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1
題名:Trajectory Patterns of Self-Rated Health among the Elderly in Taiwan: A Comparison across Ethnicity    
台灣老年人口的自評健康軌跡:族群間的比較
著者:Ho-Jui Tung(董和銳)
出版地區:台灣
出版城市:台北市
學科:社會學
關鍵字:台灣 ; 自評健康 ; 存活分析 ; 族群 ; 健康軌跡 ; 老人 ; Taiwan ; self-rated health ; mortality ; ethnicity ; health trajectory ; elderly
刊名:Journal of Population Studies
卷期:35期(2007.12)
頁碼:113-145
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

在台灣的老年人口當中,本省籍與外省籍之間的族群差異是台灣 社會階層化的重要面向之一。本研究從生命歷程的觀點出發,利用國 民健康局的「台灣老人生活與保健調查J 1989 到1999 年的貫時性調 查資料(N=3540) ,實證地檢視自評健康的變化軌跡與存活狀況之間 的關係。主要的發現有: (寸與大部份老年學的相關文獻一致,自評健 康與存活狀況之間存在有很強的相關; C斗在以時間相依( Timedependent) 的自評健康測量進行存活分析時發現,自評健康的變化確 實反映受訪老人的健康軌跡; (::)研究結果也發現社會結構變項與不同 的健康軌跡型態之間有不同的關聯。就族群間的健康差異而言,本研 究結果指出,不同於美國社會黑白之間的族群差異,台灣老年人口中 的族群差異似乎可以完全被社經地位變項所解釋(外省籍老人的平均 社經地位測量優於本省籍老人) 。
This study seeks to compare health trajectories across the two m句or ethnic groups ofthe elderly in Taiwan, the Taiwanese and the Mainlanders, over 11 years of follow-up. This ethnic division is considered a salient dimension of social stratification in Taiwan, shaping the two groups of elders' pathways through life. Data are from the first four waves of the Taiwan Survey of Health and Living Status of the Elderly (N=3,540). Proportional hazard models with time-dependent covariates and multinomial logistic regression were employed to compare health trajectories across ethnicity. There are three m句or findings. (1) Self-rated health is shown to be a remarkably strong predictor of mortality despite controlling for other variables, which is consistent with the bulk of studies in this area. (2) By using a national representative sample of the elderly in Taiwan and treating selιrated health as a time-dependent covariate, evidence from this study reveals that self-rated health reflects a person冶 health tr句ect。可. (3) Considerable differences exist in the ways sociostructural forces are related to the health trajectories of Mainlanders and Taiwanese, respectively, over the 11 years of follow-up. In conclusion, it seems that, among this elder甘population, the ethnic inequality in health can be explained away by Mainlanders' higher socio-economic standing, which is different from the racial/ethnic health disparities observed in the United States, where social class accounts for part ofthe differences, but the health disparities between African Americans and whites remain after adjusting for measures of social class.


    

本卷期目次
Journal of Population Studies 35期 (2007.12)
Kinship Network and Marriage Stability through Taiwan's Demographic Transition/ Te-Fen Lo
Trajectory Patterns of Self-Rated Health among the Elderly in Taiwan: A Comparison across Ethnicity/ Ho-Jui Tung
論小傳統生育文化--以日照市東村為例/ 鄭衛東
Disentangling the Residential Clustering of New Immigrant Groups in Suburbia/ Eric FongTracy MatsuoRima Wilkes
台灣社會排除人口之推估/ 李易駿
 
   
 
   

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