农村男性酒精滥用和依赖的流行病学。
Epidemiology of alcohol abuse and dependence in rural chinese men.
机构信息
Public Health School, Central South University, Changsha, Hunan, China.
出版信息
Alcohol Clin Exp Res. 2009 Oct;33(10):1770-6. doi: 10.1111/j.1530-0277.2009.01014.x. Epub 2009 Jul 1.
BACKGROUND
Several national and regional epidemiological studies in China have reported increases in the prevalence of alcohol use disorders over the past 3 decades.
METHODS
This cross-sectional study conducted in 2007 identified 11,884 male subjects aged 18 to 60 years using multi-stage randomized cluster sampling methods in 2 rural communities in China and interviewed 9,866 of them. Current and lifetime alcohol use disorders were assessed with a semi-structured diagnostic interview.
RESULTS
The age-standardized prevalence of current (lifetime) alcohol abuse and alcohol dependence in Hunan were 1.8% (4.8%) and 4.7% (8.6%) respectively, and those in Henan were 7.6% (11.8%) and 8.7% (10.8%). Higher age (55 to 60) and lower education were risk factors for alcohol dependence in Hunan while middle age (35 to 44), currently married, and higher education and higher income were risk factors in Henan.
CONCLUSIONS
Alcohol abuse and dependence are no longer uncommon disorders among rural men in China. Unlike most western reports, alcohol dependence shows higher prevalence than abuse. There are significant differences in the prevalence of alcohol use disorders and the socio-demographic profile of affected individuals in the 2 different regions of the country.
背景
中国的几项全国性和地区性的流行病学研究报告称，在过去的 30 年中，酒精使用障碍的患病率有所增加。
方法
本横断面研究于 2007 年采用多阶段随机聚类抽样方法在中国 2 个农村社区中确定了 11884 名 18 至 60 岁的男性受试者，并对其中的 9866 人进行了访谈。使用半结构式诊断访谈评估当前和终身酒精使用障碍。
结果
湖南的当前（终身）酒精滥用和酒精依赖的年龄标准化患病率分别为 1.8%（4.8%）和 4.7%（8.6%），河南的患病率分别为 7.6%（11.8%）和 8.7%（10.8%）。在湖南，年龄较大（55 至 60 岁）和教育程度较低是酒精依赖的危险因素，而在河南，中年（35 至 44 岁）、已婚、教育程度较高和收入较高是酒精依赖的危险因素。
结论
在中国农村男性中，酒精滥用和依赖已不再是罕见的疾病。与大多数西方报告不同，酒精依赖的患病率高于滥用。在该国的 2 个不同地区，酒精使用障碍的患病率和受影响个体的社会人口学特征存在显著差异。
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