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[墨西哥社会保障局参保人群中酒精有害及危险消费的患病率]

[Prevalence of hazardous and harmful consumption of alcohol in the insured population of the Mexican Social Security Institute].

作者信息

de la Cruz Morales-García Juana Inés, Fernández-Gárate Irma H, Tudón-Garcés Hugo, Escobedo-de la Peña Jorge, Zárate-Aguilar Angel, Madrazo-Navarro Mario

机构信息

División de Epidemiología, Coordinación de Salud Comunitaria, Instituto Mexicano del Seguro Social (IMSS), México, D.F., México.

出版信息

Salud Publica Mex. 2002 Mar-Apr;44(2):113-21.

Abstract

OBJECTIVE

To estimate the prevalence of hazardous and harmful alcohol consumption among the insured population of Instituto Mexicano del Seguro Social (Mexican Social Security Institute, IMSS).

MATERIAL AND METHODS

A cross-sectional survey was conducted in 45,117 insured subjects from Mexico's 36 political districts; study subjects were interviewed using a structured and self-applied questionnaire on alcohol consumption, using the ten-item screening instrument AUDIT (Alcohol Use Disorder Identification Test). The first three questions refer to the amount and frequency of drinking, the following three question to alcohol dependence, and the last four to alcohol-related problems. Each item has three to five options and each is scored progressively from zero to four. The prevalence of alcohol consumption was estimated with 95% confidence intervals.

RESULTS

The prevalence of problem drinkers (hazardous and harmful) was 12.8% (IC 95% 12.5-13.2); it was higher in men (22.2%; IC 95% 21.7-22.8) than in women (3.4%; IC 95% 3.1-3.6). An age effect was observed in men, while in women alcohol consumption was more homogeneous. In both genders consumption was higher in productive-age groups.

CONCLUSIONS

The prevalence of hazardous and harmful alcohol consumption is high in the insured population of the IMSS in Mexico. There is a need to implement health policies and health programs to diminish this serious health problem. The English version of this paper is available at: http://www.insp.mx/salud/index.html.

摘要

目的

评估墨西哥社会保障局(IMSS)参保人群中有害及危险饮酒的患病率。

材料与方法

对来自墨西哥36个行政区的45117名参保对象进行了一项横断面调查;研究对象通过一份关于饮酒情况的结构化自填问卷进行访谈,问卷采用十项筛查工具AUDIT(酒精使用障碍识别测试)。前三个问题涉及饮酒量和饮酒频率,接下来三个问题涉及酒精依赖,最后四个问题涉及与酒精相关的问题。每个问题有三到五个选项,每个选项的得分从0到4逐步递增。采用95%置信区间估计饮酒的患病率。

结果

问题饮酒者(有害及危险饮酒者)的患病率为12.8%(95%置信区间12.5 - 13.2);男性患病率(22.2%;95%置信区间21.7 - 22.8)高于女性(3.4%;95%置信区间3.1 - 3.6)。在男性中观察到年龄效应,而女性的饮酒情况更为均匀。在两个性别中,生产年龄组的饮酒率更高。

结论

墨西哥IMSS参保人群中有害及危险饮酒的患病率较高。有必要实施健康政策和健康项目来减少这一严重的健康问题。本文的英文版本可在以下网址获取:http://www.insp.mx/salud/index.html

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