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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 張尊國 | |
dc.contributor.author | Shu-De Lin | en |
dc.contributor.author | 林恕德 | zh_TW |
dc.date.accessioned | 2021-06-15T01:19:00Z | - |
dc.date.available | 2009-07-29 | |
dc.date.copyright | 2009-07-29 | |
dc.date.issued | 2009 | |
dc.date.submitted | 2009-07-27 | |
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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/42659 | - |
dc.description.abstract | 口腔癌為臺灣地區急遽成長的癌症之ㄧ,男性成長率達17.89 %為近幾年來成長最快的癌症。本研究目的希望藉由統計分析方法初步找出導致口腔癌之可能環境影響因子,進一步提供未來臨床醫學及流行病學領域上相關研究方向之參考。以鄉鎮為單元,考慮環境因子土壤重金屬砷、鎘、鉻、銅、汞、鎳、鉛、鋅,以及生活習慣因子嚼食檳榔、抽菸為導致口腔癌之危險因子。結合Spearman等級相關和空間自相關Moran’s I檢定,挑選出與口腔癌呈現相關且具有空間特性之變數。最後比較不考慮空間特性的傳統迴歸模式與納入空間特性的空間誤差模式兩者結果之差異。許多研究已證實嚼食檳榔及抽菸之習慣因子皆會導致口腔癌,但在考慮空間特性之情況下,兩項致癌危險因子與口腔癌發生之間關係並不顯著,主要是由於兩致癌危險因子並無存在空間相關性,造成在此一研究模式下無法突顯出此兩項致癌危險因子的特性。而在環境因子中,唯獨土壤重金屬鎳與口腔癌的發生呈現顯著相關。推斷彰化地區為口腔癌高發區之原因,可能是因為在類似的嚼食檳榔及抽菸盛行率之下的鄉鎮單元,彰化地區當地土壤重金屬鎳濃度含量偏高所造成。導致彰化地區土壤鎳濃度較高的主因為早期急速工業化,工廠農地混雜且管理不當。因此推論工業化造成工廠集中、工廠管理不健全為促使居住於此環境污染下居民罹患口腔癌之風險增高。 | zh_TW |
dc.description.abstract | The incidence rate of oral cancer in Taiwan is one of the rapidly growing cancers. For male, the increasing rate of oral cancer incidence is 17.89% between 2001 and 2005, and it is the fastest growing cancer. The purpose of this study was to find out the probably environmental factors of oral cancer by preliminary statistical methods step by step. These results can provide for areas of clinical medicine and epidemiology as a direction in the future. We took the soil heavy metal contents which include As, Cd, Cr, Cu, Hg, Ni, Pb, Zn and the lifestyle factors which include betel quid chewing (BQC) and cigarette smoking (CS) as risk factors for oral cancer. Spearman rank correlation in combination with spatial autocorrelation analysis was used to determine variables which positively correlate with oral cancer and have spatial characteristics. Finally, we compared the differences between these results of ordinary least regression and spatial regression error model. Many studies have been confirmed that BQC and CS habits will lead to oral cancer, but these results of this study revealed that the two lifestyle factors and oral cancer incidence are not significant when taking account of spatial characteristics. These showed that the spatial statistical method or the statistical unit of data types were unable to highlight the characteristics of these two lifestyle factors. For the environmental factors, nickel is the only one heavy metal which significantly correlates to oral cancer. Changhua county is with the most serious nickel contamination, so we infer that is why Changhua with higher incidence of oral cancer than the other towns with similar BQC or CS rates. Residents living in contaminated areas who suffer from a higher risk of oral cancer. And this study reveals that there is the most significant correlation between the soil heavy metal nickel and oral cancer incidence. | en |
