請用此 Handle URI 來引用此文件：
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/102696完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 蘇士詠 | zh_TW |
| dc.contributor.advisor | Shih-Yung Su | en |
| dc.contributor.author | 吳冠霖 | zh_TW |
| dc.contributor.author | Guan-Lin Wu | en |
| dc.date.accessioned | 2026-07-15T16:31:31Z | - |
| dc.date.available | 2026-07-16 | - |
| dc.date.copyright | 2026-07-15 | - |
| dc.date.issued | 2026 | - |
| dc.date.submitted | 2026-07-07 | - |
| dc.identifier.citation | American Diabetes Association. (2024). Economic costs of diabetes in the U.S. in 2022. Diabetes Care, 47(1), 26-43. https://doi.org/10.2337/dci23-0085
Beltrán-Sánchez, H., Preston, S. H., & Canudas-Romo, V. (2008). An integrated approach to cause-of-death analysis: cause-deleted life tables and decompositions of life expectancy. Demographic Research, 19, 1323. https://doi.org/10.4054/DemRes.2008.19.35 Carter, H. E., Schofield, D. J., & Shrestha, R. (2016). The Productivity Costs of Premature Mortality Due to Cancer in Australia: Evidence from a Microsimulation Model. PlOS ONE, 11(12), e0167521. https://doi.org/10.1371/journal.pone.0167521 Chan, Y. S., & Tsai, W. D. (2023). Drunk driving policies and breath test refusal in Taiwan. Traffic Injury Prevention, 24(7), 543–551. https://doi.org/10.1080/15389588.2023.2231584 Chang, S.-S., Lu, T.-H., Eddleston, M., Konradsen, F., & Sterne, J. A. C. (2022). The early impact of paraquat ban on suicide in Taiwan. Clinical Toxicology, 60(4), 476–483. https://doi.org/10.1080/15563650.2021.1937642 Chen, S. J., Chen, C. Y., & Lin, M. R. (2018). Risk factors for crash involvement in older motorcycle riders. Accident Analysis and Prevention, 111, 109–114. https://doi.org/10.1016/j.aap.2017.11.006 Chen, V. C.-H., Tan, H.-K. L., Chen, C.-Y., Chen, T.-H., Liao, L.-R., Lee, C.-T.-C., Dewey, M., Stewart, R., Prince, M., & Cheng, A. T. A. (2011). Mortality and suicide after self-harm: Community cohort study in Taiwan. The British Journal of Psychiatry, 198(1), 31–36. https://doi.org/10.1192/bjp.bp.110.080564 Chiang, C. L. (1991). Competing risks in mortality analysis. Annual Review of Public Health, 12, 281–307. https://doi.org/10.1146/annurev.pu.12.050191.001433 Colón-Emeric, C. S., McDermott, C. L., Lee, D. S., & Berry, S. D. (2024). Risk assessment and prevention of falls in older community-dwelling adults: A review. JAMA, 331(16), 1397–1406. https://doi.org/10.1001/jama.2024.1416 Conwell, Y., Van Orden, K., & Caine, E. D. (2011). Suicide in older adults. Psychiatric Clinics of North America, 34(2), 451–468. https://doi.org/10.1016/j.psc.2011.02.002 De Leo, D. (2022). Late-life suicide in an aging world. Nature Aging, 2(1), 7–12. https://doi.org/10.1038/s43587-021-00160-1 Eayres, D., & Williams, E. S. (2004). Evaluation of methodologies for small area life expectancy estimation. Journal of epidemiology and community health, 58(3), 243–249. https://doi.org/10.1136/jech.2003.009654 Ediev D. M. (2018). Constrained Mortality Extrapolation to Old Age: An Empirical Assessment. European Journal of Population = Revue europeenne de demographie, 34(3), 441–457. https://doi.org/10.1007/s10680-017-9434-4 