深圳市福田区慢性病高风险人群饮酒行为现况分析

Investigation on alcohol drinking behavior among residents with high risk of chronic non-communicable diseases in Futian district of Shenzhen city

目的了解深圳市福田区慢性病高风险人群饮酒行为现状,为开展社区慢性病高风险人群健康管理和有针对性的生活方式干预提供科学依据。方法从深圳市福田区随机抽取12个社区,通过多种途径（体检资料查询、日常门诊发现、家庭医生发现、义诊发现）在被选取的社区中筛查发现慢性病高风险个体1 923名,并对其进行问卷调查,最终获得1 870名慢性病高风险个体的有效问卷。结果深圳市福田区慢性病高风险人群现在饮酒率为11.39%,其中男性和女性慢性病高风险人群现在饮酒率分别为21.65%和4.48%,差异有统计学意义（P〈0.01）;慢性病高风险人群中现在饮酒者平均酒精摄入量为21.09 g/d,男性每日酒精摄入量（25.40 g/d）显著高于女性（7.06 g/d）,差异有统计学意义（P〈0.01）;慢性病高风险人群现在饮酒者中过量饮酒者比例为24.41%,男性（28.22%）和女性（12.00%）现在饮酒者中过量饮酒者所占比例差异有统计学意义（P〈0.05）。多因素logistic回归分析表明,性别和婚姻状况与慢性病高风险人群过量饮酒行为的发生与否存在相关性（OR=10.939,95%CI：4.867~24.589;OR=2.988,95%CI：1.203~7.424）。结论深圳市福田区慢性病高风险人群总体饮酒率不高,但饮酒者酒精摄入量和过量饮酒比例偏高,需针对其人群分布特点制定防治策略和干预措施,进而防止和减缓饮酒相关慢性病的发生和发展。

Objective To investigate the current status in residents with high risk of chronic non-communicable diseases in Futian district of Shenzhen city and to provide the scientific evidence for health management and lifestyle intervention of residents with high risk of chronic non-communicable diseases in communities. Methods A total of 12 communities were random selected from Futian district of Shenzhen city, and a wide variety of screening methods were used for screening high-risk groups of non- communicable diseases. All volunteers （1 923 cases） were investigated by questionnaire. The questionnaires of 1 870 residents with high risk of chronic non-communicable diseases were efficient. Results The alcohol drinking rate among residents with high risk of chronic non-communicable diseases in Futian district of Shenzhen city was 11.39%, the male drinking rate was 21.65%,which was significantly higher than female drinking rate （4.48%） （P〈0.01）. The average intake of alcohol in residents with high risk of chronic non-communicable diseases was 21.09 g/d, but male intake （25.40 g/d） was significantly higher than female （7.06 g/d） （P〈0.01）. Of those drinkers, 24.41% were heavy drinkers, 28.22% for males and 12.00% for females, there was significant difference （P〈O.05）.Multivariable logistic regression model showed that the gender and marital status were associated with the prevalence rate of excessive alcohol drinking （OR= 10.939,95%CI： 4.867-24.589 ; OR=2.988,95%CI： 1.203-7.424）. Conclusion The alcohol drinking prevalence rate of the subjects is relative low, but heavy drinking is higher among alcohol consumers. Comprehensive prevention and control strategies should be taken by the distribution characteristics of the drinking population, and to prevent and delay the occurrence of non-communicable diseases.