北京市通州区常住居民饮酒与酒精性肝病流行病学调查

Epidemiologic investigation of alcohol consumption and alcoholic liver disease among residents in the Tongzhou District of Beijing

目的了解通州区常住居民饮酒行为特征和酒精性肝病发病情况及特点。方法选择在通州居住超过6个月并且有北京市医保的25岁及以上人群,对调查对象开展问卷调查,并进行相关体格检查和生化、影像检查。计数资料用例(%)表示,χ^(2)检验比较不同特征调查对象检出率的差异,差异有统计学意义(P<0.05)。结果共调查8014人,平均年龄(45.65±14.19)岁;其中饮酒率、危险饮酒率、有害饮酒率分别为45.29%、3.63%、4.03%;上述饮酒率男性均高于女性,饮酒率随年龄升高而降低,随文化程度和收入升高而升高,差异有统计学意义(P<0.05)。危险饮酒率和有害饮酒率随年龄升高而升高,随文化程度和收入升高而降低。酒精性肝病检出率3.88%,分布特征与危险饮酒和有害饮酒分布特征基本一致。结论通州区饮酒率、危险饮酒率、有害饮酒率、酒精性肝病检出率需要引起关注,通过倡导戒酒限酒等健康生活方式,降低酒精性肝病的发生。

Objective To understand the drinking behaviors and the incidence and characteristics of alcoholic liver disease among residents in Tongzhou District.Methods Adults>25 years of age who lived in Tongzhou for>6 months and had medical insurance in Beijing were selected to complete a questionnaire survey,undergo a physical examination,biochemical testing,and imaging examinations.Count data are expressed as n(%).A chi-square test was used for statistical analysis;a P<0.05 was considered statistically significant.Results A total of 8014 adults were studied,with an average age of(45.65±14.19)years.The alcohol,dangerous alcohol,and harmful alcohol consumption rates were 45.29%,3.63%,and 4.03%,respectively;males had higher rates than females.The alcohol consumption rate decreased as age increased,and increased as education and income increased(P<0.05).The dangerous and harmful alcohol consumption rates increased as age increased,and decreased as education and income increased.The detection of alcoholic liver disease was 3.88%,and the distribution characteristics were consistent with the distribution characteristics of dangerous and harmful alcohol consumption.Conclusion The alcohol,dangerous alcohol,and harmful alcohol consumption rates,and the detection rate of alcoholic liver disease in Tongzhou warrant close attention,and interventions to reduce the occurrence of alcoholic liver disease by advocating healthy lifestyles,such as abstinence from alcohol and restriction of alcohol consumption.