Foreman, K. J., Marquez, N., Dolgert, A., Fukutaki, K., Fullman, N., McGaughey, M., Pletcher, M. A., Smith, A. E., Tang, K., Yuan, C. W., Brown, J. C., Friedman, J., He, J., Heuton, K. R., Holmberg, M., Patel, D. J., Reidy, P., Carter, A., Cercy, K., Chapin, A., … Murray, C. J. L. (2018). Forecasting life expectancy, years of life lost, and all-cause and cause-specific mortality for 250 causes of death: reference and alternative scenarios for 2016-40 for 195 countries and territories. Lancet (London, England), 392(10159), 2052–2090. https://doi.org/10.1016/S0140-6736(18)31694-5 GBD 2019 Injuries Collaborators. (2024). Global, regional, and national burden of injuries, and burden attributable to injuries risk factors, 1990 to 2019: Results from the Global Burden of Disease study 2019. Public Health, 237, 212–231. https://doi.org/10.1016/j.puhe.2024.06.011 GBD 2021 ASEAN Injuries Collaborators. (2025). The epidemiology and burden of injury in countries of the Association of Southeast Asian Nations (ASEAN), 1990–2021: Findings from the Global Burden of Disease Study 2021. The Lancet Public Health, 10(6), e456–e466. https://doi.org/10.1016/S2468-2667(25)00069-6 GBD 2021 Diseases and Injuries Collaborators. (2024). Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries in 204 countries and territories and 811 subnational locations, 1990–2021: A systematic analysis for the Global Burden of Disease Study 2021. The Lancet, 403(10440), 2133–2161. https://doi.org/10.1016/S0140-6736(24)00757-8 GBD 2021 Japan Collaborators. (2025). Three decades of population health changes in Japan, 1990–2021: A subnational analysis for the Global Burden of Disease Study 2021. The Lancet Public Health, 10(5), e374–e386. https://doi.org/10.1016/S2468-2667(25)00044-1 GBD 2021 US Burden of Disease Collaborators. (2024). The burden of diseases, injuries, and risk factors by state in the USA, 1990–2021: A systematic analysis for the Global Burden of Disease Study 2021. The Lancet, 404(10469), 2314–2340. https://doi.org/10.1016/S0140-6736(24)01446-6 Guirguis-Blake, J. M., Perdue, L. A., Bean, S. I., et al. (2024). Interventions to prevent falls in older adults: Updated evidence report and systematic review for the US Preventive Services Task Force. JAMA, 332(1), 58–69. https://doi.org/10.1001/jama.2024.4166 Hanly, P. A., Soerjomataram, I., & Sharp, L. (2014). The cost of lost productivity due to premature cancer-related mortality: An economic measure of the cancer burden. BMC Cancer, 14, 224. https://doi.org/10.1186/1471-2407-14-224 Hou, C. C., Chen, S. C., Tan, L. B., Chu, W. Y., Huang, C. M., Liu, S. Y., Lee, C. H., & Chen, K. T. (2012). Psychoactive substance use and the risk of motor vehicle crash injuries in southern Taiwan. Prevention Science, 13(1), 36–42. https://doi.org/10.1007/s11121-011-0242-5 Hsieh J. J. (1991). A general theory of life table construction and a precise abridged life table method. Biometrical journal. Biometrische Zeitschrift, 33(2), 143–162. https://doi.org/10.1002/bimj.4710330204 Hua, J., Wang, W., DiMaggio, C., Harrison, J. E., Olusanya, B. O., James, S. L., Haagsma, J. A., Vos, T., Schwebel, D. C., Ning, P., Wu, Y., Liu, Z., & Guo, Y. (2023). Road traffic death coding quality in the WHO Mortality Database. Bulletin of the World Health Organization, 101(10), 637–648. https://doi.org/10.2471/BLT.23.289683 Huang, S.-Y., Ko, B.-S., & Hsiao, F.