[[alternative]]Relationships Among Health Status, Aging Attitude, And Quality of Life For The Aboriginal Tribe Elderly In Hsin-chu County

[[abstract]]原住民族相較於主流文化，在許多方面是處於劣勢的，多數原住民生活條件較差，長期的健康亮紅燈，導致生活品質降低。而生活品質不僅是二十一世紀健康照護、公共衛生與社會政策的重要課題，也是人們追求的目標。目前有許多研究探討著不同族群的老年長者生活品質相關議題，但卻少有文獻探究，原住民長者面對老化的態度與老年生活品質關係之研究。本研究目的為瞭解桃山部落原住民老人健康狀況、老化態度及生活品質的情形，並探討該部落原住民老人健康狀況、老化態度與生活品質之間的相關性，進而發現該部落原住民老人生活品質之預測因子。研究設計為相關性，橫斷面研究法，針對符合收案標準之部落老人，以方便取樣訪談方式進行蒐集資料，總計200位有效樣本，涵蓋率達31%。研究結果顯示，研究對象部落老人，整體「生活品質」平均為3.37，標準差為0.56，生活品質滿意程度居中上程度。經階層式複迴歸分析，年齡、教育程度、居住型態、收入、自覺影響生活品質程度、日常身體活動度及老化態度等變項為該部落原住民老人生活品質之預測因子，解釋總變異量有61%，其中老化態度視為保護因子，部落老人「老化態度」越是正向，其生活品質滿意程度就越高，而「不識字」、「未婚或喪偶 」、「獨居」及「無收入」的部落老人則會有較低的老化態度傾向。透過本研究發現可提供部落健康專業人員，瞭解部落老人老化態度對生活品質的影響。本研究建議，除對於原住民部落疾病的預防、篩檢及確診之外，尤其要更加關注「不識字」、「低收入」、「獨居」、「疾病數較多」的老人，並致力於協助提升部落老人的「老化態度」，進而促進生活品質提升。[[abstract]]Aboriginal people are at a disadvantage situation in many ways as comparing to people from mainstream culture. Most of them have poorer living conditions, long-term red light in health, and resulting in reduced quality of life. While quality of life is not only a 21st century health care pole also an important aims for public health and social policy which is goal to pursuit. There are many studies on life quality related issue for elderly from different ethnic groups, but few literature review on how Aboriginal elder peoples face aging problem and what is their life quality.The purpose of this study was to know the health condition, attitude to aging process, life quality, associations, and the risk factor on inducing poor life quality from the Momoyama tribal Aboriginal people. The study design was descriptive data, cross sectional study. We collected data by interviewing available elders from tribe. Totally 200 old man is our valid samples; covering rate is 31% from all tribes. Study results showed the mean of life quality is 3.37, SD is 0.56; satisfaction with the life quality is in the upper middle grade. When we use hierarchical regression to analyze how age, educational level, living state, self-perceived QOL degree, daily activities, and the attitude to aging predict the life quality of elder on the tribe. 61% variation of QOL was explained by the linear model. Among them, positive attitude to aging process considered a protective factor; more positive attitude toward aging the more satisfied on life quality. But for those tribe elderly being "illiteracy" and "living alone", their life quality satisfaction degree is lower and attitude toward aging process is negative.Through this study results, we have provided information to the health professionals whose are working in the tribe to understand that the life quality of elders would be influenced by elder own attitude toward aging. This study recommends except emphasize disease prevention, screening, and diagnosis for these old Aboriginal peoples; also pay attention to those elders as “living alone, lower education, lower income"and with “more number of disease”. We need to encourage the old people with positive attitude toward aging process then enhance their quality of life