| Summary: | 碩士 === 國立臺灣大學 === 衛生政策與管理研究所 === 89 === Objective─To examine the relationship between level of area deprivation and the mortality in Taiwan.
Design─Ecological study using 1980 and 1990 census variables relative to two dimensions in respect of the income and the knowledge, and the data on mortality from Department of Health for 1979-1981 and 1989-1991. We have constructed “Taiwan area deprivation score” by two indicators, primary occupation population rate（初級行業人口比例） and prevalence of non- schooling among 15-17 years（15至17歲不在學率）.
Setting─356 townships in Taiwan
Main outcome measures─All-cause mortality (infant and child mortality, age standardized mortality, age-specific mortality) and cause-specific mortality (natural cause mortality, external cause mortality, avoidable death mortality).
Results─（1）All-cause mortality and cause-specific mortality increased with increasing area deprivation score and became stronger correlation. （2）The higher the level of deprivation, the lower the change of age standardized mortality rate and external cause mortality rate, and the higher the change of infant and child mortality rate.
Conclusion─In Taiwan, strong ecological association exists between area deprivation and mortality. To reduce health inequality among towns, the government must consider the local socioeconomic development and the chance and ability of residents when enforcing resources distribution in social and health policy.
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