美沙酮维持治疗门诊患者饮酒行为的特征及相关因素分析

目的：探讨美沙酮维持治疗（MMT）门诊患者饮酒行为的特征及相关因素。方法：采用流行病学现况调查和病例对照研究设计，564位MMT门诊患者完成饮酒行为筛查后分为饮酒组和非饮酒组，再从普通社区选取频数匹配（性别、年龄和文化程度）的一般饮酒者作为饮酒组的对照组；研究对象自评完成一般情况问卷和饮酒问卷（ADS）；用Logistic回归筛选饮酒行为的相关因素。结果：样本饮酒行为的检出率（95％置信区间）为30．3％（26．5％，34．1％）；饮酒组的ADS得分显著高于对照组（6．73±6．14）vs（5．38±3．48），P=0．02]；饮酒行为的发生与男性（OR=6．78）、无宗教信仰（OR=2．32）、无吸烟行为（OR=1．96）和吸毒时间长（OR=1．21）有关。结论：MMT门诊患者的饮酒行为具有成瘾、依赖特征；其发生与社会人口学因素及物质使用有关。

Alcohol drinking behavior among methadone maintenance treatment outpatients: characteristics and related factors

Objective：To describe the characteristics and related factors of alcohol drinking behavior among methadone mainte- nance treatment （MMT） outpatients. Methods：Five hundred and sixty - four MMT outpatients were screened for drinking behavior and subdivided into drink group and non -drink group; a frequency matched （gender, age and education level） groups from community al- cohol users were selected as the control of drink group. All participants completed the socio - demographic questionnaire and Alcohol Use Questionnaire （ADS）. Logistic regression was used to identify associated factors. Results： The prevalence （95 % confidence inter- val） of alcohol drinking was 30.3% （26.5% ,34.1% ） ; ADS score of drink group was higher than that of control group （6.73 ± 6. 14） vs. （ 5.38± 3.48 ）, P = 0.02 ] ; Drinking was associated with male （ OR = 6.78 ）, lack of religious belief （ OR = 2.32 ）, without cigarette smoking （OR = 1.96） and long drug- taking time （OR = 1.21 ）. Conclusions： Drinking behavior of MMT outpatients has addiction and dependence characteristics. Its occurrence is related to socio -demographic factors and substance use.