地區剝奪程度、個人社經地位與臺灣男性成人的吸菸行為

Area Deprivation, Socioeconomic Status, and Smoking Behavior Among Male Adults in Taiwan

10.6288/TJPH2003-22-01-02

李宜家(I-Cha Lee)；林慧淳(Huey-Chwen Lin)；江東亮(Tung-Liang Chiang)

地區剝奪程度 ； 社經地位 ； 吸菸行為 ； area deprivation ； socioeconomic status ； smoking behavior

台灣公共衛生雜誌

22卷1期（2003 / 02 / 01）

10 - 16

繁體中文

目標：分析臺灣男性成人吸菸行為與個人社經地位及地區剝奪程度的關係。方法：個人吸菸行為與社經地位資料來自「一九九四年國民醫療保健調查」，其２０歲以上男性樣本共3821人。我們以「十五至十七不在學率」與「初級行業人口比例」兩成分指標，建構地區剝奪指數；成分指資料來源為「中華民國七十九年臺閩地區戶口及住宅普查報告」。結果：1994年臺灣20以上男性吸菸率為55.6％。就個人社經地位而言，教育程度越低越容易吸菸（勝算比為2.46至3.47，95％信賴區間為2.03至4.37）；藍領階級比高階日領階級容易吸菸（勝算比為1.36，９５％信賴區間為1.09至1.7）。就地區剝奪程度而言，高剝奪地區的性成人吸菸率高於低剝奪地區(1.46，95％信賴區間為1.12至1.90)。結論：地區剝奪程度與個人社經地位臺灣男性成人是否吸菸之重要決定因素。

Objectives: This study aims to examine differences in smoking behavior among Taiwanese male adults by socioeconomic status and area deprivation. Methods: Data on smoking behavior and individual socioeconomic characteristics came from the” 1994 National Health Interview Survey of Taiwan”. The total sample of males above 20 years old was 3821. By using data from “The 1990 Population Census and Housing of Taiwan- Fukien Area” we developed a deprivation index of area, which consists of the proportion of agricultural labor and the proportion of no schooling 15-17 year olds. Logistic regression was used to determine whether socioeconomic status and area deprivation have a bearing on smoking or not. Results: 55.6% of males were current smokers in Taiwan in 1994. Current smoking was significantly prevalent in low levels of education (OR ranged from 2.46 to 3.47; 95%CI from 2.03 to 4.37); the smoking rate was significantly higher in the blue-collar group than in the white-collar group (OR=I.36; 95% CI=I.09 to 1.70). Area deprivation was also significantly associated with male smoking; those who lived in the highly deprived area had a higher smoking rate than those in the lowly deprived area (OR=1.46; 95%CI=1. 12 to 1.90). Conclusions: Both of area deprivation and socioeconomic status were important in determining the smoking behavior of male adults in Taiwan.

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