长沙市公职人员饮酒行为现状及其影响因素  

Drinking behavior among government employees in Changsha and its influencing factors

作　　者：胡成 罗丹 黄云香 陈志恒[2] 黄志军[3] 肖水源 HU Cheng;LUO Dan;HUANG Yunxiang;CHEN Zhiheng;HUANG Zhijun;XIAO Shuiyuan(Department of Social Medicine and Health Management,Xiangya School of Public Health,Central South University,Changsha 410078;Health Management Center,Third Xiangya Hospital,Central South University,Changsha 410013;Clinical Research Center,Third Xiangya Hospital,Central South University,Changsha 410013,China)

机构地区：[1]中南大学湘雅公共卫生学院社会医学与卫生事业管理系,长沙410078 [2]中南大学湘雅三医院健康管理中心,长沙410013 [3]中南大学湘雅三医院临床试验研究中心,长沙410013

出　　处：《中南大学学报（医学版）》2021年第3期283-292,共10页Journal of Central South University ：Medical Science

基　　金：科技部重点研发项目(2016YFC0900802)。

摘　　要：目的:了解长沙市公职人员饮酒行为及过量饮酒行为的现状,分析公职人员饮酒行为及过量饮酒行为的影响因素,为开展饮酒行为的干预工作,制订促进公职人员健康的相关计划提供依据。方法:以连续入组方式征募在2017年12月到2018年12月间参加长沙市某三级综合医院健康管理中心健康体检的公职人员为研究对象,采用问卷调查研究对象的社会人口特征、饮酒行为及生活事件发生情况等社会心理特征。饮酒定义为调查前1年内平均每周饮酒达1次及以上。比较不同特征人群的饮酒率、过量饮酒率的差异,采用多因素分析研究对象饮酒行为及过量饮酒行为的影响因素。结果:最终纳入6190名公职人员。长沙市公职人员过去1年饮酒率为21.9%,男性高于女性(44.7%vs 4.0%,P<0.01)。在饮酒人群中,男性和女性的过量饮酒率分别为26.4%和10.1%,有害饮酒率分别为6.0%和2.2%。多因素分析结果显示:吸烟、文化程度高中及以下、应酬频率≥2次/周、已婚和离异/丧偶是男性公职人员饮酒行为的危险因素,年龄为41~60岁、应酬频率≥2次/周、生活事件总刺激量≥8分是女性饮酒行为的危险因素。男性、年龄为41~60岁、吸烟、应酬频率≥2次/周、生活事件总刺激量≥1分是过量饮酒的危险因素。结论:长沙市公职人员的饮酒率较高。婚姻状况、体育锻炼、应酬频率是男性饮酒行为和女性饮酒行为共同的影响因素。生活事件总刺激量是过量饮酒行为的影响因素。Objective:To analyze the prevalence and influencing factors for drinking behavior and heavy drinking among government employees in Changsha and provide a basis for carrying out interventions for drinking behaviors and formulating public health promotion plans for government employees.Methods:Government employees were recruited consecutively from the Health Management Center of a general hospital in Changsha between December 2017 and December 2018.Information on sociodemograpic characteristics,drinking behaviors,life events,and psychosocial characteristics was collected using a standard set of questionnaire.Drinking behavior was defined as drinking once or more per week for the past 12 months.The differences in drinking rates and excessive drinking rates among groups with different characteristics were compared.Multivariate analysis was performed to analyze the associated factors of drinking behaviors and heavy drinking for government employees.Results:A total of 6190 people completed this investigation.The overall drinking rate of government employees in Changsha was 21.9%,and the rate of drinking was higher in males than that in females(44.7%vs 4.0%,P<0.01).Among the participants who drinked,the heavy drinking rates of males and females were 26.4%and 10.1%,respectively,while the harmful drinking rates of males and females were 6.0%and 2.2%,respectively.The results of multivariate logistic regression analysis showed that smoking,below high school education level,frequency of social intercourse≥2 times per week,and having married or the divorced/widowed marital status were associated with alcohol drinking for male governmental employees.While aged 41 to 60 years old,frequency of social intercourse≥2 times per week,life events stimulation≥8 points were the risk factors for female;male,aged 41 to 60 years old,smoking,frequency of social intercourse≥2 times per week,and life events stimulation≥1 point were the risk factors for heavy drinking.Conclusion:The drinking and heavy drinking rates of government emp

关 键 词：饮酒 过量饮酒 公职人员 生活事件 影响因素 

分 类 号：R163[医药卫生—公共卫生与预防医学]