| Abstract: | 目的: 在台灣，由於社經狀況的改變，鄉村及城市不僅生活形態和就醫可近性相差甚大，生活習慣及飲食文化影響等因素也有所不同，諸多的研究顯示菸、酒與檳榔對人體危害甚大，及新陳代謝症候群與高尿酸血症亦會增加死亡風險，本研究以南投縣信義鄉民眾為研究對象，探討有吸菸、喝酒、嚼檳榔對罹患新陳代謝症候群及高尿酸血症之關聯性。
方法:本研究利用南基醫院2014年整合式社區到點篩檢服務計畫，針對南投縣信義鄉不同部落40歲以上之成人健康檢查，及包含符合大腸癌、口腔癌、子宮頸癌、乳癌等四癌篩檢條件者之健康檢查資料庫進行次級資料分析，共計224位納入本研究中，藉以探討菸、酒、檳榔對偏遠地區民眾罹患新陳代謝症候群及高尿酸血症之關係。
結果: 本研究結果顯示喝酒、嚼檳榔對偏遠地區罹患新陳代謝症候群及高尿酸血症之民眾有顯著影響，而吸菸對偏遠地區罹患新陳代謝症候群及高尿酸血症之民眾雖沒有顯著影響，但研究也顯示有吸菸者比沒吸菸者罹患新陳代謝症候群勝算比為2.1倍，雖統計學上未達顯著意義，吸菸仍有增加新陳代謝症候群之趨勢。
結論: 菸、酒、檳榔是危害健康重要因子，因此我們建議不僅要提升偏遠民眾菸、酒、檳榔對健康危害的認知，以預防所引起的潛在惡性病變，也利用衛生教育資源，配合健康行為改變，進行介入性研究，並給予多方面的支持，以增進健康知識，降低相關疾病發生之機會，必要時配合轉介醫療資源，持續進行健康管理。
Objective: In Taiwan, due to changes in social and economic conditions, not only the life styles and access to medical treatments in rural and urban areas are greatly different, but also factors such as lifestyle habits and dietary cultural influences. Many studies have shown that cigarettes, alcohol, and betel nuts are harmful to us. Metabolic syndrome and hyperuricemia may also increase the risk of death. This study took the residents of Xinyi Township, Nantou County as the research object, and explored the impacts of cigarettes, alcohol, and betel nuts on metabolic syndrome and hyperuricemia in remote areas.
Methods: This study used the 2014 Community-Based Screening Service Program of Nantou Christian Hospital to conduct health checks on adults over 40 years of age from different tribes in Xinyi Township, Nantou County. A secondary data analysis was performed on the health examination database of patients with four cancer screening conditions, and a total of 224 were included in this study to explore the impacts of cigarettes, alcohol, and betel nuts on metabolic syndrome and hyperuricemia in remote areas.
Results: The results of this study show that alcohol and betel nuts have significant effects on people with metabolic syndrome and hyperuricemia in remote areas, while cigarettes has no significant effect on people with metabolic syndrome and hyperuricemia in remote areas, but it also shows that smokers have a 2.1 times of developing metabolic syndrome than non-smokers. Although it is not significant, cigarettes still has a tendency to increase metabolic syndrome.
Conclusion: Cigarettes, alcohol, and betel nuts are important health hazards. Therefore, we recommend that we not only raise awareness of the health hazards of ciagarettes, alcohol, or betel nuts in remote people to prevent potential malignant lesions, but also use health education resources to support healthy behaviors. Make changes, conduct interventional research, and provide multi-faceted support to improve health knowledge and reduce the chance of related diseases. If necessary, cooperate with referral of medical resources for continuous health management. |
