2013年湖南省15岁及以上居民饮酒情况及影响因素分析  

Alcohol drinking status and influencing factors among residents aged ≥15 years in Hunan Province,2013

作　　者：张林[1] 王萍 谭韦 张伟[1] 彭曼华 李慧萍 田丹平[3] 李黎[1] 邓欣[1] 邓静[1] 

机构地区：[1]中南大学公共卫生学院流行病与卫生统计学系,湖南长沙410078 [2]湖南省卫生计生委信息统计中心 [3]湖南省儿童医院

出　　处：《实用预防医学》2016年第6期675-679,共5页Practical Preventive Medicine

基　　金：湖南省卫生和计划生育委员会项目(B2013-120);湖南省统计局项目(2013B16)

摘　　要：目的分析2013年湖南省15岁及以上城乡居民近一年的饮酒状况及其影响因素。方法数据来自2013年湖南省第一次卫生服务调查结果，该调查采用多阶段随机抽样得到的24286人作为调查对象。采用多阶段抽样进行权重估算，用Rao—Scott调整卡方比较不同人口学特征的率的差别，用复杂抽样的非条件logistic回归进行影响因素分析。结果有效调查人数24282人，有效率为99．98％，其中≥15岁居民人数为19869。≥15岁居民近一年的加权饮酒率为14．74％，其中男性为27．73％，远高于女性的2．28％（χ^2=159．34，P〈0．001）；55—65岁年龄组居民最高，达到19．04％。≥15岁居民近一年的加权经常饮酒率为10．40％，其中农村为11．54％，高于城市的6．65％（χ^2=9．41，P〈0．001）。多因素logistic回归分析显示，男性、较高年龄、较低文化程度和丧偶可能增加居民饮酒行为，男性、较高年龄、较低文化程度、已婚与丧偶可能增加居民经常饮酒行为。其中，相比于女性，男性是饮酒的危险因素，优势比为17．36（χ^2=125．90，P〈0．001），相比于15～岁，25～岁、35～岁、45～岁、55～岁、65～岁居民饮酒可能性更高，对应的优势比分别为2．93（χ^2=14．92，P〈0．001）、3．98（χ^2=62．57，P〈0．001）、4．93（χ^2=44．11，P〈0．001）、5．74（χ^2=58．49，P〈0．001）和4．47（χ^2=92．22，P〈0．001）。小学及以下、初中文化居民饮酒可能性高大专及以上人群，对应的优势比分别为1．33（χ^2=4．38，P=0．04）和1．38（χ^2=4．38，P=0．04）。丧偶居民饮酒相对于未婚居民的优势比为1．25（χ^2=4．33，P=0．04）。上述因素对经常饮酒率有类似影响，除此之外，已婚者经常饮酒率较高（OR=23．09，P〈0．001），中等收入者经常饮酒率较低（OR=0．78，P〈0．001）。结论湖南省≥15岁居民饮酒率为14Objective To analyze alcohol drinking in the prior 12 months and its influencing factors for residents aged ≥ 15 years in Hunan Province, 2013. Methods Data were from the first Health Household Service Survey of Hunan Province in 2013, which used a multi-stage random sampling to select 24,286 inhabitants as study subjects. Rao-seott adjusted Chi-square test was used to test differences in drinking rates from soeio-demographic characteristics, and complex sampling unconditional logistic regression was used to explore influencing factors of alcohol drinking. Results Of 24,282 effective participants, 19,869 were aged ≥ 15 years. The effective rate of questionnaires was 99.98%. The weighted rate of alcohol drinking in the prior 12 months for the residents aged ≥ 15 years was 14.74%, and it was much higher in males than in females （27.73% vs. 2.28%, χ^2= 159.34, P〈0.001 ）. The highest alcohol drinking rate occurred in residents in the age group of 55- years （ 19.04% ）. The frequent alcohol drinking rate in the prior 12 months was 10.40% , and it was much higher in rural residents than in urban residents （ 11.54% vs. 6.65%, χ^2= 9.41 ,P〈0.001）. Results from multivariate logistic regression revealed that high alcohol drinking rate was associated with males, older age groups, lower educational level and being widowed. Compared with females, males were at higher risk of alcohol drinking, with the adjusted odds ratio of 17.36 （χ^2= 125.90,P〈0.001）. Residents for age groups 25-, 35-, 45-, 55- and 65- years were at higher risk of alcohol drinking compared to residents aged 15- years, with the adjusted odds ratios of 2.93 （χ^2 = 14.92, P〈0.001 ）, 3.98 （χ^2 = 62.57 ,P〈0.001 ）, 4.93 （χ^2 = 44.11 ,P〈0.001）, 5.74 （χ^2 = 58.49,P〈0.001 ） and 4.47 （χ^2 = 92. 22, P〈0.001 ）, respectively. Residents with lower educational levels of primary school education and below, and of junior middle school education had higher likelihood of alcohol drinking than those with education

关 键 词：饮酒 ≥15岁居民 湖南省 影响因素 

分 类 号：R163.3[医药卫生—公共卫生与预防医学]