-Y. (2020). Economic burden of cancers in Taiwan: A direct and indirect cost estimate for 2007–2017. BMJ Open, 10(10), e036341. https://doi.org/10.1136/bmjopen-2019-036341 Hwang, H. F., Cheng, C. H., Chien, D. K., Yu, W. Y., & Lin, M. R. (2015). Risk factors for traumatic brain injuries during falls in older persons. The Journal of Head Trauma Rehabilitation, 30(6), E9–E17. https://doi.org/10.1097/HTR.0000000000000093 Ji, Z., Wu, C., Wu, Y., Wang, Y., & Zhang, M. (2023). Trends in cause-specific injury mortality in China in 2005–2019: Longitudinal observational study. JMIR Public Health and Surveillance, 9, e47902. https://doi.org/10.2196/47902 Jou, R. C., Yeh, T. H., & Chen, R. S. (2012). Risk factors in motorcyclist fatalities in Taiwan. Traffic Injury Prevention, 13(2), 155–162. https://doi.org/10.1080/15389588.2011.641166 Kegler, S. R., Baldwin, G. T., Rudd, R. A., & Ballesteros, M. F. (2017). Increases in United States life expectancy through reductions in injury-related death. Population Health Metrics, 15, Article 32. https://doi.org/10.1186/s12963-017-0150-4 Kim, Y., Kim, Y. J., Shin, S. D., Song, K. J., Kim, J., & Park, J. O. (2018). Trend in disability-adjusted life years (DALYs) for injuries in Korea: 2004–2012. Journal of Korean Medical Science, 33(31), e194. https://doi.org/10.3346/jkms.2018.33.e194 Kuo, C.-J., Gunnell, D., Chen, C.-C., Yip, P. S. F., & Chen, Y.-Y. (2012). Suicide and non-suicide mortality after self-harm in Taipei City, Taiwan. The British Journal of Psychiatry, 200(5), 405–411. https://doi.org/10.1192/bjp.bp.111.099861 Law, C.-K., Yip, P. S. F., & Chen, Y.-Y. (2011). The economic and potential years of life lost from suicide in Taiwan, 1997–2007. Crisis, 32(3), 152–159. https://doi.org/10.1027/0227-5910/a000070 Lin, H. A., Chan, C. W., Wiratama, B. S., Chen, P. L., Wang, M. H., Chao, C. J., Saleh, W., Huang, H. C., & Pai, C. W. (2022). Evaluating the effect of drunk driving on fatal injuries among vulnerable road users in Taiwan: A population-based study. BMC Public Health, 22, 2059. https://doi.org/10.1186/s12889-022-14402-3 Lin, H. Y., Li, J. S., Pai, C. W., Chien, W. C., Huang, W. C., Hsu, C. W., Wu, C. C., Yu, S. H., Chiu, W. T., & Lam, C. (2022). Environmental factors associated with severe motorcycle crash injury in university neighborhoods: A multicenter study in Taiwan. International Journal of Environmental Research and Public Health, 19(16), 10274. https://doi.org/10.3390/ijerph191610274 Lin, M. R., Chang, S. H., Pai, L., & Keyl, P. M. (2003). A longitudinal study of risk factors for motorcycle crashes among junior college students in Taiwan. Accident Analysis and Prevention, 35(2), 243–252. https://doi.org/10.1016/S0001-4575(02)00002-7 Lin, T.-h., Hsu, K.-m., & Lee, C.-y. (2021). 移動的階級不平等：臺灣民眾的交通弱勢與交通事故風險初探. 調查研究—方法與應用, 47, 113–166. https://doi.org/10.7014/SRMA.2021100004 Marshall R. J. (2004). Standard expected years of life lost as a measure of mortality: norms and reference to New Zealand data. Australian and New Zealand journal of public health, 28(5), 452–457. https://doi.org/10.1111/j.1467-842x.2004.tb00027.x Menzin, J., Marton, J. P., Menzin, J. A., Willke, R. J., Woodward, R. M., & Federico, V. (2012). Lost productivity due to premature mortality in developed and emerging countries: an application to smoking cessation. BMC