부산대학교 도서관

Purpose: The aim of this study is to quantify the contribution of the major causes of death and disease to the gap of life expectancy and healthy expectancy between indigenous people and national population in 2013, and to examine the health inequality between each ethnic group in Taiwan. Method: The data of disease prevalence and the cause of death rate in 'Individual health status' and the data of disability in each ethnic group detected by the Global Activity Limitation Indicator (GALI) in 'Health utility' from the 'Datasets for calculation and decomposition of healthy life expectancy' are used to estimate the disability risk of the various causes from each ethnic group. Together with disease prevalence, they can be used to estimate disability ratio of the two ethnic groups. By using the life tables of the indigenous and the national population from Ministry of the Interior in 2013, methods devised by Sullivan are used to estimate healthy expectancy of each ethnic group and Nusselder to decompose the gap of healthy expectancy between each ethnic group. Result: The result demonstrated that the health of the indigenous people is more vulnerable in 2013. The life expectancy at birth in indigenous and national population males are 66.7 and 76.91years in 2013, the main reasons are Pneumonia, Cirrhosis of the liver, Heart disease, stroke and cancer. The healthy expectancy at birth in indigenous and national population males are 56.29 and 66.75 years, the difference observed in healthy expectancy is thought to be caused by diseases such as Pneumonia, Cirrhosis of the liver, Heart disease, stroke, Accidents and Injury. On the other hand, the gaps in females are smaller than in males. The life expectancy at birth in indigenous and national population females are 75.91 and 83.36 years, Pneumonia, Heart disease, stroke, cancer and Cirrhosis of the liver account for the gap observed in life expectancy at birth in females. The healthy expectancy at birth in indigenous and national population females are 62.84 and 69.47 years, Pneumonia, Heart disease, Cirrhosis of the liver, Stroke and Cancer are appear to have contributions to the gap observed in healthy expectancy of females. Conclusion: We can understand the health inequalities of Indigenous people and the national population through the findings of this study. In addition, deconstructing the remaining disparity between the two communities can better clarify the reasons why indigenous people are living in inequality.