The Trends of Unintentional Injury Mortality Rates Between Aboriginal and Non-aboriginal Areas in Taiwan,1986-2010.

• Main Authors: CHANG,TSUNG JEN, 張聰仁
• Other Authors: Chang,Tzu Kuei
• Format: Others
• Language: zh-TW
• Published: 2017
• Online Access: http://ndltd.ncl.edu.tw/handle/e3mh46

碩士 === 慈濟大學 === 公共衛生學系碩士班 === 105 === Background and purpose: Injury is one of the leading causes of death and disabilities worldwide. Compared with other diseases, injuries are more likely to affect young people, with more potential years of life lost and higher medical expenditure.According to the Ministry of Health and Welfare statistics,the standardized mortality rate of injuries have declined since 1989 and injuries has been the sixth cause of death in Taiwan since 2008. It showed that efforts in injury prevention and control aspects by the government and civil society had proved effective. In this study,we discuss the difference of unintentional injury mortality rate between aboriginal and non-aboriginal areas from 1986 to 2010.We hope that the results would be helpful for policy making in injury prevention and intervention. Method: The study data came from the death registry conducted by the Ministry of Health and Welfare.Demographic statistics were obtained from the Ministry of the Interior. We applied the SAS 9.3 and Microsoft excel 2016 to calculate the direct standardized mortality rates of unintentional injury with the world population of 2000 as the standardized population. The Joinpoint Regression Program（version 4.3.1.0）was used to assess the trends of mortality between 1986 and 2010. Results: Our study showed that the standardized mortality rate of unintentional injury from 1986 to 2010 increased from 70.49 per 100,000 population in 1986 to 76.56 in 1988, and then declined year by year with 24.34 per 100,000 population in 2010.The standardized mortality rate decreased 65.5% between 1986 and 2010. The results of Joinpoint regression analysis revealed the unintentional injury mortality rate in Taiwan was significantly reduced by 6.1% (APC: -6.1%) per year during the 1994-2010 . In terms of geographical differences, the standardized mortality rate in aboriginal / non-aboriginal is between 1.63 and 2.57.Male standardized mortality rates were all higher than female standardized mortality rates, ranging from 2.10 to 2.89. The risk of mortality difference of unintentional injury in aboriginal and non-aboriginal areas is more great in the age of 25-44 years and was significantly reduced by 7.4% per year after 1996. Conclusions:The standardized mortality rate for unintentional injuries in 1986 and 2010 was significantly reduced by 65.5%, but compared with other developed countries, Taiwan is still poorly performing. Unintentional injury is mainly due to motor vehicle traffic accidents (53.7%).We still need to continue to strengthen the risk behavior prevention stratigies in the aboriginal areas and male ethnic groups. Prevention and control for the other causes of unintentional injuries also can be considered in the future .