研究生: |
徐佑禎 Xu, You-Zhen |
---|---|
論文名稱: |
台灣地區成年人社經地位、外食頻率、代謝症候群之相關研究 Socioeconomic status, eating-out frequency and metabolic syndrome in Taiwanese adults |
指導教授: |
張晏蓉
Chang, Yen-Jung |
學位類別: |
碩士 Master |
系所名稱: |
健康促進與衛生教育學系 Department of Health Promotion and Health Education |
論文出版年: | 2015 |
畢業學年度: | 103 |
語文別: | 中文 |
論文頁數: | 73 |
中文關鍵詞: | 代謝症候群 、外食頻率 、社經地位 |
英文關鍵詞: | metabolic syndrome, socioeconomic status, eating-out frequency |
論文種類: | 學術論文 |
相關次數: | 點閱:214 下載:83 |
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代謝症候群為糖尿病、中風、心血管疾病的前端因子,是現代重要之健康議題。本研究旨在探討台灣成年人社會人口學特質(性別、年齡、婚姻狀況)、社經地位(教育程度、工作狀況、家庭收入)、外食頻率與代謝症候群的相關性。本研究使用民國93至97年度的第三次國民營養健康狀況變遷調查資料,進行次級資料分析。研究樣本為我國接受抽樣調查的20-64歲之成年民眾,共計1,753人。統記分析結果顯示,研究樣本的每週平均外食頻率(外食餐數佔所吃餐數的百分比)為36.3%,患有代謝症候群者共529人(30.2%)。多元迴歸分析結果發現,男性(OR=1.44)、36~50歲的中年族群(OR=1.40)、全職工作(OR=1.02)等變項與較高的外食頻率顯著相關;男性(OR=3.25)、年齡增加(OR=3.91)、低教育程度(OR=0.49)、工作為家管(OR=2.26)、低家庭收入(OR=0.65)等變項與罹患代謝症候群的風險有關。而本研究未觀察到外食頻率與代謝症候群的相關性。本研究發現的外食頻率及代謝症候群高危險族群,可做為未來健康促進介入的參考,另建議社區健促策略或公共政策應致力於減少因社經地位差異所造成的代謝症候群風險差異。
Metabolic syndrome, which is related to chronic diseases such as stroke, diabetes, and cardiovascular diseases, is a major public health issue.
A procedure of this study aimed to examine the associations among socioeconomic status, eating-out frequency, and the risk of metabolic syndrome, by using the data from the “2004-2008 Nutrition and Health Survey in Taiwan”.
Study sample included 1,753 subjects who are 20-64 years old, and 529 (30.2%) had metabolic syndrome. Results showed that males, subjects who aged 36~50, and full-time workers had a higher frequency of eating-out. In addition, males, older subjects, those with lower education level, home workers, and those with lower household income had a higher risk of having metabolic syndrome. However, we observed no association between eating-out frequency and the risk of metabolic syndrome. In conclusion, those high-risk groups which were identified in this study should be the target population in future health interventions preventing metabolic syndrome.
