台灣縣市兒童貧窮與死率之關係：1980-2009年

Region-specific child poverty and child mortality in Taiwan: 1980-2009

10.6288/TJPH201635104091

江宛霖(Wan-Lin Chiang)；江東亮(Tung-Liang Chiang)

兒童貧窮率 ； 五歲以下兒童死亡率 ； 地理差異 ； child poverty rates ； under five mortality rates ； geographical disparity

台灣公共衛生雜誌

35卷3期（2016 / 06 / 01）

260 - 267

繁體中文

目標：本研究旨在描述過去30年來台灣縣市別兒童貧窮率的趨勢與差距，及縣市別的兒童貧窮率與五歲以下兒童死亡率之關係。方法：首先，我們採用「家庭收支調查」資料，計算1980-1989年，1990-1999年及2000-2009年三個時期的縣市別兒童貧窮率，並使用「中華民國台閩地區人口統計」計算縣市別五歲以下兒童死亡率。接著，我們以皮爾森相關分析，檢定三個時期的縣市兒童貧窮率與五歲以下兒童死亡率之關係，以及縣市兒童貧窮率改變率及兒童死亡率改變率的相關性。結果：1980年以來，台灣兒童貧窮率雖然呈現微幅下降，但縣市之間的兒童貧窮率差距卻從1980-1989年的18.2%增加為2000-2009年的21.6%。其次，縣市兒童貧窮率與五歲以下兒童死亡率呈顯著正相關，三個時期的相關係數依序為0.79(p＜0.001)，0.64(p＜0.01)及0.83(p＜0.001)，而兒童貧窮率改善幅度越大的縣市，五歲以下兒童死亡率下降幅度也越大(r=0.51, p=0.018)。結論：台灣各縣市之間的兒童貧窮率差距越來越大，且與縣市別兒童健康不平等息息相關.

Objectives: This study aimed to describe the trends and the differences in region-specific child poverty rates, and the relationship between region-specific child poverty rates and underfive mortality rates in Taiwan during the past 3 decades. Methods: City or county was defined as a region in this study. We measured region-specific child poverty rates during 3 time periods (1980-1989, 1990-1999, and 2000-2009) using data from the Family Income and Expenditure Survey. Data on under-five mortality rates were obtained from the Taiwan-Fukien Demographic Fact Book. Pearson’s correlation was used to determine the associations between child poverty and child mortality for each of three time periods. Results: The overall child poverty rate in Taiwan decreased slightly from 1980, but the difference in child poverty rates between the highest and lowest regions increased from 18.2% in 1980-1989 to 21.6% in 2000-2009. The association between child poverty and the under-five mortality rates was markedly positive; the correlation coefficient for the 3 time periods was 0.79 (p＜0.001), 0.64 (p＜0.01), and 0.83 (p＜0.001), respectively. Also, a greater decline in the child poverty rate was significantly related to a more rapid improvement in the under-five mortality rates (r=0.51, p=0.018). Conclusions: The regional difference in child poverty rates has been widening in Taiwan, and has contributed to inequality in child health.

1. 江宛霖、江東亮(2016)。台灣全民健康保險的減貧效果。台灣衛誌，35，164-71。
   連結：
2. 呂朝賢(2010)。台灣兒童貧窮：輪廓與成因。台灣社會福利學刊，9，97-137。
   連結：
3. 李秀如、王德睦(2008)。多面向的台灣兒童貧窮趨勢：SST 指標的應用及分解。台大社會工作學刊，18，191-229。
   連結：
4. 李秀如、王德睦(2010)。台灣兒童貧窮不均度的變遷：以迴歸為基礎的夏普利值分解法分析影響因素。台灣社會工作學刊，8，1-34。
   連結：
5. 行政院主計總處：家庭收支調查，1980-2009。https://www.dgbas.gov.tw/np.asp?ctNode=2828。引用2015/09/30。Directorate-General of Budget, Accounting and Statistics, Executive Yuan, R.O.C. (Taiwan). The survey of family income and expenditure, 1980-2009. Available at: https://www.dgbas.gov.tw/np.asp?ctNode=2828. Accessed September 30, 2015. [In Chinese]
6. Organisation for Economic Co-operation and Development (OECD). What are equivalence scales?Available at: http://www.oecd.org/eco/growth/OECDNote-EquivalenceScales.pdf. Accessed April 10, 2015
7. The United Nations Children's Emergency Fund (UNICEF). An agenda for #EVERYCHILD 2015. Available at: http://www.unicef.org/post2015/index_81485.html. Accessed September 30, 2015
8. United Nation. Draft outcome document of the United Nations summit for the adoption of the post-2015 development agenda. Available at: http://www.un.org/ga/search/view_doc.asp?symbol=A/69/L.85&Lang=E. Accessed September 30, 2015
9. 內政部：中華民國台閩地區人口統計，1980-2009。http://www.stat.gov.tw/ct.asp?xItem=1185&ctNode=549。引用2015/09/30。Ministry of the Interior, R.O.C. (Taiwan). The population statistics in the Taiwan and Fukien Area, 1980-2009. Available a t: h ttp://www.stat.gov.tw/ct.asp?xItem=1185&ctNode=549. Accessed September 30, 2015. [In Chinese]
10. Bradley, RH,Corwyn, RF(2002).Socioeconomic status and child development.Annu Rev Psychol,53,371-99.
11. Brooks-Gunn, J,Duncan, GJ(1997).The effects of poverty on children.Future Child,7,55-71.
12. Chiang, TL(1999).Economic transition and changing relation between income inequality and mortality in Taiwan: regression analysis.BMJ,319,1162-5.
13. Duncan, GJ,Yeung, WJ,Brooks-Gunn, J,Smith, JR.(1998).How much does childhood poverty affect the life chances of children?.Am Sociol Rev,63,406-23.
14. Hillemeier, MM,Lynch, J,Harper, S,Raghunathan, T,Kaplan, GA.(2003).Relative or absolute standards for child poverty: a state-level analysis of infant and child mortality.Am J Public Health,93,652-7.
15. Johnson, RC,Schoeni, RF(2011).Early-life origins of adult disease: national longitudinal population-based study of the United States.Am J Public Health,101,2317-24.
16. Lin, YC,Wu, JCL,Chiou, ST,Chiang, Tl.(2015).Healthy living practices in families and child health in Taiwan.Int J Public Health,60,691-8.
17. Pickett, KE,Wilkinson, RG.(2007).Child wellbeing and income inequality in rich societies: ecological cross sectional study.BMJ,335,1080.
18. Ridge, T,Millar, J.(2000).Excluding children: autonomy, friendship and the experience of the care system.Soc Pol Admin,34,160-75.
19. UNICEF(2000).A League Table of Child Poverty in Rich Nations.Florence, Italy:UNICEF Innocenti Research Centre.
20. UNICEF(2005).Child Poverty in Rich Countries.Florence, Italy:UNICEF Innocenti Research Centre.
21. Wilkinson, RG(1992).Income distribution and life expectancy.BMJ,304,165-8.
22. 薛承泰(2008)。台灣地區兒少貧窮：1991-2005 年的趨勢研究。台灣社會學刊，40，89-130。