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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 張書森(Shu-Sen Chang) | |
| dc.contributor.author | Meng-Rou Chiu | en |
| dc.contributor.author | 邱孟柔 | zh_TW |
| dc.date.accessioned | 2022-11-24T03:07:38Z | - |
| dc.date.available | 2022-02-15 | |
| dc.date.available | 2022-11-24T03:07:38Z | - |
| dc.date.copyright | 2022-02-15 | |
| dc.date.issued | 2022 | |
| dc.date.submitted | 2022-01-28 | |
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/80484 | - |
| dc.description.abstract | "背景:老人的自殺風險相較其他年齡組來得更高。過去老人自殺行為研究多數為橫斷性研究,雖也有以老人族群自殺行為為主的追蹤研究,但主要注重於自殺的心理與社會危險因子,較少納入自殺生物危險因子的研究。 目的:藉由台北市老人健康檢查的長期追蹤資料,了解生物、 心理及社會因子與老人自殺身亡的關聯性。 方法:本世代研究使用西元 2005 年至 2009 年的台北市居民 65 歲以上老人健康檢查之資料,使用期間內第一次健康檢查紀錄,共有101,586 人,串聯全國死因檔。納入變項包括人口學、社會心理變項、體格檢查與生化檢查等,無缺漏值者共有88998人。以 Cox proportional hazards model分析自殺身亡的相關因素。 結果:男性(adjusted hazard ratio [aHR]=2,79,95%信賴區間1.69-4.59)、收入別政府補助(aHR=2.52,95%信賴區間1.42-4.49)、及輕度心理困擾(aHR=1.69,95%信賴區間1.06-6.59)與自殺風險有關。舒張壓和身體質量指數與自殺風險呈負相關,舒張壓每增加一個標準差時自殺風險下降22% (aHR=0.78,95%信賴區間 0.62-0.97),身體質量指數每增加一個標準差時,自殺風險下降29% (aHR=0.71,95%信賴區間 0.57-0.89)。BMI體重過輕組別(身體質量指數<18.5 kg/m2)相較體重正常(身體質量指數≧18.5 kg/m2 且 < 24 kg/m2)自殺風險增加 182% (aHR=2.82,95%信賴區間 1.44-5.51)。 結論:台北市老人自殺與男性、心理困擾、與經濟弱勢有關,低舒張壓與體重過輕則是過去未曾發現的老人自殺危險因子。" | zh_TW |
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| dc.description.tableofcontents | 口試委員會審定書 i 誌謝 ii 中文摘要 iii Abstract iv 目錄 vi 圖目錄 vii 表目錄 viii 第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究問題與目的 3 第三節 研究重要性 3 第二章 文獻探討 4 第一節 生物心理社會模式 4 第二節 老人自殺生物危險因子 5 第三節 老人自殺的心理危險因子 7 第四節 老人自殺的社會危險因子 8 第三章 研究方法 9 第一節 研究架構 9 第二節 資料來源與研究對象 10 第三節 研究測量 11 第四節 統計方法 19 第四章 研究結果 20 第一節 研究樣本之基本資料 21 第二節 各變項之間的相關性 26 第三節 多變量分析 31 第四節 以圖表呈現BMI與自殺風險 35 第五章 討論 37 第一節 老人自殺的生物危險因子與自殺死亡的關係 38 第二節 老人自殺的心理及社會危險因子與自殺死亡的關係 41 第三節 研究優勢與限制 44 第六章 結論與建議 46 第一節 結論 46 第二節 建議 47 參考文獻 48 | |
| dc.language.iso | zh-TW | |
| dc.subject | 世代研究 | zh_TW |
| dc.subject | 老人 | zh_TW |
| dc.subject | 危險因子 | zh_TW |
| dc.subject | 身體質量指數 | zh_TW |
| dc.subject | 自殺 | zh_TW |
| dc.subject | risk factor | en |
| dc.subject | BMI | en |
| dc.subject | cohort study | en |
| dc.subject | suicide | en |
| dc.subject | elderly | en |
| dc.title | 老人自殺的生物、心理與社會風險因子:台灣台北市之世代研究 | zh_TW |
| dc.title | "Biological, psychological and social risk factors for elderly suicide:a cohort study in Taipei City, Taiwan" | en |
| dc.date.schoolyear | 110-1 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 陳端容(Hsin-Tsai Liu),陳映燁(Chih-Yang Tseng) | |
| dc.subject.keyword | 自殺,老人,危險因子,身體質量指數,世代研究, | zh_TW |
| dc.subject.keyword | suicide,elderly,risk factor,BMI,cohort study, | en |
| dc.relation.page | 53 | |
| dc.identifier.doi | 10.6342/NTU202103644 | |
| dc.rights.note | 同意授權(限校園內公開) | |
| dc.date.accepted | 2022-02-08 | |
| dc.contributor.author-college | 公共衛生學院 | zh_TW |
| dc.contributor.author-dept | 健康行為與社區科學研究所 | zh_TW |
| 顯示於系所單位: | 健康行為與社區科學研究所 | |
文件中的檔案:
| 檔案 | 大小 | 格式 | |
|---|---|---|---|
| U0001-1110202103582400.pdf 授權僅限NTU校內IP使用(校園外請利用VPN校外連線服務) | 857.63 kB | 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。
