究所碩士論文。 石曜堂總編 (2005) 台灣健康地圖集(五)癌症死亡率—鄉鎮市區別(全省地區)1998-2002,苗栗縣竹南鎮:國家衛生研究院。 行政院衛生署國民健康局 (2003) 中華民國癌症地圖查詢系統死亡率分佈地圖集(1972-2001)與發生率分佈地圖集(1995-1998)。 行政院衛生署衛生統計資訊網http://www.doh.gov.tw/statistic/index.htm [2006/4/7] 行政院原住民族委員會 (2005) 原住民健康狀況統計。http://oliverweb.apc.gov.tw/index.asp[2007/4/7] 李章銘 (2001) 基因及環境於食道癌中之交互作用---其公共衛生及臨床之意義,國立臺灣大學臨床醫學研究所博士論文。 呂宗學 (1990) 台灣地區區域經濟發展與死亡率的相關研究,台灣大學公共衛生研究所碩士論文。 吳明賢 (1997) 胃癌之臨床病理特徵,基因變化與流行病學研究,國立台灣大學臨床醫學研究所碩士論文。 吳麗均 (2004) 台灣地區肺結核發生率之區位性影響因素分析:擁擠、社經、醫療之相對重要性,國立成功大學公共衛生研究所碩士論文。 林福田 (1998) 社經狀況與結核病發生之區域變異及其相關研究,國立陽明大學公共衛生研究所碩士論文。 林慧淳 (2001) 地區剝奪與死亡率之相關:以台灣為例,國立臺灣大學衛生政策與管理研究所碩士論文。 吳銘芳 (2004) 人類乳突瘤病毒感染在台灣女性肺癌形成之角色研究,中山醫學大學醫學研究所博士論文。 吳佩芬 (2004) 台灣女性肺癌發生趨勢分析及其相關因子及重要預後因子探討,高雄醫學大學醫學研究所博士論文。 徐鉅美 (2003) 臺灣地區結腸直腸癌部位別發生率長期趨勢及與鄉鎮別社會經濟地位之相關研究,臺北醫學大學公共衛生學系碩士論文。 胡幼慧、林芸芸、吳肖琪 (1990) 台灣地區社會流行病學之分佈:六項死因死之小區域分析,人口學刊,13:83-106。 財政部財稅資料中心http://www.fdc.gov.tw/dp.asp?mp=1 [2006/4/7] 施義雄 (1998) 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,中國醫藥學院環境醫學研究所碩士論文。 陳拱北、吳新英、葉金川、鄭玉娟 (1979) 台灣地區鄉鎮市區及其他分類地區別各種癌症死亡率彩色圖1968-1976,台北:行政院國家科學委員會。 梁蘄善 (1991) 地理學計量分析,台北:文化大學。 陸坤泰和張登斌 (1992) 台灣的肺癌,台灣醫誌,91(1):1-6。 陳建仁、蔡淑芳 (1989) 台灣地區癌症死亡率地圖1972-1983,台北:中央研究院生物醫學研究所。 陳建仁、張春蘭、廖勇柏、夏長鳳、黃凱琳、游山林、王豊裕 (1996) 中華民國癌症死亡率分佈地圖集:民國七十一年至八十年,台北:行政院衛生署。 陳淑媛 (1998) 臺灣地區胃癌及馬祖地區腸性化生之流行病學研究,臺灣大學公共衛生學研究所博士論文。 郭怡汾 (2001) 社經地位、地區剝奪與老人存活狀況,國立臺灣大學衛生政策與管理研究所碩士論文。 陳品玲 (2003) 流行病學概論,台北市:華杏出版股份有限公司。 連家斌 (2004) 廣義線性混合模式結合B-Spline在疾病地圖上之應用,國立政治大學統計研究所碩士論文。 黃詩雅 (2005) 臺灣地區人口消長與死亡率之關係,高雄醫學大學公共衛生學研究所碩士。 廖正宏 (1976) 差別死亡率及病態之研究,思與言,13 (6):353-366。 蔡淑芳 (1987) 台灣地區惡性腫廇重要危險因子之生態相關研究,國立台灣大學公共衛生研究所碩士論文。 蔡世盟 (1997) 烏腳病社區 (高砷暴露) 民眾死亡率及期趨勢分析,高雄醫學院醫學研究所博士論文。 廖勇柏、李文宗、陳建仁 (1998) 趨勢面分析法在癌症地圖繪製上的應用:以臺灣的乳癌死亡率為例,中華公共衛生雜誌,17(6): 474-484。 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,國立台灣大學流行病學研究所博士論文。 廖勇柏、陳建仁、李文宗、徐書儀 (2003) 台灣地區癌症死亡率與發生率電子地圖的建構及使用,台灣衛誌,22(3): 227-236。 廖勇柏、鐘雅齡、徐書儀、吳佳芳、鄭瓊珍 (2004) 台灣地區女性肺癌死亡率之時空變異分析,中山醫學雜誌,15: 1-7。 榮泰生 (2006) SPSS與研究方法,第11章。台北:五南圖書公司。 劉坤仁 (1996) 台灣地區的社會階層與健康不平等,國立台灣大學公共衛生學研究所碩士論文。 盧俊泰 (1994) 口腔癌流行病學研究,高雄醫學院醫學研究所博士論文。 American Institute for Cancer Research (AICR) (1999) Stopping Cancer BeforeIit Starts, Golden Books: New York,馬雨沛譯 (2004) 癌症止步!美國癌症研究院的防癌計畫,台北:原水出版社。 英文文獻 Anselin, L. 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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/28936 | - |
dc.description.abstract | 癌症是台灣歷年主要死因之首,為能瞭解存在於環境中的可能影響因素,流行病學界常透過癌症地圖來探索,然而光靠視覺判定往往不夠精確。近年來空間分析方法發展迅速,使研究者得以利用空間統計方法來探索現象的空間特性。
本研究利用行政院衛生署2003年出版之「中華民國癌症發生率及死亡率分佈地圖集」內女、男性標準化比率的電子檔資料,使用Moran’s I和LISA(Local Moran)指標來探討各種癌症的分布是否呈現聚集的型態,並瞭解癌症發生率、不同時期死亡率的空間變異。研究結果發現歷年女、男性五大主要癌症高發生率和死亡率類別均具有空間聚集的特性。癌症發生率具有空間聚集特徵的類型者,其死亡率亦有空間聚集的特徵;在空間上高發生率的聚集區通常也是高死亡率的分布位置。若以性別來分,胃癌是不分性別發生率與死亡率聚集區都位在東部;結腸直腸癌女、男性發生率聚集區位置相近、死亡率相近;口腔癌則不同性別聚集區位置不同等情形。 本研究選擇另以女性結腸直腸癌發生率和男性胃癌死亡率為例,透過傳統迴歸模型(ordinary least squares model)和空間誤差模型(spatial error regression model)分析,除了獲得地區社經差異的確影響空間聚集特徵的形成,本研究獲得尚有社經因子以外,具有空間聚集特徵之影響因子的存在,提供後續研究的基礎。另外,利用空間誤差模型,將影響癌症的因子具有空間相依性並非獨立存在的特性納入考慮,使參數估計結果較傳統迴歸模式適合且有效,值得相關學界使用。 | zh_TW |
dc.description.abstract | Cancer is the leading causes of death in Taiwan. In epidemiology, disease maps are often used to explore the causes of diseases. Visual interpretation of these maps, however, usually leads to concerns of imprecision. This research seeks to take advantage of recent developments in spatial statistics to improve researchers’ exploration of the spatial characteristics and patterns revealed by data.
