云南省某少数民族聚集地区农村老年男性饮酒行为特征调查

An alysisof drinking behaviors of elderly men in an ethnic minority aggregated area,Yunnan province

目的:了解云南省少数民族聚集地区老年男性人群饮酒行为现状及影响因素,以帮助少数民族地区完善老年男性饮酒行为干预策略提供数据支持。方法:在云南省某少数民族聚集市采用横断面研究的方法调查60岁及以上老年人群,并采用酒精使用障碍筛查量表(AUDIT-C)筛查其有害饮酒问题。结果:本次调查人群中现在饮酒率为51. 2%,有害饮酒筛查阳性率为41. 4%。不同年龄段、民族、当前吸烟情况、子女在身边工作或居住的情况的人群现在饮酒率差异具有统计学意义。不同民族、当前吸烟情况和有害饮酒筛查阳性率差异具有统计学意义;60岁组人群饮酒年限与酒精有害筛查评分正相关,Spearman相关系数为0. 113 (P=0. 044)。结论:本研究中调查地区老年男性人群现在饮酒率高于全国平均水平,有害饮酒风险也较严重。不同年龄、民族和子女是否居住或工作在身边现在饮酒状况不同,现在吸烟人群现在饮酒率和有害饮酒风险较高,建议当地卫生和健康管理部门完善有针对性的有害饮酒防制策略。

Objective:To understand the status and influencing factors of drinking behavior among elderly males in Ethnic Minority Areas in Yunnan Province,so as to provide basic data support for drinking behavior intervention.Methods:A cross-sectional survey was conducted to investigate the elderly population 60 years old and over in an Ethnic Minority Aggregated City,Yunnan Province,and Alcohol Use Disorders Identification Test-Consumption questionnaire(AUDIT-C)was employed to screen alcohol use disorders.Results:The prevalence rate of current drinking was 51.2%and the positive detection rate of the harmful alcohol use was 41.4%among all participants.Statistically significant difference of drinking rate was detected among people of different ages,ethnic groups,current smoking situation,and whether their children living or working around.There was also statistical difference in the harmful alcohol use risk among people with different ethnic groups and current smoking situation.There was a positive correlation between the total years of drinking and AUDIT-C score of alcohol harmfulness risk in the 60-year-old group,and the Spearman correlation coefficient was 0.113(P=0.004).Conclusion:Current drinking rate of the aged men in the ethnic minority city in our study was higher than the average national level,and harmful alcohol use was also serious.Drinking situation was significant different among different age-groups,ethnics and whether their children living or working around.Current drinking rate and harmful drinking risk of the smoking population are higher among current smokers than non-smokers.Local health administrative departments and health promotion agencies should strengthen the intervention strategy of drinking behavior among the male elderly.