一、中文部分
行政院衛生福利部中央健保署(2014)。2013年全民健康保險醫療費用前二十大疾病。臺北市。
行政院衛生福利部國民健康署(2007)。成人(20歲以上)代謝症候群之判定標準。取自:http://www.hpa.gov.tw/BHPNet/Web/ HealthTopic/TopicArticle.aspx?No=200712250123&parentid=200712250023
行政院主計處(2012),工商及服務業普查,臺灣地區批發及零售業、住宿及餐飲業普查結果摘要。取自:http://www.stat.gov.tw/ct.asp?xItem=5805&ctNode=1831
李榮生(2001)。台北市不同社經背景家庭飲食健康與消費型態研究(未出版碩士論文)。國立臺灣師範大學家政教育研究所,臺北市。
李皇照、林素娟(1997)。三種家庭類型外食消費支出分析─家計生產模型之應用。農業經濟叢刊,3(1),1-24。
李皇照、林旗銘 (2009),家庭類型與成員組成對外食消費支出之影響。台灣經濟學會:第十一屆全國實證經濟研討會,新北市。
李妙純、張華庭(2011)。社經地位與健康路徑關係之性別差異。台灣公共衛生雜誌,30(5),453-467。
李妙純、張雅雯(2014)。社經弱勢軌跡與健康結果之關係,台灣公共衛生雜誌,33(5),483-496。
李宜家、林慧淳、江東亮(2003)。地區剝奪程度、個人社經地位與臺灣男性成人的吸菸行為,臺灣公共衛生雜誌,22(1),10-16。
李諭昇、紀櫻珍、張偉斌、吳振龍(2010)。臺灣地區職業與代謝症候群之相關研究。北市醫學雜誌,7(3),243-254。
何唯美(2012)。高中生體重過重代謝症候群預防行為之研究─健康信念模式之應用(未出版碩士論文)。國立台灣師範大學健康促進與衛生教育學系,台北市。
吳正雄、李坤成(2012)。親子外食消費行為與餐廳選擇因素之研究:以南部地區為例。嘉南學報,38,302-312。
吳香錡、李世強、趙泰宏、吳文智、葉慶輝、葉淑娟(2009)。台灣南部健檢成人代謝症候群之盛行率與危險因子探討。中華職業醫學雜誌, 16(2), 127-139。
林清江(1981)。教育社會學新論-我國社會與教育關係之研究。
台北:五南圖書出版公司。
林惠珊(2014)。臺灣外食族對食品標示知識、態度及行為暨與BMI關
係之研究(未出版碩士論文)。國立成功大學高階管理研究所,台
南市。
林薇、 陳惠欣、李靜慧、林宜親、陳聖惠(2001)。消費者對食品標
示的認知、態度與其選購行為之關係研究。家庭教育學報,3,
35-52。
林珮萱(2013)。國人外食與蔬果攝取量現況報告。遠見雜誌,329。
林冠品、孫嘉成、樓美玲、潘智能(2007)。健檢族群生活型態與新陳代
謝症候群相關性之探討。弘光學報,51,1-10。
周信利、李敏蕙、李世昌(2012)。銀髮族外食飲食行為與實際健康情
況關係之研究。亞洲高齡健康休閒及教育學刊,1(1),40-58。
高詩榆(2013)。地方社經地位高低,是否影響社經階層間的健康不平
等:相對剝奪理論與集體資源模式的驗證(未出版碩士論文)。國
立成功大學公共衛生研究所,台南市。
洪麗玲、熊曉芳、陳敏麗、張麗春、陳秋月、陳真美(2010)。臺灣地區原住民健康危害行為與代謝症候群之相關研究。北市醫學雜誌,7(3),255-264。
陳敏雯(2007)。社經地位與肥胖關聯之探討-以第一次國民營養健康狀況變遷調查為例(未出版碩士論文)。慈濟大學公共衛生研究所,花蓮縣。
陳怡臻(2008)。美國速食產業、生活飲食習慣與肥胖問題之關係(未出版碩士論文)。淡江大學美國研究所,臺北市。
陳珮蓉(2010)。防治代謝症候群之完整飲食建議。醫療品質雜誌,4(1),31-34。
陳宗玄(2010)。臺灣家庭外食消費支出分析。台灣經濟金融月刊,46(9),67-82。
郭昶甫、余光輝、陳右明、黃兆山、李虹儀、沈昱名、史麗珠(2010)。代謝症候群盛行率的性別差異。臺灣醫學,14(4),384-392。
黃麗卿(2006)。台灣地去代謝症候群的盛行率及發生率,與代謝症候群的進展:男女性別之差異(未出版博士論文)。國立台灣大學公共衛生學院預防醫學研究所,臺北市。
黃麟智(2010)。減少台灣代謝症候群發生率與醫療費用之研究