The case in discussion is whether the distribution of female and male cancers exhibit spatial clustering by Moran’s I and Local Indicator of Spatial Association (LISA, local Moran) and to further understand the spatial variations. The dataset used in this study is from the statistical data of electric atlas of cancer mortality and incidence published by Taiwan’s Department of Health in 2003, which included age-standardized incidence and mortality rates. As shown in the results, the five main incidence and mortality rates of cancers over the past years demonstrated a spatial clustering characteristic. Spatially, areas of high incidence rates are usually of high mortality rate. The incidence and mortality rate of both male and female with stomach cancer (ICD151) are clustered in the east, the incidence rate cluster and mortality rate of male and female with colon, rectum, rectosigmoid junction & anus cancer (ICD153-154) tend to be relatively close, while the incidence and mortality rate of the population with lip, oral cavity (ICD140,141,143-146,148-149) will vary according to sex. The characteristic of spatial cluster can reveal whether the pattern correlates with socioeconomic differences in the area. Using the incidence of female with colorectal cancers and mortality of male with stomach cancer as examples, these cases show a clear characteristic of spatial clustering relevant to the socioeconomic factors of the area. Utilizing ordinary least squares model and spatial error regression model, this research found that other than socioeconomic factors, integrating spatial dependency is also important in tracing the causes of spatial clusters. The spatial error regression model also took into consideration of the fact that factors effecting cancer distribution are spatially dependent. The result has proven the model to be much more robust and effective in parameter estimations. | en |
dc.description.provenance | Made available in DSpace on 2021-06-13T00:30:27Z (GMT). No. of bitstreams: 1 ntu-96-P94228004-1.pdf: 8970084 bytes, checksum: e1951dcf3c19186ef883e8f2bbba9ac9 (MD5) Previous issue date: 2007 | en |
dc.description.tableofcontents | 口試委員會審定書..............................i
誌謝.........................................ii 中文摘要.....................................iv 英文摘要......................................v 第一章 緒論...................................1 第一節 研究動機...............................1 第二節 研究目的...............................3 第二章 文獻回顧...............................4 第一節 醫學地理與空間分析.....................4 第二節 以探索式空間資料分析癌症的方法........11 第三節 影響癌症的因素........................27 第三章 研究方法..............................31 第一節 研究設計..............................31 第二節 分析方法..............................36 第四章 結果與討論............................39 第一節 空間聚集分析的結果....................39 第二節 迴歸分析的結果與討論..................60 第五章 結論與建議............................67 第一節 研究結論..............................67 第二節 研究限制與建議........................70 參考文獻.....................................72 附錄.........................................80 附件一 台灣學者人口與健康研究................80 附件二 歷年主要癌症死亡率....................84 附件三 歷年主要癌症發生率....................86 附件四 空間自相關指標計算公式................89 附件五 鄉鎮區圖..............................92 | |
dc.language.iso | zh-TW | |
dc.title | 台灣癌症的空間分析 | zh_TW |
dc.title | Spatial analysis of cancers in Taiwan | en |
dc.type | Thesis | |
dc.date.schoolyear | 95-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 廖勇柏,張春蘭,孫志鴻 | |
dc.subject.keyword | 空間分析,空間自相關,空間迴歸分析,醫學地理,癌症地圖, | zh_TW |
dc.subject.keyword | spatial analysis,spatial autocorrelation,spatial regression analysis,medical geography,cancer map, | en |
dc.relation.page | 93 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2007-07-26 | |
dc.contributor.author-college | 理學院 | zh_TW |
dc.contributor.author-dept | 地理環境資源學研究所 | zh_TW |
顯示於系所單位: | 地理環境資源學系 |
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