中国北方地区居民高危饮酒现状及其影响因素分析  

Prevalence and influencing factors of hazardous drinking among residents in northern China,2010:a cross-sectional survey

作　　者：张辉[1] 李雪[1] 李雅超 杨凤池[1] ZHANG Hui;LI Xue;LI Ya-chao(School of Medical Humanities,Capital Medical University,Beijing 100069,China;不详)

机构地区：[1]首都医科大学医学人文学院,北京100069 [2]北京协和医学院卫生健康管理政策学院

出　　处：《中国公共卫生》2023年第3期324-329,共6页Chinese Journal of Public Health

摘　　要：目的了解中国北方地区居民高危饮酒现状及其影响因素,为当地开展高危饮酒人群的精神卫生保健工作提供参考依据。方法于2010年10月采用按规模大小成比例的概率抽样方法(PPS)在北京市、黑龙江哈尔滨市和新疆克拉玛依市3个北方地区抽取6087名≥16岁社区居民进行问卷调查。结果最终纳入分析的5972名中国北方地区居民中,饮酒者1886人,饮酒率为31.58%;高危饮酒者785人,高危饮酒率为13.14%;高危饮酒者占饮酒者比例为41.62%。多因素非条件logistic回归分析结果显示,年龄31~50岁、居住在哈尔滨市或克拉玛依市、职业为行政管理人员或其他、家庭人均月收入≥1500元、抑郁症状阳性、焦虑症状阳性和消极应对方式得分较高是中国北方地区居民高危饮酒的危险因素,女性和心理健康得分较高是中国北方地区居民高危饮酒的保护因素。结论中国北方地区居民的高危饮酒率较高,性别、年龄、地区、职业、家庭人均月收入、心理健康得分、抑郁症状、焦虑症状和消极应对方式得分为北方地区居民高危饮酒的主要影响因素。Objective To examine the prevalence and risk factors of hazardous drinking behavior among residents in northern China for providing evidence to the implementation of mental health care in populations with hazardous drinking behavior.Methods An on-site self-administered questionnaire survey was conducted among 6087 community residents at ages of 16 years and above recruited in northern China(Beijing municipality,Harbin city of Heilongjiang province,and Karamay city of Xinjiang Uygur Autonomous Region)using probability proportionate to size sampling during October 2010.In addition to a self-designed questionnaire,the Alcohol Use Disorders Identification Test(AUDIT),Self-Rated Health Measurement Scale(SRHMS),Patient Health Questionnaire(PHQ),Ways of Coping Questionnaire(WCQ),and other relevant scales were adopted in the survey.Results Of the 5972 participants completing the survey effectively,1886(31.58%)reported alcohol drinking;785(13.14%)were assessed as with hazardous drinking,accounting for 41.62%of all alcohol drinkers identified.Unconditional multivariate logistic regression analysis revealed following risk factors of hazardous drinking for the participants:at ages of 31-50 years,living in Harbin or Karamay city,being administrative personnel or personnel other than technician/salesman,with family monthly income≥1500 yuan(RMB)per capita,positive for depression symptoms,positive for anxiety symptoms,and with a high score of negative coping style;while,female gender and with a high score of mental health were protective factors against hazardous drinking.Conclusion The prevalence of hazardous drinking was high and mainly influenced by gender,age,region,occupation,family monthly income per capita,mental health score,depressive symptom,anxiety symptom and negative coping style among community residents in the northern China.

关 键 词：高危饮酒 影响因素 北方地区 中国 

分 类 号：R749.62[医药卫生—神经病学与精神病学]