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資料類型 學位論文 
主要題名 飲水砷暴露與中風盛行率之相關研究 
作者 李姿樺 
出版日期 2004 
頁碼或冊數 72 
中文摘要 過去研究發現,臺灣西南沿海的嘉義、臺南平原及東北角的蘭陽盆地,其地下水中含有高濃度砷,且本土流行病學研究發現,臺灣之砷暴露地區居民罹患心血管疾病、腦梗塞等疾病之危險性確實較高。故本研究欲探討宜蘭地區居民飲水砷暴露與腦血管疾病盛行之相關情形。材料與方法: 研究母群為宜蘭縣礁溪、壯圍、冬山及五結四鄉鎮始於民國八十年,四十歲以上居民之追蹤世代,共8,102位。中風個案之調查乃利用宜蘭縣羅東博愛醫院、羅東聖母醫院之臨床診斷資料核對,並合併臺北醫學大學邱弘毅教授截至民國八十六年之中風盛行個案,另加入民國八十九年之全國死亡登記檔及民國八十六年之全民健康保險檔中的中風個案一併列入。結果: 所得之樣本數共計641位,中風盛行率為79.1 ‰,多變項模式分析中調整了年齡、性別、抽菸年數、喝酒年數、糖尿病、高血壓及中風家族史後發現,飲水砷濃度在50μg/L以上者其不分類型中風、梗塞型中風之盛行危險對比值是飲水砷濃度在10μg/L以下者之1.32倍及1.66倍,且本研究發現飲水砷濃度、糖尿病、高血壓及中風家族史皆為不分類型中風及梗塞型中風之重要危險因子。結論: 長期砷暴露會增加不分類型中風及梗塞型中風之危險。 
英文摘要 This study was performed to investigate the prevalence of stroke among residents of the Lanyang Basin on the northeast coast of Taiwan where residents had used well water containing arsenic for more than 50 years. Methods – A total of 8102 men and women had been recruited in the study as a follow-up cohort since 1991 . The status of stroke of study subjects was identified through 5 databases, included the clinical records of Lo-tung Poh-ai Hospital and St. Mary’s Hospital, the prevalence data of cerebrovascular disease from the study of Professor HY Chiou in 1997, and the database of Bureau of National Health Insurance in 1997 and the Death Registry of Taiwan in 2000. Information on consumption of well water, sociodemographic characteristics, cigarette smoking, and alcohol consumption habits, as well as personal and family history of disease was also obtained since 1991. Follow-up interviews were carried out in 1997. 
出版者 臺北醫學大學公共衛生學系 
出版地 臺北市 
關鍵詞 宜蘭縣;冬山鄉;砷;中風;壯圍鄉