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Taiwan J Oral Med
Health Sci 2002; 18: 1-16
Printed in Taiwan, All rights reserved
◆《台灣地區各縣市檳榔嚼食率調查報告》
◆《為瞭解台灣地區各縣市檳榔嚼食率，本研究於民國九十年，針對台灣地區23縣市及原住民地區進行家庭
訪視，完成問卷調查。研究設計乃以抽樣調查方式，採分層多階段集束抽樣調查法(stratified multi-stage
cluster
sampling)，抽樣機率以等比隨機抽樣(probability proportional to size, PPS
design)方式，針對台灣地區21縣市、
台北市、高雄市及3個原住民地區共26個區域，調查年滿十八歲(含)以上成年人嚼食檳榔及抽菸狀況。研究結
果共回收11723份問卷。統計分析以SUDAAN軟體進行，由結果發現，台灣地區嚼食檳榔盛行率方面曾有嚼食
習慣者(每星期至少有一天嚼食一顆以上)為11.2%（男性20.9%，女性1.2%），而目前仍在嚼食者為8.5%；由此
推估台灣地區現有18歲(含)以上嚼食檳榔人口約有120萬人左右。目前仍有嚼食檳榔習慣之檳榔族，其主要之
族群為男性佔了93.7%、18-34歲佔48.1%、已婚者佔74.1%、高中教育程度佔了44.2%、勞力工作者佔了84.1%
，同時其中86.6%也有抽菸的習慣，因此戒除檳榔的宣導計劃應與戒菸計劃同步以收事半功倍之效，也可避免
因戒除其中某一項習慣而使另一項習慣加劇的狀況發生。
李蘭1996年的調查發現，成年人嚼食檳榔之盛行率為10.9%，與2002年之本研究結果（8.5%）相較得知，嚼食
檳榔盛行率有下降趨勢。同時各地也都有下降的趨勢，其中中部地區由原先的18.9%降為9.3%，降幅最高，其
次是山地地區由44.0%降至36.6%，這顯示國人近幾年來的推廣戒食檳榔，已有改善之跡象。加強檳榔健康危
害意識的宣導，這幾年來政府單位學者專家不斷地大力急呼，檳榔嚼食盛行率有下降的趨勢，這對推行檳榔}
戒斷的工作者而言是一大鼓舞，但仍有許多改善之空間待努力。
關鍵字：嚼食檳榔、盛行率、抽樣調查
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Taiwan J Oral Med
Health Sci 2002; 18: 1-16
Printed in Taiwan, All rights reserved
◆《Prevalence
Rates of Areca / betel Quid Chewing in Counties of Taiwan》
◆《The
purpose of this survey was to investigate the prevalence rates
of areca/betel quid chewing in counties of Taiwan. The
survey was conducted during the year of 2001, and emphasized
on the prevalence rates of areca/betel quid chewing within
23 counties/cities and 3 aboriginal areas. The study design
was a stratified multi-stage cluster sampling with selection
probability proportionalto size (PPS). For all of the residents
with age 18 years old and older, their behavior toward areca/
betel quid chewing was collected. There were 11723 participants
in this survey. The statistical analysis was conducted by
SUDAAN software. It was found that there was 11.2% of the population
with lifetime prevalence areca/betel quid chewing
habit (men 20.9%, women 1.2%), and there were 8.5% of people
having current chewing habit. It was estimated that 1.20
million population with current chewing habit.The major characteristics
of people with current chewing habit included:
93.7% were men, 48.1% were ages between 18 and 34, 74.1% were
married, 44.2% have high school education, 84.1%
were labors. In addition, there were 86.6% of areca/betel quid
chewers also with cigarette smoking habit. It is recommended
that the promotion of stopping areca/betel quid chewing need
to work together with stopping of cigarette smoking.The
prevalence rate of current areca/betel quid chewing was 10.9%
in 1996 by Lee's survey. Our result showed 8.5% revealing
a downward trend. Considering different areas, the prevalence
rates were also decreased since 1996. Especially, in middle
area of Taiwan, the prevalence was 18.9% to 9.3%. It is encouraged
that the promotion of stopping areca/betel quid chewing
had shown improvement. Many of us will still need to work hard
to reduce the prevalence rate.
Key words：areca/betel quid chewing, prevalence, survey sampling
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| ◎ 2002, Taiwan
J Oral Med
Health Sci,
ISSN1560-1587 |
| Graduate Institue Of Oral Health Sciences
Kaoshiung Medical University |
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