| Summary: | 碩士 === 臺北醫學大學 === 公共衛生學研究所 === 97 === There were around 490,000 indienous peoples living in Taiwan. Indigenous peoples comprise around 2% of the total Taiwanese population. According to the Institute of Occupational Safety and Health Council of Labor Affairs Executive Yuan statistics, the accidental injury rate in indigenous workers is 2.2 times above the rate of total workers in Taiwan. The occupational injuries is one of the main causes of the accidental injuries. Recently, Council of Labor Affairs Executive Yuan had been significant reduce occupational deaths and injuries, but it had not improved for indigenous workers. There were few researches focused on risk factors of occupational injury among indigenous workers in Taiwan. And most of the earlier studies were cross-sectional studies.
This is a cohort study. The aim was to explore the relation between occupational factors and occupational injuries among Indigenous people in Taiwan. We also examine the relationship among individual characteristics, health behaviors, occupational safety and health management and occupational injuries.
The database was provided from occupational injuries and disease surveillance system by Institute of Occupational Safety and Health Council of Labor Affairs Executive Yuan , and indigenous peoples survey by Council of Indigenous Peoples, Executive Yuan. We divided subjects into two groups, one was case group (occupational injuries) and the other was control group (no occupational injuries) in this study. The results showed that occupation is the important risk factor, workers working in the industries of electricity, gas and water, construction, manufacturing, transport, storage and communication have more occupational injury risks than public administration. Other risk factors include working in small enterprises ,workers who needed personal protectice equipments, individual variable such as male, older age and lower education have higher occupational injury risk. Personal behaviors such as smoking, drinking, chewing betel nut also play important role for higher occupational injuryies.
It’s suggested that the Government should emphasize on inspection and education with indigenous residents, especially for the enterprises and counties which have high occupational injury rate. It’s also recommended that cross-sectoral approaches to strengthen the information and knowledge about occupational injury prevention for indigenous workers. Furthermore, Ministry of Education should bring occupational safety and health knowledge into primary and junior school to strengthen the cognition before employment. The correlation between the occupational injuries and risk factors can still be seen in this research and can be used as a reference for relevant research or policy execution. Moreover, it’s suggested that the Government can periodically renew the indigenous survey database.
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