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E88087
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004
社會狀況與憂鬱症:一個以高雄縣為例之社會生態學研究(I)
Social Conditions and Depressive Disorder: a Social Ecological Perspective from the Example of Kaohsiung Metropolis (I)
1.楊明仁
1.Ming-Jen Yang
1.高雄長庚醫院精神科
1.Department of Psychiatry, Chang Gung Memorial Hospital
001,002,003,004
1.高雄長庚醫院精神科
1.Department of Psychiatry, Chang Gung Memorial Hospital
005
1.行政院國家科學委員會
1.National Science Council
A.14 計畫執行期間(起):1998-08-01
A.14 計畫執行期間(訖):1999-07-31
1999-04-091999-06-18
A.16 收到日期:1999-11-01
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高雄縣仁武鄉居民

1

404


404
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C.2 聯絡日期:1999-11-06
2
1.高雄長庚醫院精神科
1.Department of Psychiatry, Chang Gung Memorial Hospital
1
C.7 資料公開日期:2001-08-01
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008
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1.台灣人憂鬱篩選問卷
2.社經階層
3.憂鬱症
1.Depression
2.Socioeconomic Status
3.TDSQ(Taiwanese Depression Screening Questionnaire)
本 計畫試圖在社會環境的脈絡下,探討社區社會經濟狀態與個人因素二者之相對效應,以及可能的交互作用對於憂鬱症之發生所造成的影響,建立一個巨觀與微觀的連 結,以突破目前的困境,並形成將來憂鬱症防治之基礎,也可作為將來精神醫療政策制定、區域醫療網規劃及醫療資源應用的參考。於民國88年,以叢集分析的方 法,依照低收入戶數,將社區分為高低社經社區,以為分層取樣的依據,選取高雄縣仁武鄉七個村之居民為研究對象,進行訪問調查研究,有效問卷共404份。訪 談問卷內容包括:研究對象背景資料、台灣人憂鬱篩選。研究結果顯示,受訪者過去一個星期之憂鬱盛行率為26.5%;收入愈低愈容易發生憂鬱情形;高社經社 區居民較低社經社區者容易出現憂鬱的情形。最後同時將社區與個人收入二變項同時置入邏輯回歸分析,結果發現只有個人收入與憂鬱之發生有明顯的相關聯。交叉 分析顯示,個人收入與社區之經濟狀況之交互作用,將對個人憂鬱狀態的發生,有明顯的影響。文中將針對研究方法及結果進行討論,並提出若干建議。

The purpose of this study was to evaluate individual\'s mental health in the context of social environment. Specifically, the independent and interaction effect of community socioeconomic status and individual attributes on the development of one\'s depression was explored. Residents, totally 404, from a suburban township of Kaohsiung County were recruited by the procedure of multistage and multilevel sampling for the questionnaire survey. The results showed the point prevalence of depression was 26.5%. Those who had lower monthly income were more likely to developed depression; depression was more prevalent among residents from higher socioeconomic community. After controlling for individual\'s background attributes, individual\'s monthly income was the only significant variable associated with one\'s depression status, furthermore, it is more prevalent among those who had lower income but resided in higher socioeconomic community. It appears that the interaction between the socioeconomic status of individual and community will contribute significantly to the development of one\'s depression. The details and meaning of these findings will be discussed.

D.16 完成檢誤日期:2000-05-04
D.17 預定釋出日期:2001-08-01
D.18 初次釋出日期:2001-08-01
D.19_1 最新版釋出日期:2001-08-01
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10.6141/TW-SRDA-E88087-1
http://efenci.srda.sinica.edu.tw/webview/index.jsp?object=http://efenci.srda.sinica.edu.tw:80/obj/fStudy/E88087
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