Medical Research Methodology, 12, 87. https://doi.org/10.1186/1471-2288-12-87 Miró, Ò., Gil-Rodrigo, A., García-Martínez, A., Jacob, J., Llorens, P., Martín-Sánchez, F. J., … FALL-ER Registry Investigators. (2023). Sex differences in mortality of older adults with falls after emergency department consultation: FALL-ER registry. Journal of the American Geriatrics Society, 71(9), 2837–2847. https://doi.org/10.1111/jgs.18401 Naumann, R. B., Dellinger, A. M., Zaloshnja, E., Lawrence, B. A., & Miller, T. R. (2010). Incidence and total lifetime costs of motor vehicle-related fatal and nonfatal injury by road user type, United States, 2005. Traffic Injury Prevention, 11(4), 353–360. https://doi.org/10.1080/15389588.2010.486429 Ortega-Ortega, M., Hanly, P., Pearce, A., Soerjomataram, I., & Sharp, L. (2022). Paid and unpaid productivity losses due to premature mortality from cancer in Europe in 2018. International Journal of Cancer, 150(4), 580–593. https://doi.org/10.1002/ijc.33826 Pan, S. W., Hsu, C.-T., Brussoni, M., & Pike, I. (2015). Indigenous ethnicity as a social determinant of exposure to riskier modes of transport: A survey study in Taiwan. Journal of Transport & Health, 2(4), 608–617. https://doi.org/10.1016/j.jth.2015.09.003 Rau, C. S., Lin, T. S., Wu, S. C., Yang, J. C. S., Hsu, S. Y., Cho, T. Y., & Hsieh, C. H. (2014). Geriatric hospitalizations in fall-related injuries. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 22, 63. https://doi.org/10.1186/s13049-014-0063-1 Sadek, J., Diaz-Piedra, B., Saleh, L., & MacDonald, L. (2024). A narrative review: Suicide and suicidal behaviour in older adults. Frontiers in Psychiatry, 15, Article 1395462. https://doi.org/10.3389/fpsyt.2024.1395462 Swain, N. R., Winter, R. J., & Christensen, H. (2019). A systematic review of validated suicide outcome classification methods. International Journal of Epidemiology, 48(5), 1636–1649. https://doi.org/10.1093/ije/dyz055 Tøllefsen, I. M., Helweg-Larsen, K., Thiblin, I., Hem, E., Kastrup, M., Nyberg, U., & Rogde, S. (2015). Are suicide deaths under-reported? Nationwide re-evaluations of 1800 deaths in Scandinavia. BMJ Open, 5(11), e009120. https://doi.org/10.1136/bmjopen-2015-009120 Tsai, Y. J., Yang, P. Y., Yang, Y. C., Lin, M. R., & Wang, Y. W. (2020). Prevalence and risk factors of falls among community-dwelling older people: Results from three consecutive waves of the National Health Interview Survey in Taiwan. BMC Geriatrics, 20, 529. https://doi.org/10.1186/s12877-020-01922-z Wang, Y. Y., Lin, C. W., Lien, C. W., Chang, C. H., & Yuan, T. H. (2026). From young-to older-elderly: Shifting casualty patterns in traffic accidents within a motorcycle-oriented transport environment. International Journal of Injury Control and Safety Promotion, 1–14. https://doi.org/10.1080/17457300.2025.2611373 Wu, H., Hayen, A., Finch, C. F., & Negin, J. (2020). Fall-related mortality trends in Australia and the United Kingdom: Implications for research and practice. Archives of Gerontology and Geriatrics, 90, 104140. https://doi.org/10.1016/j.archger.2020.104140 Wu, Y.-H., Ho, C.-H., Lin, Y.-C., Hsu, H.-M., Wang, J.-J., & Yeh, C.