5.12汶川地震灾后酒依赖流行病学调查研究  

EPIDEMIOLOGICAL INVESTIGATION OF ALCOHOL DEPENDENCE AFTER 5.12 WENCHUAN EARTHQUAKE

作　　者：宋辉[1] 康林[1] 徐佳军[1] 黄明金[1] 孙倩[1] 孙学礼[1] 李静[1] 张红梅[2] 钟志坚 李艳[4] 张炳智 李跃年 张仁刚[7] 辛一帆 蒋萍[9] 徐丹 方进 卓越[12] 曹强 刘期文[14] 赵敏 蒋玲 

机构地区：[1]四川大学华西医院心理卫生中心,成都610041 [2]四川省复员退伍军人医院,崇州611236 [3]都江堰市精神病医院,都江堰611835 [4]成都市第四人民医院,成都610031 [5]雅安市精神卫生中心,雅安625000 [6]成都市第一精神卫生防治院,成都610041 [7]自贡市精神卫生中心,自贡643020 [8]攀枝花市精神卫生中心,攀枝花617061 [9]南充市精神卫生中心,南充637000 [10]四川双流县精神卫生保健院,双流610206 [11]乐山市第二精神病医院,乐山613308 [12]德阳市精神卫生中心,德阳618000 [13]自贡市第五精神病医院,自贡643000 [14]武警四川总队医院,乐山613308 [15]泸州市精神病医院,泸州646000 [16]成都市精神病医院,成都610041

出　　处：《中国药物依赖性杂志》2010年第1期57-62,共6页Chinese Journal of Drug Dependence

基　　金：四川省卫生厅灾后精神卫生调查应急课题

摘　　要：目的:了解5.12汶川地震灾后酒依赖的患病率及其相关因素,为灾后心理康复提供科学依据。方法:整群抽样,在具有代表性的极重灾区都江堰、北川、青川三地,以自编一般情况调查表及一般健康问卷12项(GHQ-12)为筛选工具,以SCID-I/P定式检查问卷为调查诊断工具,依据DSM-Ⅳ诊断标准,对成年地震亲历人群(≥15a)进行调查,并通过单因素和多因素的分析方法,计算这些因素对灾后酒依赖的作用强度。结果:共纳入14208例调查对象,总酒依赖时点患病率为0.80%,比1993年调查结果(0.68‰)高11.76倍。相关因素有男性、年龄较大者、受教育年限较少者、婚姻不稳定者、震中丧失亲人、震前居住地在城镇的、亲眼看到他人死亡者等。结论:酒依赖是震后主要的精神疾病之一,大量饮酒者及酒依赖患者是灾后精神卫生防治的重点人群。Objective：To understand the prevalence rate of alcohol dependence and its related factors,and provide scientific data for psychosocial rehabilitation after 5.12 Wenchuan earthquake.Methods：Cluster sampling,three most representative and hardest hit areas Dujiangyan,Beichuan and Qingchuan,a general situation questionnaire and general health questionnaire 12（GHQ-12）for the screening tool were adopted or selected.The investigation diagnostic tools were SCID-I /P setting check questionnaire and DSM-IV.Survey objects were earthquake survivors who were over 15 years old.The factors that influenced alcohol dependence were calculated with single-factor and multi-factor approach.Results：14 208 cases of investigation were eligible in this study.The prevalence rate of total alcohol dependence was 0.80% which was 11.76 times higher than the survey results in 1993.Related factors were men,elder persons,low education level,marital instability,the epicenter loss of loved ones,residence in the town before the earthquake and seen some people dead.Conclusion：Alcohol dependence is a major post-earthquake mental illness and heavy drinkers and people with alcohol dependence are the main population for post-disaster mental health prevention and treatment.

关 键 词：流行病学调查 酒依赖 酒依赖相关因素 

分 类 号：R749.62[医药卫生—神经病学与精神病学] R595.7[医药卫生—临床医学]