dc.description.provenance | Made available in DSpace on 2021-06-15T01:19:00Z (GMT). No. of bitstreams: 1 ntu-98-R96622007-1.pdf: 2650906 bytes, checksum: af6d31fafaed7b8eb45590fc8589c699 (MD5) Previous issue date: 2009 | en |
dc.description.tableofcontents | 目錄
口試委員會審定書 I 誌謝 II 中文摘要 III 英文摘要 IV 表目錄 VIII 圖目錄 X 第一章 緒 論 1 1-1 前言 1 1-2 研究動機 2 1-2-1 口腔癌發生率的快速成長 2 1-2-2 土壤重金屬因子 6 1-3 研究目的 8 1-4 論文架構 10 第二章 文獻回顧 12 2-1 環境重金屬因子 12 2-2 臺灣地區農地土壤污染現地調查概況 13 2-3 生活習慣因子 20 2-4 空間統計分析 22 2-4-1探索式空間資料分析(Exploratory Spatial Data Analysis, ESDA) 24 2-4-2 空間自相關 25 2-4-3空間權重矩陣(Spatial Weights Matrix) 27 2-4-4 傳統迴歸模式與空間迴歸模式 31 第三章 材料與方法 34 3-1 材料 34 3-1-1 研究區域 34 3-1-2 臺灣地區鄉鎮單元平均重金屬濃度 34 3-1-3 口腔癌年齡標準化發生率資料 34 3-1-4 人類健康行為相關因子 35 3-2 研究方法 36 3-2-1 鄉鎮單元土地重金屬資料換算 36 3-2-2年齡標準化發生率(Age-Standardized Incidence Ratio, ASIR) 37 3-2-3人類健康行為相關因子 38 3-3 Spearman等級相關 40 3-4 空間自相關分析 41 3-4-1 全域型空間自相關檢定 41 3-4-2 區域型空間自相關檢定 43 3-5 空間迴歸分析 45 3-5-1 空間滯延模式(Spatial Lag Model, SLM) 46 3-5-2 空間誤差模式(Spatial Error Model, SEM) 47 3-5-3 迴歸模式檢定參數 48 第四章 結果與討論 50 4-1 敘述統計(Descriptive Statistics) 50 4-1-1 背景資料 50 4-1-2資料分佈型態 60 4-1-3 發生率與各因子趨勢比較 67 4-2 Spearman 等級相關分析 72 4-3 傳統迴歸分析 76 4-4 空間自相關 78 4-4-1全域自相關檢定分析(Global Spatial Autocorrelation) 78 4-4-2 不同門檻距離下的Moran’s I值變化 79 4-4-3 不同門檻距離下的空間自相關顯著水準檢定值Z(I)值變化 82 4-4-4 不同門檻距離下的傳統迴歸誤差項 84 4-4-5 區域空間自相關檢定分析(Local Spatial Autocorrelation) 87 4-5 空間迴歸模式 101 4-5-1 迴歸模式選定 101 4-5-2 迴歸模式之建立 103 4-5-3 空間迴歸模式與傳統迴歸模式比較 108 第五章 結論與建議 110 5-1 結論 110 5-2 研究限制與建議 111 第六章 參考文獻 112 | |
dc.language.iso | zh-TW | |
dc.title | 土壤重金屬含量與口腔癌發生率之空間相關性探討 | zh_TW |
dc.title | The Investigation of Spatial Correlation between Soil Heavy Metals Content and the Incidence of Oral Cancer | en |
dc.type | Thesis | |
dc.date.schoolyear | 97-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 鄭克聲,張文亮,林裕彬,余化龍 | |
dc.subject.keyword | 重金屬,口腔癌,空間自相關,空間迴歸模式, | zh_TW |
dc.subject.keyword | Heavy metals,Oral cancer,Spatial Autocorrelation,Spatial Regression Model, | en |
dc.relation.page | 119 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2009-07-27 | |
dc.contributor.author-college | 生物資源暨農學院 | zh_TW |
dc.contributor.author-dept | 生物環境系統工程學研究所 | zh_TW |
顯示於系所單位: | 生物環境系統工程學系 |
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