广西农村侗族居民酒精依赖流行病学调查

Epidemiological investigation of alcohol dependence in Dong nationality residents of Guangxi rural areas

目的了解广西农村侗族居民酒精依赖的患病水平和分布特征,为酒精依赖疾病的防治提供科学依据。方法 2007年7-12月采用多阶段分层整群抽样方法随机抽取三江侗族自治县1 200名年龄≥15岁农村侗族居民为调查对象进行入户调查。以复合性国际诊断问卷（CIDI 3.0）为筛查工具,以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1 023人,调查完成率为85.25%。广西壮族自治区年龄≥15岁农村侗族居民酒精依赖时点患病率为19.55‰,终生患病率为20.53‰。男性的酒精依赖时点患病率为33.10‰,高于女性（2.23‰）,差异有统计学意义（χ2=12.528,P〈0.01）。男性的酒精依赖终生患病率为34.84‰,高于女性（2.23‰）,差异有统计学意义（χ2=13.329,P〈0.01）。酒精依赖时点患病率和终生患病率分别在不同年龄组和不同婚姻状况之间的差异均有统计学意义（P〈0.05）,45~岁组和离婚或丧偶人群时点患病率较高（分别为55.21‰和60.61‰）。多因素非条件logistic回归分析结果显示,性别（OR=18.195,95%CI：2.418~136.909）和婚姻状况（OR=14.965,95%CI：1.612~138.915）是广西农村侗族居民患酒精依赖的主要影响因素。结论广西农村侗族居民酒精依赖患病率较高,男性、45~54岁者和离婚或丧偶人群是广西农村侗族酒精依赖防治的重点人群。

Objective To investigate the morbidity and distribution of alcohol dependence in Dong nationality residents in rural areas of Guangxi and to provide the scientific basis for control and prevention of alcohol dependence. Methods From July to December 2007,1 200 Dong residents（≥15 years old） in Sanjiang county were randomly selected by stratified multi-stage cluster sampling method. All subjects were investigated by interview. The Composite International Diagnostic Interview（CIDI-3.0）was used as the screening tool and the analysis on the morbidity and distribution of alcohol dependence were conducted with the10 th edition of international classification of disease（ICD-10） which served as diagnosis criteria. Results The completion rate of investigation was 85.25%（1 023/1 200）. The morbidity of alcohol dependence in rural Dong residents（≥15 years old） was 19.55‰,the lifetime morbidity was 20.53‰. The morbidity and lifetime morbidity of alcohol dependence in males were 33.10‰ and34.84‰,which were significantly higher than those（2.23‰ and 2.23‰） in females（P〈0.01）. There were significant differences of point morbidity and lifetime morbidity of alcohol dependence in different age groups and different marital status groups（P〈0.05）,the point morbidities in 〉45 years old groups and the divorced or widowed groups were high（55.21‰ and 60.61‰）. Multivariate logistic regression analysis showed that the main risk factors of alcohol dependence were gender（OR=18.195,95%CI：2.418-136.909） and marital status（OR=14.965,95%CI： 1.612-138.915） in Dong residents of Guangxi rural areas. Conclusion The morbidity of alcohol dependence in Dong residents of Guangxi rural areas is high,the main population with alcohol dependence are males,45-54 years old residents and divorced or widowed residents.