(未出版碩士論文)。國立台灣大學管理學院會計與管理決策研
究所,臺北市。
黃嵩立、黃怡碧(2012)。吸菸、自由與社會正義。台灣人權學刊,1(2), 45-57。
黃顗倫、吳國龍、侯正裕、 黃錦川(2013)。食品標籤資訊與消費行為之關係-以某科技大學為例。危機管理學刊,10(2),109-120。
黃思華(2000)。大台北地區夫妻飲食及相關因子之探討(未出版碩士論文)。國立台灣師範大學家政教育研究所,台北市。
黃明德(2014)。外食頻率及營養因子對於骨質流失之影響—以 2004 年-2008 年台灣國民營養健康狀況變遷調查為對象。臺北醫學大學保健營養學研究所學位論文, 1-141。
張朝琴(2008)。貧窮與健康-社經地位與原住民族健康問題探析。嘉
義大學通識學報,6,461-486。
葉慶輝、吳香錡(2011)。台灣南部健檢成人高尿酸血症與新陳代謝
症候群之相關性探討。中華職業醫學雜誌,18(3),197-210。
葉淑婉(2011)。中部地區銀髮族到便利超商消費行為分析(未出版博
士論文)。南開科技大學福祉科技與服務管理所,南投縣。
楊佩君(2010)。代謝症候群盛行率及相關風險因子探討之研究-以參加宜
蘭縣整合性健康篩檢計畫之年輕成人為例(未出版博
士論文)。經國管理暨健康學院,基隆市。
萬衛華、李正綱(2001)。臺灣地區消費者外食用餐習慣消費行為之調
查研究。景文技術學院學報,11,131-139。
鄒孟婷、鄒孟文(2003)。健康知識、教育程度與肥胖之關係。台灣公
共衛生誌,22(4),295-307。
鄒孟婷(2006)。臺灣成年女性肥胖、自覺肥胖和健康知識與教育程度之關係。臺灣家庭醫學雜誌,16(4),237-250。
趙敔淵、楊宜青、吳晉祥、施綺珍、吳至行、盧豐華、張智仁(2008)。 某大學新生的父母親社經地位與代謝異常之相關性研究。臺灣家庭醫學研究,6(2),66-79。
簡義紋、吳岱穎、林光洋、吳逸帆、郭冠良、季瑋珠(2013)。肥胖的環境與生活型態因素。台灣衛誌,32(2),101-115。
劉秋松、黃亦潔、廖珮彤、林正介、李採娟、葉志清(2012)。代謝症候群危險因子探討。長庚科技學刊,16,1-14。
劉嘉瑋、馬維芬、周守民、陳清助、劉秋松(2012)。代謝症候群患者
與一般民眾生活品質預測因子之探討。榮總護理,29(2),
187-197。
劉珍芳(2010)。代謝症候群飲食原則。健康世界,292,50-52。
顏郁晉、黃惠屏、薛夙君、李昭憲、許秀月、鍾蝶起、黃淑珠、楊燦(2007)。屏東地區中老年人肥胖指標與代謝症候群之相關探討。中華職業醫學誌,14(3),149-160。
戴東原(2005)。代謝症候群─老化、富裕社會的文明病。台灣老年醫學雜誌,1(1),1-8。
二、西文部分
Alkerwi, A., Crichton, G.E., & Hébert, J.R. (2014). Consumption of ready-made meals and increased risk of obesity: findings from the Observation of Cardiovascular Risk Factors in Luxembourg (ORISCAV-LUX) study. British Journal of Nutrition, 9, 1-8.
Ayala, G. X., Rogers, M., Arredondo, E. M., Campbell, N. R., Baquero, B., Duerksen, S. C., & Elder, J. P. (2008). Away‐from‐home Food Intake and Risk for Obesity: Examining the Influence of Context. Obesity, 16(5), 1002-1008.
Baum, A., Garofalo, J. P., & YALI, A. (1999). Socioeconomic status and chronic stress: does stress account for SES effects on health?. Annals of the New York Academy of Sciences, 896(1), 131-144.
