农村成年人饮酒与自杀风险

Drinking and suicide risk among rural adult

目的:了解农村成年人饮酒与自杀风险的状况,探讨饮酒与自杀风险的关系。方法:整群随机抽样的方法,调查2052名农村成年人,采用自编社会人口学问卷、酒精使用障碍筛查量表(AUDIT)、病人健康问卷抑郁量表中文版、简明国际精神访谈自杀筛选问卷(MINI)收集数据资料。结果:农村成年人危险饮酒率为11.5%(235/2052),自杀风险率为13.8%(283/2052)。有序Logistic回归分析结果显示:年龄在30~39岁、40~49岁、50~59岁、不稳定婚姻、小学及以下、退休或无业、危险饮酒、重度和中度以及轻度抑郁是农村成年人自杀风险发生的危险因素。结论:在控制了社会人口学变量和抑郁症状后,危险饮酒是农村成年居民自杀风险的独立危险因素。自杀风险的其他危险因素还包括较高年龄组、女性、不稳定婚姻,小学及以下文化程度、退休或无业、抑郁症状。

Objective： To investigate the drinking and suicide risk situation among rural adults,and to explore the relationship between those two.Methods： The sample was conducted by clustering random sampling method,and consisted of 2052 rural adults. Using the Self-questionnaire to collect the socio-demographic information. Using alcohol use disorders identification test（ AUDIT）,patient health questionnaire（ PHQ-9）,and the Mini-International Neuropsychiatric Interview to collect data.Results： The prevalence of hazardous drinking is 11. 5%（ 235/2052）. The prevalence of suicide risk is 13. 8%（ 283/2052）. Ordinal logistic regression analysis showed that the age groups in 30-39,40-49,50-59,female,unstable marriage,primary school education and below,retirement or unemployment,hazardous drinking and depression of severe,moderate and mild level are risk factors of suicide risk.Conclusion： After controlling for social demographic variables and depression,hazardous drinking is the independent risk factor of suicide risk among rural adults.Other risk factors of suicide risk include a higher age group among rural adults,female,unstable marriage,primary school education and below,retirement or unemployment and depressive symptom.