Liouciou Island, located off the south western coast of Taiwan, has 12,550 inhabitants of which high proportion are elderly and fisherman. The medical services are provided mainly by the local Public Health Clinic. Any emergencies or major medical treatment requires patients to be transferred to a regional hospital in Taiwan, which normally takes 40 minutes by the Ambulance boat. The aims of this paper are: 1) To examine the potential risk factors of disease based on the geography and medical services of Liouciou island; 2) To analyze the participants’ perception of disease risk on the island at various spatial scales (individual, family, neighbor, island or nation); 3) To analyze the adjustment strategies towards disease risks used by the Liouciou island people. Questionnaires and in-depth interviews were used to gather the information. The results show that participants in Liouciou worried about the Ambulance boat not being able to sail in bad weather conditions. In addition, the young people complained about the local medical facilities and physician’s skill while the elderly admitted their life was predetermined by God. The fishermen also reported that they were unable to follow up on their chronic disease. As a result, most of them ignored their health.
National Taiwan Normal University, Department of Geography, Taiwan
Ali, M, Emch, M, Donnay, JP, Yunus, M & Sack, RB 2002, ‘Identifying environmental risk factors for endemic cholera: a raster GIS approach’, Health & Place 8, pp. 201-210. [CrossRef]
Babor, TF, Sciamanna, CN & Pronk, NP, 2004, ‘Assessing Multiple Risk Behaviors in Primary Care Screening Issues and Related Concepts’, American Journal of Preventive Medicine 27 (2S), pp. 42-53. [CrossRef] [PMid:15275673]
Chen, CJ 1999, Epidemiology: principle and Methods, Linking publisher, Taipei.
Foggin, PM, Torrance, ME, Dorje, D, Xuri, W, Foggin, JM & Torrance, J 2006, ‘Assessment of the health status and tisk factors of Kham Tibetan pastoralists in the alpine grasslands of the Tibetan plateau’, Social Science & Medicine 63, pp. 2512-2532. [CrossRef] [PMid:16891047]
Han, TC & Lin FY 2009, ‘Identify remote district hospital Improvement point’, Service Industry and Marketing Symposium Thesis Collection, pp. 824-838.
Lin, YC & Wang XZ 2002, ‘Health risk assessment of health promotion’, The University Physical Education & Sports 63, pp. 159-164.
Mawby, TV & Lovett, AA 1998, ‘The public health risks of Lyme Disease in Breckland, U.K.: an investigation of environmental and social factors’, Social Science & Medicine 46 (6), pp. 719-727. [CrossRef]
Meade, MS & Earickson, RJ 2000, Medical Geography, Second Edition. The Guilford Press, New York, London.
Meade, MS 1977, ‘Medical geography as human ecology: the dimension of population movement’, The Geographical Review 67 (4), pp. 379-393. [CrossRef]
O’Connell, E & Hurley, F 2009, ‘A review of the strengths and weaknesses of quantitative methods used in health impact assessment’, Public Health 123, pp. 306-310. [CrossRef] [PMid:19324380]
Ouyang, CL 1994, ‘Disease geography research –a case study of Dengue Fever in Taiwan’ Ph.D. dissertation, Department of Geography, National Taiwan Normal University.
Ouyang, CL 1998, ‘Geomedical health care system: The study of the central Taiwan in 1981-1998’, Geographical Research 29, 33-62.
Robert, SA & House, JS 2000, Socioeconomic inequalities in health: Integrating individual-, community-, and societal-level theory and research, the handbook of social studies in health and medicine, SAGE Publications: 115-135, Condon Thousand Oaks, New Delhi.
Tsai, W. C., P. T. Kung, C. L. Yaung, Y. H. Li, S. C. Lin, 2006. Accessibility to and satisfaction with healthcare by rural area residents. Taiwan Journal of Public Health 25, pp. 394-404.
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