题名

機動車事故與台灣城鄉平均餘命差距之相關分析

并列篇名

Analysis of the Association of Urban/Rural Gap between Motor Vehicle Accidents and Life Expectancy in Taiwan

DOI

10.6288/TJPH2010-29-03-09

作者

鍾文慎(Wen-Shen Isabella Chung);蔡善璞(Shan-Pou Tsai);蔡旻光(Ming-Kwang Tsai);溫啟邦(Chi-Pang Wen)

关键词

機動車事故死亡率 ; 平均餘命 ; motor vehicle accident ; life expectancy

期刊名称

台灣公共衛生雜誌

卷期/出版年月

29卷3期(2010 / 06 / 01)

页次

261 - 272

内容语文

繁體中文

中文摘要

Objectives: To explore the differential impact of urban and rural areas on motor vehicle accidents (MVA) and life expectancy in Taiwan. Methods: Data for population, death registration, income, and motor vehicle registration were acquired from the government. Life expectancy (LX) and its gains after MVA deaths were eliminated were calculated for Taiwan as a whole and for each city and county. Stepwise Regression Models were used to examine the association of MVA with the gap in LX. Results: Residents in most of the rural areas had a shorter LX, ranging from 71.6 to 77.6 years, than did urban residents whose LX ranged from 76.9 to 80.8 years. MVA mortality contributed 4.0% to 16.2% of the gaps in LX between Taipei City and each of the counties or cities. The impact of MVA on LX ranged from 0.6 to 1.1 years in rural areas and from 0.2 to 0.5 years in urban areas. MVA mortality was significantly negatively correlated with life expectancy (r=-0.87, p<0.01) and influenced the gaps in LX (Partial R^2=0.75, p<0.0001). Urbanization was the most important factor in reducing MVA mortality (Partial R^2=0.66, p<0.0001) and heavy motorcycle was the only significantly influential motor vehicle on MVA mortality (Partial R^2=0.03, p<0.0001). Conclusions: Motor vehicle accidents were responsible for the worsening health disparity between urban and rural areas in Taiwan. The rural suffered a higher impact from motor vehicle density and its associated accidents on life expectancy than their urban counterparts. Reducing motor vehicle accidents would most benefit the life expectancy of populations in rural areas.

