CI=1.46-2.02）、有嚼食檳榔者為未嚼者之 2.05 倍(95% CI=1.73-2.44)；吸菸也影響 複驗仍為陽性之比率，有吸菸者比未吸菸者複驗陽性率為 1.54 倍(95%
用的習慣，以及在祭儀豐年祭等重要節慶同樂喜共杯或共食的行為等…，均可能 造成幽門螺旋桿菌交互感染以及再感染之風險，本研究並未將篩檢對象再更精確 的以家戶為單位進行邀請，同時對於陽性個案也無法具體分析家戶重複感染之可 能性，未來建議朝以家戶為主體，降低及預防家戶重複感染之機率。
另外，原住民族幽門螺旋桿菌感染高於非原住民族，原因是否因為生活環境 落差、飲食偏向醃漬、生食、喜食肉類、少蔬果、及生活衛生習慣等種種因素影 響…，並未針對原因做進一步之資料收集，未來在執行面可將此部分議題加入問 卷資料收集，以探討更多之危險因子，做為早期預防置入衛教宣導等模式建置之 參考。
本計畫在台東縣實施後，整體除菌率低(84.2%)未達除菌治療根除之預期，未 來應針對可控制因素如加強服藥順從性管理，並改善原鄉之生活習慣、環境衛生 等，以提升除菌成功之機率，並預防再感染，長遠來看才能達到胃癌防治之效益。
最後，因應台東多元族群之特色，能藉由本計畫之執行發展因地制宜之照護 及疾病防治模式，落實從家庭到社區的全民照護，降低疾病之發生率，進而提高 平均餘命，縮小健康不平等之差異，讓台東縣民不分貧富、地域、性別、族群，
都能活得久、且活得好。本次實習探討之研究結果，也將回饋實習單位台東縣衛 生局，作為醫療保健實務推動及政策規劃之參考。
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附錄
附錄一 台東縣社區胃病防治管理問卷
________衛生所 社區胃病防治管理紀錄
姓名:____________ 身分證： 篩檢日期： 年 月 日
出生日期： 年 月 日 / 性別：□男 □女 / 原民：□否 □是(請續答， _____ 族) 電話:_______________ 婚姻狀況:_____________ 教育程度:_____________
一、個人病史