江苏省医学生酒精滥用相关因素研究

  目的  探讨江苏省医学生酒精滥用的危险因素，为制订减少有害使用酒精策略提供参考依据。  方法  以江苏省医学生酒精滥用现况调查中319例酒精滥用者作为病例组，按照1:2匹配同性别、专业、年级的对照组638人。采用SPSS 22.0软件进行单因素和多因素条件Logistic回归分析模型分析。  结果  江苏省医学生饮酒率为44.59%，酒精滥用发生率为8.25%。多因素分析结果显示:少数民族(OR=4.800，95% CI: 2.487~9.262)、家庭人均月收入 < 2 000元(OR=4.660，95% CI: 2.600~8.350)、家庭人均月收入2 000~6 000元(OR=1.764，95% CI: 1.142~2.725)、家庭人均月收入>10 000元(OR=2.395，95% CI: 1.456~3.941)、饮酒是适应社会必须(OR=1.768，95% CI: 1.071~2.920)、饮酒不一定是适应社会必须(OR=1.948，95% CI: 1.311~2.894)、性格外向(OR=1.651，95% CI: 1.126~2.423)、有一些情感压力(OR=1.812，95% CI: 1.283~2.558)、情感压力很大(OR=7.207，95% CI: 3.970~13.085)和吸烟(OR=5.352，95% CI: 3.325~8.612)与医学生酒精滥用有关。  结论  江苏省医学生酒精滥用情况与民族、性格、吸烟、情感压力、对饮酒是否为适应社会必须的态度、家庭人均月收入有关，应该针对性的采取防治措施降低酒精滥用的发生。

Related factors affecting alcohol abuse among medical students in Jiangsu Province

Objective To explore the risk factors affecting alcohol abuse among Chinese medical students and to provide scientific basis for reducing harmful use of alcohol. Methods Cases and controls were all selected from the investigation of alcohol abuse among medical students in Jiangsu Province. The 319 respondents reporting perpetrating alcohol abuse behaviors were enrolled to the case group. Two controls were selected for each case from those participants who did not abuse alcohol. Matching was based on gender, major and grade. Univariate conditional Logistic regression analysis and multivariate conditional Logistic regression analysis were carried out using SPSS 22.0. Results Drinking rate of medical students in Jiangsu Province was 44.59%, and the incidence of alcohol abuse was 8.25%. Multi-conditional Logistic regression analysis indicated that minorities(OR=4.800, 95% CI: 2.487-9.262), the per capita monthly income of less than 2 000 yuan(OR=4.660, 95% CI: 2.600-8.350), the per capita monthly income of 2 000-6 000 yuan(OR=1.764, 95% CI: 1.142-2.725), the per capita monthly income of more than 10 000 yuan(OR=2.395, 95% CI: 1.456-3.941), drinking is necessary to adapt to society(OR=1.768, 95% CI: 1.071-2.920), drinking may not be necessary to adapt to society(OR=1.948, 95% CI: 1.311-2.894), extroverted personality(OR=1.651, 95% CI: 1.126-2.423), having some emotional stress(OR=1.812, 95% CI: 1.283-2.558), having great emotional stress(OR=7.207, 95% CI: 3.970-13.085), smoking behavior(OR=5.352, 95% CI: 3.325-8.612) were related factors of alcohol abuse among medical students. Conclusions The situation of alcohol abuse among medical students is related to their ethnicity, personality, smoking, emotional stress, attitudes about whether drinking is necessary to adapt to society, and monthly household income per capita. Preventive intervention measures should be taken to reduce the incidence of alcohol abuse.