| Summary: | 碩士 === 亞洲大學 === 健康產業管理學系健康管理組碩士在職專班 === 102 === Background：Over drinking is a raising issue in Taiwan and has been broadly discussed and researched in recent decade. Many reports and researches shows drinking behaviour has become a common cause of unhealthy and dangerous factor in Taiwan. Alcoholism has caused many problems, including problems with individual health, familial problems, and societal problems, which resulted to high society costs (chuan-cheng chen, 1997). According to the World Health Statistics 2011 published by the WHO, drinking has caused 2.5million death per year globally. It is an important topic of discussion in the medical and public health spheres. According to Council of Indigenous Peoples statistic result, the indigenous men average age of death are 55.2years, women are 64.8years, while under the age standards of the indigenous people, the death rate of the whole death factors is 722.6 per hundred thousand, the average death age is 59.2 years (which is 10.6 years less then the non-indigenous people).
Goals: The goals of this study are to understand the awareness aborigines of the Renai Township in Nantou County have toward effective treatments to quit drinking, has the behaviour changed, and further to analyze the relationship between alcoholism and its treatment.
Method: The data for this study was collected from a survey conducted in 2013 on tribal public health. Those surveyed were residents of the villages of Xinsheng and Huzhu Village in Renai Township of Nantou County between the ages of 18-65. Total of 183 questionnaires were returned. 116 were valid and used for this study. The research source for this study was a secondary database. The data included was obtained via SPSS predictive analytic software and includes descriptive statistics, percentages, frequency distributions, a chi-squared test, and an independent sample t-test. Logistic regression and linear regression were used on the relevant data to explore the effects different forms of treatment have on alcoholism.
Results: It can be told from the result that the effective treatment methods for alcoholism were as follows: family support and persuade was the highest at 94.83%; second was the medical professionals persuade and encouragement (68.97%) ,followed by the influence and persuade of friends (60.34%). The action changing between before drinking and after has no big difference with drinking frequency and drinking habits. While drunk level, drinking heavily and total amount of drinking has dramatic difference (p>0.5). Binary Logistic Regression Analysis shows that church pastor’s persuade and support (OR=1.29), medical professional’s persuade and encourage (OR=1.29), and quit alcohol curriculum held by the hospitals (OR=1.94) has all have significant influence to improve drinking habits; Moreover, medical professionals’ persuade and encourage has effective influence to less the drunken level. But the rewards (ß=3.718) has negative influence to improving drinking frequency.
Conclusion: The study has found out that with the drinking habits and alcoholism among the aborigines in Renai Township in Nantou County, there is a negative correlation between effective treatments of alcoholism and drinking habits. We have found out that indigenous medical professionals have great influence to these people, we suggest that quit drinking relating lectures should include families and friends, in order to raise the participation rate and supporting. Also, when holding related health education activities in the community should have medical professionals take part in, improving drinking behaviour in order to ease the waste and extra costs of the society, medical resources and their own family. However, the research has found out that rewards has a negative factor to changing drinking frequency, therefore should we avoid rewarding when promoting the planning of quit/ reducing drinking, in case of strengthen the drinking behavior.
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