上海市美沙酮维持治疗患者的酒精使用情况调查  

Investigation on alcohol use among the patients with methadone maintenance treatment in Shanghai

作　　者：杜哲一[1] 张蕾[1] 张佳婷 杜江[1] 施大庆 宝家怡 吴倩影 张靓颖 董萍[1] DU Zhe-yi;ZHANG Lei;ZHANG Jia-ting;DU Jiang;SHI Da-qing;BAO Jia-yi;WU Qian-ying;ZHANG Jing-ying;DONG Ping(Department of Substance Abuse and Addiction,Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China;ShanghaiCompulsory Drug Rehabilitation Center,Shanghai 200439,China)

机构地区：[1]上海交通大学医学院附属精神卫生中心物质依赖与成瘾科,上海200030 [2]上海市强制隔离戒毒所,上海200439

出　　处：《上海交通大学学报（医学版）》2019年第2期193-197,共5页Journal of Shanghai Jiao tong University:Medical Science

基　　金：上海市精神卫生中心院内科研项目(2016-YJ-20);美国国立卫生研究院项目(1R01DA027195)~~

摘　　要：目的·调查上海市美沙酮维持治疗患者的酒精使用情况及相关影响因素,为患者后续的酒精干预提供依据。方法·入选上海市837名美沙酮维持治疗患者,采用一般情况调查表、酒精使用障碍筛查问卷、患者健康问卷抑郁量表、广泛性焦虑量表、总体幸福感量表对患者进行调查并评估;根据近1年内患者是否饮酒,将其划分为非饮酒组和饮酒组,并对2组患者进行t检验、χ~2检验及多因素Logistic回归分析。结果·837名入选患者中,有30.9%的患者存在饮酒行为,其中13.8%的患者存在问题饮酒行为。影响患者饮酒行为的主要因素为性别(P=0.029)、首次吸毒年龄(P=0.005)、吸食海洛因前饮酒(P=0.000)、吸食海洛因时饮酒(P=0.000)。结论·上海市美沙酮维持治疗患者的饮酒情况较为普遍,该类患者缺乏对饮酒危害的认知。应对其采取有针对性的干预措施,以降低饮酒相关危害。Objective · To investigate the prevalence of alcohol use and related influencing factors among the patients with methadone maintenance treatment (MMT) in Shanghai, and to provide information for the alcohol intervention in the future. Methods · A total of 837 MMT patients were investigated and evaluated by General Situation Questionnaire, Alcohol Use Disorders Identification Test, Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, General Well-being Schedule. According to whether drinking or not in the past year, the two groups were divided into the nondrinking group and the drinking group. T-test, Chi-square test and multivariate Logistic regression analysis were used to detected between two groups. Results · 30.9% of the patients had drinking behavior in the past year, 13.8% of them had problem drinking behavior. The main factors affecting patients' drinking behavior were sex (P=0.029), age of first drug use (P=0.005), drinking before taking heroin (P=0.000) and drinking when taking heroin (P=0.000). Conclusion · In Shanghai, alcohol consumption is generally prevalent among MMT patients who lack awareness of the dangerous of drinking. In the future, targeted intervention measures should be taken to reduce the harm of drinking among MMT patients.

关 键 词：美沙酮维持治疗 海洛因 依赖 有害饮酒 

分 类 号：R749.62[医药卫生—神经病学与精神病学]