泸州市成年居民饮酒与慢性病患病关系

目的 了解四川省泸州市成年居民饮酒与慢性病患病率的关系.方法 利用2009年泸州市健康城市建设项目的调查资料,对泸州市11425名成年居民的饮酒和慢性病现状进行分析,并采用多因素非条件Logistic回归分析是否饮酒与慢性病患病率的关系.结果 泸州市成年居民慢性病患病率为24.4%,女性(26.2%)高于男性(22.1%),饮酒率为13.2%,且男性(28.2%)明显高于女性(1.3%);1505名饮酒者中,每次酒精量<40g者占50.9%,40～100g者占40.5%,≥100g者占6.1%;饮酒频率越高(χ²趋势=8.305,P=0.004),饮酒年限越长(χ²趋势=101.345,P<0.001),饮用的总酒精量越多(χ²趋势=17.651,P<0.001),慢性病患病率越高;多因素分析显示,是否饮酒与慢性病患病率之间呈负相关( β=-0.424),饮酒者患慢性病的危险低于不饮酒者,OR值为0.654(95%CI=0.559～0.766).结论 泸州市大部分饮酒者为长期、经常饮酒,应加强高饮酒率人群的健康教育,控制过量饮酒,以降低与饮酒有关的慢性病患病率.

Relationship between alcohol-drinking and prevalence rate of chronic diseases among adult inhabitants in Luzhou city

Objective To assess the relationship between alcohol-drinking and chronic diseases among adult inhabitants in Luzhou city. Methods Totally 11 425 adult inhabitants were investigated on their status of alcohol-drinking and the prevalence rate of chronic diseases using the data from Health City Program in Luzhou city,2009.Multiple logistic regression models were employed to explore the relationship between alcohol-drinking and chronic diseases. Results The total prevalence rate of chronic diseases was 24.4%(26.2% for male,22.1% for female) and the total prevalence rate of alcohol-drinking was 13.2%(28.2% for male,1.3% for female).Among 1 505 drinkers,the proportion of drinkers with alcohol consumption of less than 40 g,40-100 g,>100 g for each drinking was 50.9%,40.5%,and 6.1%,respectively.Chi-squre trend tests indicated that the frequency of drinking(χ2trend=8.305,P=0.004),drinking duration(χ2trend=101.345,P<0.001),and the total amount alcohol consumption(χ2trend=17.651,P<0.001) were positively correalated with the prevalence rate of chronic diseases.Multiple logistic regression analyses showed that odds ratio(OR) of chronic disease for the alcohol-drinkers was 0.654(95% confidence interval:0.559-0.766). Conclusion Most inhabitants in Luzhou city had long duration of drinking and frequent drinking history.So related knowledge about the harm of alcohol-drinking should be popularized among residents to reduce the prevalence of chronic diseases among alcohol-drinking residents.