英文摘要

Objectives: To explore the differential impact of urban and rural areas on motor vehicle accidents (MVA) and life expectancy in Taiwan. Methods: Data for population, death registration, income, and motor vehicle registration were acquired from the government. Life expectancy (LX) and its gains after MVA deaths were eliminated were calculated for Taiwan as a whole and for each city and county. Stepwise Regression Models were used to examine the association of MVA with the gap in LX. Results: Residents in most of the rural areas had a shorter LX, ranging from 71.6 to 77.6 years, than did urban residents whose LX ranged from 76.9 to 80.8 years. MVA mortality contributed 4.0% to 16.2% of the gaps in LX between Taipei City and each of the counties or cities. The impact of MVA on LX ranged from 0.6 to 1.1 years in rural areas and from 0.2 to 0.5 years in urban areas. MVA mortality was significantly negatively correlated with life expectancy (r=-0.87, p<0.01) and influenced the gaps in LX (Partial R^2=0.75, p<0.0001). Urbanization was the most important factor in reducing MVA mortality (Partial R^2=0.66, p<0.0001) and heavy motorcycle was the only significantly influential motor vehicle on MVA mortality (Partial R^2=0.03, p<0.0001). Conclusions: Motor vehicle accidents were responsible for the worsening health disparity between urban and rural areas in Taiwan. The rural suffered a higher impact from motor vehicle density and its associated accidents on life expectancy than their urban counterparts. Reducing motor vehicle accidents would most benefit the life expectancy of populations in rural areas.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. 温啟邦、蔡善璞、鍾文慎(2005)。高雄市和台北市居民平均餘命差距之分析。台灣衛誌,24,125-135。
    連結:
  2. WHO. Life expectancy at birth (years). Available at: http://www.who.int/whosis/indicators/compendium/ 2008/2let/en/print.html. Accessed February 1, 2010
  3. WHO. Road safety: a public health issue. Availableat: http://www.who.int/features/2004/road_safety/en/ index.html. Accessed April 14, 2009.
  4. 內政部統計處:民國97年簡易生命表提要分析。http://sowf.moi.gov.tw/stat/Life/97年簡易生命表提要分析.pdf。引用2010/02/01。
  5. 交通部: 主要國家交通統計比較: 機踏車登記數(公路:表3-2)。http://www.motc.gov.tw/ mocwebGIP/wSite/ct?xItem=4881&ctNode=169&mp=1。引用2009/04/09。
  6. 內政部:內政統計年報:六、警政、入出國及移民:11.機動車輛及道路交通事故。http://sowf.moi.gov.tw/stat/year/list.htm。引用2009/07/21。
  7. 交通部運輸研究所:台灣地區機車交通管理白皮書之研訂。http://www.iot.gov.tw/ct.asp?xItem=103166&ctNode=1067。引用2009/04/30。
  8. 交通部:96年交通統計要覽:機動車輛登記數(公路:表3-8)。http://www.motc.gov.tw/mocwebGIP/wSite/ct?xItem=4302&ctNode=168&mp=1。引用2009/06/21。
  9. 交通部:98年統計專題分析:97年重要交通統計指標分析。http://www.motc.gov.tw/mocwebGIP/ wSite/public/Attachment/f1235700150319.doc。引用2009/04/09。
  10. 內政部統計處:我國生命表:96年特定死因除外簡易生命表提要分析。http://www.moi.gov.tw/stat/life.aspx。引用2010/02/03。
  11. 行政院衛生署統計室:事故傷害死亡率國際比較。 http://www.doh.gov.tw/statistic/data/衛生統計叢書2/95/上冊/表45.xls。引用2009/06/10
  12. Center for Disease Control and Prevention. Motor vehicle safety, 2009. Available at: http://www.cdc. gov/Motorvehiclesafety/index.html. Accessed March5, 2009.
  13. FTSE. Country classification, May 2008 Update. Available at: http://ftse.com/Indices/Country_Classification/Downloads/FTSE_Country_Classification_May_08_Update.pdf. Accessed April 10,2009.
  14. Breslow, NE,Day, NE(1987).Statistical Methods in Cancer Research-The Design and Analysis of Cohort Studies.Lyon:International Agency for Research on Cancer, WHO.
  15. Chiang, CL(1984).The Life Table and Its Applications.Florida, USA:Robert E. Krieger Publishing Company.
  16. Chiu, WT,Kuo, CY,Hung, CC,Chen, M(2000).The effect of the Taiwan motorcycle helmet use law on head injuries.Am J Public Health,90,793-796.
  17. Lai, CH,Huang, WS,Chang, KK,Jeng, MC,Doong, JL(2006).Using data linkage to generate 30-day crash-fatality adjustment factors for Taiwan.Accid Anal Prev,38,696-702.
  18. Murphy, RKJ,Mcevoy, L,Kelleher, MO,Bolger, C,Phillips, J(2009).The burden of motorcycle-related neurotrauma in Ireland and associated helmet usage.Br J Neurosurg,23,162-164.
  19. Peden, M(ed),Scurfield, R(ed),Sleet, D(ed)(2004).World Report on Road Traffic Injury Prevention.Geneva:WHO.
  20. Sleet, DA,Branche, CM(2004).Road safety is no accident.J Saf Res,35,173-174.
  21. The World Bank(2008).2005 International Comparison Program: Tables of Final Results.Washington, DC:The International Bank for Reconstruction and Development/The World Bank.
  22. Tsai, MD,Hemenway, D(1999).Effect of the mandatory helmet law in Taiwan.Inj Prev,5,290-291.
  23. Tsai, SP,Lee, ES,Kautz, JA(1982).Changes in life expectancy in the United States due to declines in mortality, 1968-1975.Am J Epidemiol,116,376-384.
  24. Wen, CP,Tsai, SP,Cheng, TY,Chan, HT,Chung, WSI,Chen, CJ(2005).Excess injury mortality among smokers: a neglected tobacco hazard.Tob Control,14,i28-32.
  25. Wen, CP,Tsai, SP,Chung, WSI(2008).A 10-year experience with universal health insurance in Taiwan: measuring changes in health and health disparity.Ann Intern Med,148,258-267.
  26. Wen, CP,Tsai, SP,Shih, YT,Chung, WSI(2004).Bridging the gap in life expectancy of the aborigines in Taiwan.Int J Epidemiol,33,320-327.
  27. Zhang, J,Norton, R,Tang, K,Lo, SK,Jiatong, Z,Wenkui, G(2004).Motorcycle ownership and injury in China.Inj Control Saf Promot,11,159-163.
  28. 丁先玲、王榮德、陳國東(1993)。交通意外傷害致死率及發生率之估計-某醫學中心4,329例之分析。台灣醫誌,92,76-81。
  29. 台北市政府交通局(2009)。台北市交通統計年報:台北市聯營公共汽車行車效率。台北:台北市政府。
  30. 交通部運輸研究所運輸安全組(1999)。台灣地區機車交通管理政策之研究。台北:交通部運輸研究所。
  31. 行政院衛生署主編(2008)。96年度死因統計。台北:行政院衛生署。
  32. 林正祥(1996)。台灣地區死亡率下降對平均壽命改變之影響。中華衛誌,15,553-561。
被引用次数
  1. 賴進貴、紀玉臨、周孟嫻(2012)。臺灣區域所得探索式時空動態分析,1999-2008年。地理學報,67,1-30。