胜利油田某社区居民饮酒与慢性病关系研究

目的探讨饮酒与慢性病的关系。方法采用多阶段等比例分层整群抽样的方法,在胜利油田滨州工作区某社区抽取18岁以上常住居民3 471人作为调查对象进行慢性病相关问卷调查。结果本社区居民饮酒率为32.87%(标化率为21.54%),其中男性饮酒率为72.29%(标化率为58.80%),女性饮酒率为4.16%(标化率为3.13%),男性高于女性(χ2=766.39,P0.05)。饮酒人群慢性病患病率高于不饮酒人群,饮酒年限越长,慢性病患病率越高(χ2趋势=127.95,P0.05),饮用高度白酒慢性病患病率高,而饮用葡萄酒患病率低(χ2=40.39,P0.05),随着饮酒频率的增加,慢性病患病率呈现"～"型,以"10次以上/周"患病率为最高,"小于3次/周"为最低(χ2趋势=17.61,P0.05),平均每次饮酒量越高,慢性病患病率越高,但是"平均每次饮用400 ml以上"人群患病率有所下降(χ2趋势=4.00,P0.05)。多因素分析结果显示:是否饮酒(OR=1.81)、饮酒年限(OR=1.30)、饮酒频率(OR=1.42)、平均每次饮用量(OR=1.26)均是慢性病发生的危险因素。结论被调查社区居民饮酒率较高,应加强饮酒人群的健康教育,控制饮酒,以降低与饮酒有关的慢性病患病率。

The relationship between alcohol consumption and chronic disease among residents in a community of Shengli Oil Field

Objective To discuss the relationship between alcohol consumption and chronic disease. Methods A ques- tionnaire survey was conducted among 3 471 residents over 18 years old with multistage stratified - cluster sampling tech- nique in a community of Shengli oil field. Results The rate of alcohol consumption was 32.87% in this community（72. 29% for men and 4.16% for women） ; the general standardized rate of alcohol consumption was 21.54% （58.80% for men and 3.13% for women） （X2 = 766. 39, P 〈 0.05）. Alcohol consumption showed a higher prevalence of chronic dis- ease,which was positively correlated with drinking duration （X2 = 127. 95, P 〈 0. 05 ）. Drinking Chinese spirits showed a higher prevalence than drinking wine （X2 = 40. 39, P 〈 0.05 ）. With the increase of drinking frequency, the prevalence of chronic disease presented a ＂ ~ ＂ type,with ＂more than ten times per week＂ for the peak and ＂less than three times per week＂ for the minimum（x2 = 17. 61 ,P 〈 0.05）. Generally the more alcohol was consumed each time on average, the high- er the prevalence of chronic disease would have. However, the prevalence showed a decline among the individuals drinking more than 400ml each time on average. Multivariate analysis showed that drinking（ OR = 1.81 ）, drinking duration（ OR = 1.30）, drinking frequency（ OR = 1.42） and average consumption of drinking（ OR = 1.26） were risking factors for chronic disease. Conclusions The rate of alcohol consumption is high among community residents. Therefore, health education should be enhanced among the drinkers to control drinking and reduce the prevalence of chronic disease.