-Y. (2023). Economic burden of cervical and head and neck cancer in Taiwan from a societal perspective. International Journal of Environmental Research and Public Health, 20(4), 3717. https://doi.org/10.3390/ijerph20043717 Yu, W. Y., Hwang, H. F., Hu, M. H., Chen, C. Y., & Lin, M. R. (2013). Effects of fall injury type and discharge placement on mortality, hospitalization, falls, and ADL changes among older people in Taiwan. Accident Analysis and Prevention, 50, 887–894. https://doi.org/10.1016/j.aap.2012.07.015 邱淑媞、曹昭懿、王榮德（1993）。1974-90年間臺灣地區老年人口意外災害死亡率及潛在生命損失之分析。中華民國公共衛生學會雜誌，12(4)，405-420。https://doi.org/10.6288/JNPHARC1993-12-04-08 行政院主計總處(2025)。歷年年齡別勞動力參與率。https://www.stat.gov.tw/News.aspx?n=4001&sms=11516 內政部戶政司(2025)。人口統計資料。 https://www.ris.gov.tw/app/portal/346 交通部統計處(2023)。民眾日常使用運具狀況調查。 https://www.motc.gov.tw/ch/app/data/view?module=survey&id=56&serno=202304280010 行政院主計總處(2025)。受僱就業者每月主要工作之收入。https://www.stat.gov.tw/News.aspx?n=2798&sms=11091 衛生福利部統計處(2025)。死因統計資料。https://dep.mohw.gov.tw/DOS/cp-6602-74526-113.html | - |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/102696 | - |
| dc.description.abstract | 外因死因在公共衛生、人口健康與經濟損失評估中具有重要意義，相較於多數自然死因主要集中於中高齡階段，外因死亡可能發生於生命的不同階段，進而對平均餘命、生命損失與經濟損失造成不同程度的影響。過去台灣相關研究多以單一外因死因、特定族群或較早期資料為主，較少同時比較不同外因死因在健康與經濟層面的相對負擔。因此，本文以台灣2008年至2023年外因死因為研究對象，整合內政部戶政司、衛生福利部以及行政院主計總處等資料，分析主要外因死因對台灣群體健康與經濟損失的影響。本文先依ICD-10外因死因分類，整理各年度、性別與五歲年齡組之死亡人數及死亡率，以呈現不同外因死因的年齡與性別分布。接著，建置五歲年齡組的簡易生命表，並以刪除死因生命表估計排除特定外因死因後的平均餘命差額，衡量各類死因對整體存活條件的潛在影響。最後，結合生命表剩餘預期壽命、勞動力參與率與平均收入資料，進一步估計生命損失與勞動生產力損失。研究結果顯示，在研究期間，台灣外因死亡主要集中於運輸事故、意外事故的其他外因，以及蓄意自我傷害，且男性死亡人數普遍高於女性。進一步由細分類觀察，蓄意自我傷害、摩托車騎乘者受傷、其他陸路運輸意外事故及摔倒與跌落，為研究期間較具代表性的外因死因類別。蓄意自我傷害為所有外因死因中死亡人數最高者，死亡較多集中於中壯年族群，因此在平均餘命差額、生命損失與勞動生產力損失上皆呈現較明顯負擔。運輸事故的結果反映台灣交通暴露結構的特性，其中摩托車騎乘者受傷與其他陸路運輸意外事故皆為主要負擔來源。摔倒與跌落雖在勞動生產力損失上相對較低，其主要意義在於高齡者脆弱性、失能風險與照護需求。本文透過死亡分布、平均餘命差額、生命損失與勞動生產力損失四項指標，呈現不同外因死因在健康負擔與經濟損失上的差異。研究結果顯示，外因死因的防治排序不應僅依死亡人數或單一指標決定，而應依政策目標與負擔型態加以判斷，本文補足過往研究在近期資料、多外因類別與多指標比較上的不足，並可作為後續外因死因防治策略與公共衛生資源配置之參考。 | zh_TW |
| dc.description.abstract | External causes of death are important for public health, population health burden, and the evaluation of economic loss. Unlike many natural causes of death, which mainly occur in middle-aged and older people, external-cause deaths may occur at different ages. Therefore, they may affect life expectancy, years of life lost, and economic loss in different ways. Previous studies in Taiwan have often focused on one specific external cause, one population group, or earlier data. Fewer studies have compared different external causes from both health and economic perspectives. Therefore, this study analyzes external causes of death in Taiwan from 2008 to 2023, using data from the Department of Household Registration, the Ministry of Health and Welfare, and the Directorate-General of Budget, Accounting and Statistics. This study first uses ICD-10 external-cause categories to organize the number of deaths and mortality rates by year, sex, and five-year age group. This helps show the age and sex patterns of different external causes of death. Next, this study builds an abridged life table based on five-year age groups. Cause-deleted life tables are then used to estimate the change in life expectancy after removing specific external causes of death. Finally, this study combines remaining life expectancy, labor force participation rates, and average income data to estimate years of life lost and labor productivity loss.
