Comparing the incidence of the top ten leading cause of disease among religious, low-income and general population in Taiwan.

• Main Authors: Wen-Hsiu Liu, 劉紋秀
• Other Authors: Yung-Po Liaw
• Format: Others
• Language: zh-TW
• Published: 2015
• Online Access: http://ndltd.ncl.edu.tw/handle/64992689015126101272

碩士 === 中山醫學大學 === 公共衛生學系碩士班 === 103 === Background: The effects of religious on psychic state and quality of life have been reported, but few studies have focused on the association between religion and diseases. Objective: This study aimed at establishing the association of religion, low-income and general population with diseases, including top ten leading diseases and psychiatric disorders. Material and methods：The study included subjects insured in 2005 who were above 30 years. Their data were retrieved from the National Health Insurance Research Database (NHIRD). Individuals insured from January 1, 2005 to December 31, 2010 were classified into three groups: religious, low-income and general population who were followed to assess the risk and incidence of disease. Cox proportional hazard model was used to assess the risk of developing top ten leading diseases and psychiatric disorders while adjustments were made for gender, age, insurance area and history. Results：This study had 1,081,333 participants consisting of 401 religious, 7,454 low-income and 1,073,478 general population. After adjusting for confounders with general population as the reference group, the HRs among the religious population were 1.56 for cardiovascular disease, 1.02 for cerebrovascular accident, 1.54 for pneumonia, 1.75 for chronic liver disease and liver cirrhosis, 1.55 for bronchitis, emphysema and asthma and 1.59 for cancer. However, the HRs among the low-income population were 1.29 for diabetes, 1.34 for cardiovascular disease, 1.58 for cerebral vascular accident, 2.20 for pneumonia, 1.26 for chronic liver disease and liver cirrhosis, 1.59 for hypertension, 1.54 for bronchitis, emphysema and asthma, 1.67 for nephritis, nephrotic syndrome and nephropathy, 1.10 for cancer and 1.57 for psychiatric disorders. Conclusion：The study showed that the religious group had a greater risk of developing cardiovascular disease, pneumonia, chronic liver disease and liver cirrhosis, bronchitis, emphysema and asthma and cancer., than the general population. . The low-income population had a greater risk of developing diabetes, cardiovascular disease, cerebral vascular accident, pneumonia, liver disease and liver cirrhosis, hypertension, bronchitis, emphysema and asthma, nephritis, nephrotic syndrome and nephropathy, cancer and psychiatric disorders than the general population. Therefore, religious and low income population have influences on disease development and psychiatric disorders.