美沙酮维持治疗门诊患者饮酒行为的特征及相关因素分析  

Alcohol drinking behavior among methadone maintenance treatment outpatients: characteristics and related factors

作　　者：王婧[1] 钟宝亮[1] 朱军红[1] 李赋[1] 柳小波[1] 

机构地区：[1]华中科技大学同济医学院附属精神卫生中心,湖北武汉430022

出　　处：《中国民康医学》2013年第3期30-33,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨美沙酮维持治疗(MMT)门诊患者饮酒行为的特征及相关因素。方法:采用流行病学现况调查和病例对照研究设计,564位MMT门诊患者完成饮酒行为筛查后分为饮酒组和非饮酒组,再从普通社区选取频数匹配(性别、年龄和文化程度)的一般饮酒者作为饮酒组的对照组;研究对象自评完成一般情况问卷和饮酒问卷(ADS);用Logistic回归筛选饮酒行为的相关因素。结果:样本饮酒行为的检出率(95%置信区间)为30.3%(26.5%,34.1%);饮酒组的ADS得分显著高于对照组[(6.73±6.14)vs.(5.38±3.48),P=0.02];饮酒行为的发生与男性(OR=6.78)、无宗教信仰(OR=2.32)、无吸烟行为(OR=1.96)和吸毒时间长(OR=1.21)有关。结论:MMT门诊患者的饮酒行为具有成瘾、依赖特征;其发生与社会人口学因素及物质使用有关。Objective：To describe the characteristics and related factors of alcohol drinking behavior among methadone mainte- nance treatment （MMT） outpatients. Methods：Five hundred and sixty - four MMT outpatients were screened for drinking behavior and subdivided into drink group and non -drink group; a frequency matched （gender, age and education level） groups from community al- cohol users were selected as the control of drink group. All participants completed the socio - demographic questionnaire and Alcohol Use Questionnaire （ADS）. Logistic regression was used to identify associated factors. Results： The prevalence （95 % confidence inter- val） of alcohol drinking was 30.3% （26.5% ,34.1% ） ; ADS score of drink group was higher than that of control group [ （6.73 ± 6. 14） vs. （ 5.38± 3.48 ）, P = 0.02 ] ; Drinking was associated with male （ OR = 6.78 ）, lack of religious belief （ OR = 2.32 ）, without cigarette smoking （OR = 1.96） and long drug- taking time （OR = 1.21 ）. Conclusions： Drinking behavior of MMT outpatients has addiction and dependence characteristics. Its occurrence is related to socio -demographic factors and substance use.

关 键 词：美沙酮维持治疗 门诊患者 饮酒 特征 相关因素 

分 类 号：R749.62[医药卫生—神经病学与精神病学]