The results show that external-cause deaths in Taiwan were mainly from transport accidents, other external causes of accidental injury, and intentional self-harm during the study period. The number of deaths was generally higher among males than females. In more detailed categories, intentional self-harm, motorcyclist injuries, other land transport accidents, and falls were the main external causes. Intentional self-harm had the largest number of deaths among all external causes. Since many of these deaths occurred among working-age adults, intentional self-harm caused a larger burden in life expectancy loss, years of life lost, and labor productivity loss. The results for transport accidents reflect Taiwan’s traffic exposure patterns. Motorcyclist injuries and other land transport accidents were both important sources of burden. Falls caused lower labor productivity loss, but they were important because they were closely related to the vulnerability of older adults. By using four indicators, including death distribution, life expectancy difference, years of life lost, and labor productivity loss, this study compares the health burden and economic loss associated with different external causes of death. The conclusion of this study is that prevention priorities for external causes of death should not be determined based on a single indicator alone, but should instead be evaluated according to policy objectives and the type of burden involved. The main contribution of this study is to address gaps in previous research by using recent data, including multiple external-cause categories, and applying a multi-indicator comparison framework. The findings may serve as a reference for future prevention strategies for external causes of death and for the allocation of public health resources. | en |
| dc.description.provenance | Submitted by admin ntu (admin@lib.ntu.edu.tw) on 2026-07-15T16:31:31Z No. of bitstreams: 0 | en |
| dc.description.provenance | Made available in DSpace on 2026-07-15T16:31:31Z (GMT). No. of bitstreams: 0 | en |
| dc.description.tableofcontents | 目次
致謝 i 摘要 ii ABSTRACT iii 目次 v 圖次 vi 表次 vii 第一章 介紹與文獻回顧 1 第二章 材料方法 4 2.1 資料來源 4 2.2 生命表與平均餘命 5 2.3排除特定死因之平均餘命 7 2.4 生命損失與勞動生產力損失 8 第三章 結果 11 第四章 討論 17 第五章 結論 22 參考文獻 23 附錄 28 | - |
| dc.language.iso | zh_TW | - |
| dc.subject | 外因死因 | - |
| dc.subject | 刪除死因生命表 | - |
| dc.subject | 平均餘命差額 | - |
| dc.subject | 生命損失 | - |
| dc.subject | 勞動生產力損失 | - |
| dc.subject | external cause of death | - |
| dc.subject | cause-deleted life table | - |
| dc.subject | life expectancy difference | - |
| dc.subject | years of life lost | - |
| dc.subject | labor productivity loss | - |
| dc.title | 2008年至2023年台灣外因死因對群體健康負擔與經濟損失之評估 | zh_TW |
| dc.title | Assessment of External Cause of Death in Population Health Burden and Economic Loss in Taiwan from 2008 to 2023 | en |
| dc.type | Thesis | - |
| dc.date.schoolyear | 114-2 | - |
| dc.description.degree | 碩士 | - |
| dc.contributor.oralexamcommittee | 胡明哲;袁子軒 | zh_TW |
| dc.contributor.oralexamcommittee | Ming-Che Hu;Tzu-Hsuan Yuan | en |
| dc.subject.keyword | 外因死因; 刪除死因生命表; 平均餘命差額; 生命損失; 勞動生產力損失 | zh_TW |
| dc.subject.keyword | external cause of death; cause-deleted life table; life expectancy difference; years of life lost; labor productivity loss | en |
| dc.relation.page | 41 | - |
| dc.identifier.doi | 10.6342/NTU202601691 | - |
| dc.rights.note | 同意授權(限校園內公開) | - |
| dc.date.accepted | 2026-07-08 | - |
| dc.contributor.author-college | 共同教育中心 | - |
| dc.contributor.author-dept | 統計碩士學位學程 | - |
| dc.date.embargo-lift | 2026-07-16 | - |
| 顯示於系所單位： | 統計碩士學位學程 | |
文件中的檔案：
| 檔案 | 大小 | 格式 | |
|---|---|---|---|
| ntu-114-2.pdf 授權僅限NTU校內IP使用（校園外請利用VPN校外連線服務） | 2.7 MB | Adobe PDF |
系統中的文件，除了特別指名其著作權條款之外，均受到著作權保護，並且保留所有的權利。