| Summary: | 碩士 === 慈濟大學 === 公共衛生研究所 === 96 === Background: The mortality rate is the basic indicator to understand a group health state. Health careservices and related resources in remote area are more vulnerable. In many advancedcountries improving human wellbeing in remote area is defined as one of theimportant health policies. Although Taiwan government implemented many healthcare policy in aboriginal areas, but people in aboriginal areas still had higher mortalityrate over the years Hualien County has three aboriginal areas and nearly one-quartersof inhabitants are aboriginals. It’s important to assess the health status betweenaboriginals and non-aboriginal areas.Purpose: This study aimed to analyze mortality trends and causes of death between aboriginal andnon-aboriginal areas in Hualien from 1986 to 2005. The mortality trends and patternswere analyzed before and after the implementation of National Health Insurance. Weexpect the results will be helpful for the policy making in improving aboriginal health.Method: The study data comes from the Mortality Registry during 1986 to 2005, conducted byDepartment of Health. The Standardized mortality rate, Age-specific death rate,Sex-specific death rate, average age at death and the top 10 causes of death werecalculated with the mortality and population numbers between aboriginals andnon-aboriginal areas. We used Cochran Armitage test for trend to analyze the mortalitytrends before and after the implementation of National Health Insurance.Result: The trends of standardized mortality rate have been descended of aboriginal andnon-aboriginal areas in Hualian from 1986 to 2005 ,but the relative ratio of mortality ratehave been increased between aboriginal and non-aboriginal areas (1.49 times vs. 1.96times from 1986 to 2005).The mortality rate of aboriginal was significant higher thannon-aboriginal areas. Mortality rate has not been dropped between ages of 15 to 64 thatIVwere the main labor force population of aboriginal areas, but higher 3 times than thesame age group of non-aboriginal areas. The female mortality rate has been decreasedboth of aboriginal and non-aboriginal areas, but male mortality rate of aboriginal areashave been increased 9% and higher 2 times than non-aboriginal areas. Average age atdeath for male and female of aboriginal and non-aboriginal areas both have beendecreased, but the disparity for male between aboriginal and non-aboriginal areas havebeen increased (13 yeas vs. 15 years from 1986 to 2005).Accidents was still the majorcause of death of aboriginal areas.Conclusion: This study found that the relative ratios of mortality rate have been increased betweenaboriginal and non-aboriginal areas in Hualien. Mortality rate between ages of 15 to64 and male mortality rate of aboriginal areas were higher than non-aboriginal areas.There are needed more study and health policy to improve the health of male and15-64 years population of aboriginal areas.
510：#1 $aMortality trend and causes of death between aborignal and non-aborignal areas in Hualien ,1986-2005
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