Bandura, A. (1986). Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice-Hall. ISBN 0-13-815614-X.
B.F Skinner (1953). Science And Human Behavior. New York: Macmillan.
Blane, D., Smith, G. D., & Bartley, M. (1993). Social selection: what does it contribute to social class differences in health?. Sociology of Health & Illness, 15(1), 1-15.
Carle C. Zimmerman (1932). Ernst Engel's law of expenditures for food. The Quarterly Journal of Economics, 47(1), 78-101.
Casey, A. A., Elliott, M., Glanz, K., Haire-Joshu, D., Lovegreen, S. L., Saelens, B. E., ... & Brownson, R. C. (2008). Impact of the food environment and physical activity environment on behaviors and weight status in rural US communities. Preventive medicine, 47(6), 600-604.
Clougherty, J. E., Souza, K., & Cullen, M. R. (2010). Work and its role in shaping the social gradient in health. Annals of the New York Academy of Sciences, 1186(1), 102-124.
Dahlgren, G., & Whitehead, M. (1992). Policies and strategies to promote equity in health. In Policies and strategies to promote equity in health. OMS.
Dennis, C. L., Ross, L. E., McIntyre, R. S., Konarski, J. Z., Wilkins, K., Soczynska, J. K., ... & Douglass, A. (2006). Obesity in bipolar disorder and major depressive disorder: results from a national community health survey on mental health and well-being. Canadian journal of psychiatry, 51, 274-280.
Ding, E. L., Song, Y., Malik, V. S., & Liu, S. (2006). Sex differences of endogenous sex hormones and risk of type 2 diabetes: a systematic review and meta-analysis. Jama, 295(11), 1288-1299.
Ford, E. S., Giles, W. H., & Dietz, W. H. (2002). Prevalence of the metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. Jama, 287(3), 356-359.
Ford, E. S. (2004). The metabolic syndrome and mortality from cardiovascular disease and all-causes: findings from the National Health and Nutrition Examination Survey II Mortality Study. Atherosclerosis, 173(2), 307-312.
Glass, T. A., & McAtee, M. J. (2006). Behavioral science at the crossroads in public health: extending horizons, envisioning the future. Social science & medicine, 62(7), 1650-1671.
Hajian-Tilaki, K. (2015). Metabolic syndrome and its associated risk factors in Iranian adults: A systematic review. Caspian J Intern Med, 6(2), 51-61.
Haffner, S. M., Karhapää, P., Mykkänen, L., & Laakso, M. (1994). Insulin resistance, body fat distribution, and sex hormones in men. Diabetes, 43(2), 212-219.
Hoven, H., & Siegrist, J. (2013). Work characteristics, socioeconomic position and health: a systematic review of mediation and moderation effects in prospective studies. Occupational and environmental medicine, oemed-2012.
Hsieh, C. R., Yen, L. L., Liu, J. T., & Lin, C. J. (1996). Smoking, health knowledge, and anti-smoking campaigns: an empirical study in Taiwan. Journal of health economics, 15(1), 87-104.
Hutchison, E. D. (2010). Dimensions of human behavior: The changing life course. Sage Publications.
Kant, A. K., Whitley, M. I., & Graubard, B. I. (2014). Away from home meals: associations with biomarkers of chronic disease and dietary intake in American adults, NHANES 2005–2010. International Journal of Obesity.
Lahelma, E., Martikainen, P., Laaksonen, M., & Aittomäki, A. (2004). Pathways between socioeconomic determinants of health. Journal of Epidemiology and Community Health, 58(4), 327-332.
Larson, N., Neumark-Sztainer, D., Laska, M. N., & Story, M. (2011). Young adults and eating away from home: associations with dietary intake patterns and weight status differ by choice of restaurant. Journal of the American Dietetic Association, 111(11), 1696-1703.
