广西壮族自治区农村居民酒精依赖流行病学调查

目的 了解广西壮族自治区年龄≥15岁农村居民酒精依赖的患病率和分布特征.方法 2007年7-12月采用多阶段分层整群抽样方法随机抽取10个县13910名年龄≥15岁的农村居民为调查对象,进行人户调查.以复合性国际诊断问卷(CIDI 3.0)为筛查工具,国际疾病及相关健康问题分类第10版(ICD-10)为诊断标准.结果 完成调查11191人,调查完成率为80.45％.广西壮族自治区农村居民酒精依赖时点患病率为5.81‰,终生患病率为6.17‰.女性酒精依赖终生患病率(0.56‰)低于男性(11.30‰),差异有统计学意义(x2=52.572,P＜0.01).酒精依赖终生患病率在不同年龄、文化程度、婚姻状况等之间差异均有统计学意义(P＜0.05),65～岁组(14.98‰)、小学及以下文化程度(8.58‰)和离婚人群(42.67‰)酒精依赖终生患病率较高.壮族酒精依赖终生患病率为11.76‰,高于汉族(1.77‰),差异有统计学意义(x2=34.056,P＜0.01).结论 酒精依赖已成为广西农村地区重大的公共卫生问题,应针对农村地区老年壮族男性人群开展防治与康复研究工作.

Epidemiological Survey of Alcohol Dependence in Rural Residents in Guangxi Zhuang Autonomous Region

Objective To investigate the prevalence and distribution of alcohol dependence in rural residents aged more than 15 years in Guangxi Zhuang Autonomous Region.Methods From July,2007 to December,2007,13 910 subjects aged more than 15 yrs were randomly selected by stratified multi-stage cluster sampling method.All subjects were investigated by face to face interview.The Composite International Diagnostic Interview（CIDI 3.0） was used as the screening tool and the diagnoses were made with the 10th edition of international classification of Disease Criteria.Results 11 191 subjects completed the screening,the completion rate was 80.45%.The general point prevalence was 5.81‰,and the general lifetime prevalence was 6.17‰.The general lifetime prevalence was significantly higher in male（11.30‰） than in female（0.56‰）（χ2=52.572,P0.01）.There were significant differences of the lifetime prevalence between the different ages,education levels and marriage statuses（all P0.05）,and the prevalence was higher in 65～74 years age group,people with primary grades education or below,and divorced people.Conclusion Alcohol dependence is the most common mental disorder and has become the public health problem in the rural population in Guangxi Zhuang Autonomous Region.It is necessary to carry out targeted research for its prevention and rehabilitation.