Ko Y C, Hsieh S F
Aboriginal Health Laboratory, School of Public Health, Kaohsiung Medical College, Taiwan, Republic of China.
Gaoxiong Yi Xue Ke Xue Za Zhi. 1994 Jul;10(7):352-66.
Leading causes of death were analyzed among Aboriginal tribes in Taiwan in the decades of 1971-80 and 1981-90. Sex and tribe specific standardized mortality ratios were calculated from death certificate data and compared with the number of expected deaths derived from the mortality of the total population in Taiwan. In all, 35,221 cases of death in Aborigines were contrasted with 1,695,479 cases of death in the total population in Taiwan. Generally speaking during the two decades the SMR increased considerably suggesting more attention should be paid to the aborigines. Mortality due to accidents was statistically significantly higher than expected among Atayal, Bunun, Paiwan and Rukai men and among Atayal, Bunun and Paiwan women, as was mortality from tuberculosis among Atayal, Bunun, Paiwan and Rukai men and women, mortality due to liver cirrhosis as well as pneumonia among the Atayal, Bunun and Paiwan men and women, mortality from suicide among Atayal, Bunun, and Paiwan men, and among Atayal and Bunun women, mortality due to cancer among Bunun and Paiwan men and women, and mortality due to cardiovascular diseases among Atayal, Bunun and Paiwan men in 1981-90 decade. The SMR for ill-defined conditions was on average twice as high as expected; but among the Yami tribe in particular it was elevated 12 fold, indicating insufficient medical care. Factors relating to the cause of increased deaths need to be further studied.
对1971 - 1980年和1981 - 1990年这几十年间台湾原住民部落的主要死因进行了分析。根据死亡证明数据计算了性别和部落特定的标准化死亡率，并与源自台湾总人口死亡率的预期死亡人数进行了比较。总共将35221例原住民死亡病例与台湾总人口中的1695479例死亡病例进行了对比。总体而言，在这二十年中标准化死亡率大幅上升，这表明应更加关注原住民。在泰雅族、布农族、排湾族和鲁凯族男性以及泰雅族、布农族和排湾族女性中，意外事故导致的死亡率在统计学上显著高于预期；在泰雅族、布农族、排湾族和鲁凯族男性和女性中，结核病导致的死亡率也是如此；在泰雅族、布农族和排湾族男性和女性中，肝硬化以及肺炎导致的死亡率也是如此；在泰雅族、布农族和排湾族男性以及泰雅族和布农族女性中，自杀导致的死亡率也是如此；在布农族和排湾族男性和女性中，癌症导致的死亡率也是如此；在1981 - 1990年这十年中，在泰雅族、布农族和排湾族男性中，心血管疾病导致的死亡率也是如此。死因不明情况的标准化死亡率平均比预期高出两倍；但特别是在雅美族中，该比率升高了12倍，这表明医疗护理不足。与死亡人数增加原因相关的因素需要进一步研究。