Lichtenstein, A. H., Appel, L. J., Brands, M., Carnethon, M., Daniels, S., Franch, H. A., ... & Wylie-Rosett, J. (2006). Diet and lifestyle recommendations revision 2006 A scientific statement from the American Heart Association nutrition committee. Circulation, 114(1), 82-96.
Li, J., Han, P., & Qi, F. (2014). [Epidemiological features of metabolic syndrome in Gansu province]. Zhonghua liu xing bing xue za zhi= Zhonghua liuxingbingxue zazhi, 35(9), 1015-1019.
Lidfeldt, J., Nyberg, P., Nerbrand, C., Samsioe, G., Scherstén, B., Agardh ,CD.(2003). Socio-demographic and psychosocial factors are associated with features of the metabolic syndrome. The Women's Health in the Lund Area (WHILA) study. Diabetes Obes Metab, 5(2), 106-12.
Link, B. G., & Phelan, J. (1995). Social conditions as fundamental causes of disease. Journal of health and social behavior, 80-94.
Lin, B. H., Elizabeth, F., & Joanne, G. (1999). Away-From-Home Foods Increasingly Important to Quality of American Diet. Economic Research Service/USDA.
Loucks, E. B., Rehkopf, D. H., Thurston, R. C., & Kawachi, I. (2007). Socioeconomic disparities in metabolic syndrome differ by gender: evidence from NHANES III. Annals of epidemiology, 17(1), 19-26.
Ma, H., Huang, J., Fuller, F., & Rozelle, S. (2006). Getting rich and eating out: consumption of food away from home in urban China. Canadian Journal of Agricultural Economics/Revue canadienne d'agroeconomie, 54(1), 101-119.
Malik, V. S., Popkin, B. M., Bray, G. A., Després, J. P., Willett, W. C., & Hu, F. B. (2010). Sugar-Sweetened Beverages and Risk of Metabolic Syndrome and Type 2 Diabetes A meta-analysis. Diabetes care, 33(11), 2477-2483.
Miech, R. A., Kumanyika, S. K., Stettler, N., Link, B. G., Phelan, J. C., & Chang, V. W. (2006). Trends in the association of poverty with overweight among US adolescents, 1971-2004. Jama, 295(20), 2385-2393.
Mutlu, S., & Gracia, A. (2006). Spanish food expenditure away from home (FAFH): by type of meal. Applied Economics, 38(9), 1037-1047.
Nagelhout, G. E., de Korte-de Boer, D., Kunst, A. E., van der Meer, R. M., de Vries, H., van Gelder, B. M., & Willemsen, M. C. (2012). Trends in socioeconomic inequalities in smoking prevalence, consumption, initiation, and cessation between 2001 and 2008 in the Netherlands. Findings from a national population survey. BMC Public Health, 12(1), 303.
Nago, E. S., Lachat, C. K., Dossa, R. A., & Kolsteren, P. W. (2014). Association of out-of-home eating with anthropometric changes: a systematic review of prospective studies. Critical reviews in food science and nutrition,54(9), 1103-1116.
Orfanos, P., Naska, A., Trichopoulou, A., Grioni, S., Boer, J. M. A., van Bakel, M. M. E., ... & Slimani, N. (2009). Eating out of home: energy, macro-and micronutrient intakes in 10 European countries. The European Prospective Investigation into Cancer and Nutrition. European journal of clinical nutrition,63, S239-S262.
Park, Y. W., Zhu, S., Palaniappan, L., Heshka, S., Carnethon, M. R., & Heymsfield, S. B. (2003). The metabolic syndrome: prevalence and associated risk factor findings in the US population from the Third National Health and Nutrition Examination Survey, 1988-1994. Archives of internal medicine,163(4), 427-436.
Pan, W. H., Wu, H. J., Yeh, C. J., Chuang, S. Y., Chang, H. Y., Yeh, N. H., & Hsieh, Y. T. (2011). Diet and health trends in Taiwan: comparison of two nutrition and health surveys from 1993-1996 and 2005-2008. Asia Pacific journal of clinical nutrition, 20(2), 238.
