凉山州HCV感染者吸烟饮酒情况分析  

Smoking and alcohol drinking among HCV-infected people in Liangshan Yi Autonomous Prefecture

作　　者：余刚[1] 张玉莲 吉克春农 买泓 王菊[1] 王忠红 王玉兵 布格阿呷 裴芳 王世宇 刘旖 梅婷 张瑜 刘根体 裴容 YU Gang;ZHANG Yulian;Jike Chunnong;MAI Hong;WANG Ju;WANG Zhonghong;WANG Yubing;Buge Aga;PEI Fang;WANG Shiyu;LIU Yi;MEI Ting;ZHANG Yu;LIU Genti;PEI Rong(Liangshan Yi Autonomous Prefecture Center for Disease Control and Prevention,Xichang 615000,Sichuan,China;School of Public Health,Chengdu University of Traditional Chinese Medicine,Chengdu 611100,Sichuan,China;Business School,Macao University of Science and Technology,Macao 999078,China;School of Management,Chengdu University of Traditional Chinese Medicine,Chengdu 611100,Sichuan,China;Affiliated Hospital of Sichuan Nursing Vocational College(The Third People's Hospital of Sichuan Province),Chengdu 610031,Sichuan,China)

机构地区：[1]凉山彝族自治州疾病预防控制中心,四川西昌615000 [2]成都中医药大学公共卫生学院,成都611100 [3]澳门科技大学商学院,中国澳门999078 [4]成都中医药大学管理学院,成都611100 [5]四川护理职业学院附属医院(四川省第三人民医院),成都610031

出　　处：《中国艾滋病性病》2024年第1期65-69,共5页Chinese Journal of Aids & STD

基　　金：凉山州科技计划重点研发项目(22ZDYF0125);国家自然科学基金(72304050);四川省科技计划重点研发项目(2022YFS0229);成都中医药大学苗圃人才专项(MPRC2021014)。

摘　　要：目的了解凉山州HCV感染者吸烟饮酒情况及相关因素,为制定相应的关怀干预措施提供参考。方法抽取德昌县和布拖县HCV感染者为研究对象,进行现场一对一调查。统计分析采用χ2检验、多元Logistic分析等方法。结果本次调查共回收有效问卷489份。其中382人(78.12%)吸烟,194人(39.67%)饮酒,开始吸烟年龄(18.69±5.72)岁,日吸烟量(17.79±7.30)支。与吸烟行为相关的变量中,男性(OR=56.744,95%CI:23.390~138.252)相较于女性、注射毒品(OR=4.302,95%CI:2.195~8.429)相较于性传播吸烟概率更高等。与饮酒行为相关的变量中,男性(OR=6.145,95%CI:2.027~18.627)相较于女性、HCV单独感染(OR=2.026,95%CI:1.354~3.032)相较于HIV/HCV合并感染饮酒概率更高等。同时吸烟饮酒行为的相关因素中,男性(OR=29.458,95%CI:7.044~123.197)相较于女性、共用注射器(OR=1.832,95%CI:1.144~2.932)相较于未共用注射器人群、未接受HCV治疗(OR=1.631,95%CI:1.002~2.657)相较于已进行HCV治疗人群、HCV单独感染(OR=2.674,95%CI:1.652~4.328)相较于HIV/HCV合并感染人群同时吸烟饮酒概率更高。结论HCV感染人群中,对于男性、曾经注射毒品、未接受HCV治疗、无HIV合并感染人群应重点关注,加强健康教育,做到戒烟戒酒。当进行疾病筛查或治疗时,对相应重点对象开展吸烟饮酒行为调查,实施动态管理,积极干预,以提高HCV治疗效果或延缓疾病进程。Objective This study seeks to understand the prevalence of smoking and alcohol drinking among HCVinfected people in Liangshan Yi Autonomous Prefecture,as well as its related factors,and provide reference for the development of intervention measures.Methods HCV-infected patients in Dechang and Butuo counties were sampled for on-site one-on-one surveys.Statistical analysis was performed using a chi-square test and multivariate Logistic analysis.Results A total of 489 valid questionnaires were collected.Among the respondents,382(78.12%)were smokers,and 194(39.67%)were alcohol drinkers.They started smoking at the age of 18.69±5.72 and consumed 17.79±7.30 cigarettes on a daily basis.Among the variables related to smoking,males(OR=56.744,95%CI:23.390-138.252)were more likely to smoke compared with females,and people who were infected by injecting drugs(OR=4.302,95%CI:2.195-8.429)had a higher tendency to smoke compared with patients infected through sexual transmission.Among the variables related to alcohol drinking,men(OR=6.145,95%CI:2.027-18.627)had a higher probability of drinking compared with women,and patients infected only with HCV(OR=2.026,95%CI:1.354-3.032)were more likely to consume alcohol compared with patients infected with both HIV and HCV.Among the correlates of concurrent smoking and drinking behaviors,men(OR=29.458,95%CI:7.044-123.197)were more likely to smoke and drink than were women,patients who shared syringes(OR=1.832,95%CI:1.144-2.932)were more likely to smoke and drink than those who did not,patients who did not receive HCV treatment(OR=1.631,95%CI:1.002-2.657)had a higher tendency to smoke and drink than those who had received HCV treatment,and those who were infected with only HCV(OR=2.674,95%CI:1.652-4.328)were more likely to smoke and drink than those who were infected with both HIV and HCV.Conclusions In the HCVinfected population,men,former injecting drug users,those not receiving HCV treatment,and those without HIV coinfections should be the focus of enhanced health education to help the

关 键 词：丙型肝炎病毒 吸烟 饮酒 相关因素 

分 类 号：R512.6[医药卫生—内科学]