Palmer, B. F., & Clegg, D. J. (2015). The sexual dimorphism of obesity. Molecular and cellular endocrinology, 402, 113-119.
Papadaki, A., Hondros, G., Scott, J. A., & Kapsokefalou, M. (2007). Eating habits of university students living at, or away from home in Greece. Appetite,49(1), 169-176.
Poortinga, W. (2007). The prevalence and clustering of four major lifestyle risk factors in an English adult population. Preventive medicine, 44(2), 124-128.
Pollack, C. E., Chideya, S., Cubbin, C., Williams, B., Dekker, M., & Braveman, P. (2007). Should health studies measure wealth?: A systematic review.American journal of preventive medicine, 33(3), 250-264.
Sarlio-Lähteenkorva, S., Silventoinen, K., & Lahelma, E. (2004). Relative weight and income at different levels of socioeconomic status. Journal Information, 94(3).
Sobal, J., & Stunkard, A. J. (1989). Socioeconomic status and obesity: a review of the literature. Psychological bulletin, 105(2), 260.
Stokols, D. (1992). Establishing and maintaining healthy environments: toward a social ecology of health promotion. American Psychologist, 47(1), 6.
Stokols, D. (2006). Toward a science of transdisciplinary action research.American journal of community psychology, 38(1-2), 63-77.
Suliga, E., & Kozie, D. (2015). Association between dietary patterns and metabolic syndrome in individuals with normal weight: a cross-sectional study.Nutrition Journal, 14(1), 55.
Tamariz, L., Palacio, A., Yang, Y., Parris, D., Ben‐Joseph, R., & Florez, H. (2010). Health economics perspective of the components of the cardiometabolic syndrome. The Journal of Clinical Hypertension, 12(7), 549-555.
Taveras, E. M., Berkey, C. S., Rifas-Shiman, S. L., Ludwig, D. S., Rockett, H. R., Field, A. E., ... & Gillman, M. W. (2005). Association of consumption of fried food away from home with body mass index and diet quality in older children and adolescents. Pediatrics, 116(4), e518-e524.
Thompson, O. M., Ballew, C., Resnicow, K., Must, A., Bandini, L. G., Cyr, H. D. W. H., & Dietz, W. H. (2004). Food purchased away from home as a predictor of change in BMI z-score among girls. International journal of obesity,28(2), 282-289.
Tok, E. C., Ertunc, D., Evruke, C., & Dilek, S. (2004). The androgenic profile of women with non-insulin-dependent diabetes mellitus. The Journal of reproductive medicine, 49(9), 746-752.
Tordoff, M. G., & Alleva, A. M. (1990). Effect of drinking soda sweetened with aspartame or high-fructose corn syrup on food intake and body weight. The American journal of clinical nutrition, 51(6), 963-969.
Todd, J. E., Mancino, L., & Lin, B. H. (2010). The impact of food away from home on adult diet quality. US Department of Agriculture, Economic Research Service.
Turrell, G., Kavanagh, A., Draper, G., & Subramanian, S. V. (2007). Do places affect the probability of death in Australia? A multilevel study of area-level disadvantage, individual-level socioeconomic position and all-cause mortality, 1998–2000. Journal of epidemiology and community health, 61(1), 13-19.
Whitehead, M. (1992). The concepts and principles of equity and health.International journal of health services, 22(3), 429-445.
Wilkinson, R. G., & Pickett, K. E. (2006). Income inequality and population health: a review and explanation of the evidence. Social science & medicine,62(7), 1768-1784.
Winkleby, M., Cubbin, C., & Ahn, D. (2006). Effect of cross-level interaction between individual and neighborhood socioeconomic status on adult mortality rates. American journal of public health, 96(12), 2145.
ZIOL‐GUEST, K. M., DeLeire, T., & Kalil, A. (2006). The Allocation of Food Expenditure in Married‐and Single‐Parent Families. Journal of Consumer Affairs, 40(2), 347-371.