Mylona Lamprini, Huy Nguyen Van, Ha Pham Nguyen, Riggi Emilia, Marrone Gaetano
a Department of Public Health Sciences , Karolinska Institutet , Stockholm , Sweden.
b Department of Health Management and Organization , Hanoi Medical University , Hanoi , Vietnam.
Subst Use Misuse. 2017 Jul 29;52(9):1170-1180. doi: 10.1080/10826084.2017.1302480. Epub 2017 Jun 1.
Alcohol consumption is of global concern. However, drinking patterns and associated factors remain under-investigated, especially among low socioeconomic groups such as street laborers.
Using the social cognitive model as a framework for the study we aimed to identify factors associated with risky alcohol consumption.
In a cross-sectional study using structured questionnaires, 450 male street laborers searching for casual works in Hanoi, Vietnam were interviewed. A logistic regression was applied in order to detect predictors of risky alcohol drinking.
During the last month, 45% of the participants reported daily consumption while the other 55% consumed weekly or less. Among the drinkers (416 out of 450, 92%), 27% were identified as high-risk drinkers who reported more than 14 standard drinks per week, while only 8% were lifetime abstainers. The multivariable logistic regression showed that older age, higher income were positively associated with a higher likelihood of drinking alcohol, while high school level negatively. The environmental predictor was the higher level of peer connection. The association between drinking and risky behavior was found positive with regards to the number of sexual partners.
The study suggests that male street laborers are vulnerable to health risks. Decision makers should note that a significant proportion of this target group exceeds the guidelines for alcohol use and this should be included in future interventions or further research. A multisectoral approach together with an important strategy of education is needed to control alcohol use.
饮酒问题受到全球关注。然而，饮酒模式及其相关因素仍未得到充分研究，尤其是在街头劳动者等社会经济地位较低的群体中。
以社会认知模型为研究框架，旨在确定与危险饮酒相关的因素。
在一项采用结构化问卷的横断面研究中，对越南河内450名寻找临时工作的男性街头劳动者进行了访谈。应用逻辑回归来检测危险饮酒的预测因素。
在过去一个月中，45%的参与者报告每日饮酒，而其他55%的人每周饮酒一次或更少。在饮酒者中（450人中有416人，占92%），27%被确定为高危饮酒者，他们报告每周饮用超过14个标准饮酒单位，而只有8%的人终生戒酒。多变量逻辑回归显示，年龄较大、收入较高与饮酒可能性较高呈正相关，而高中文化程度则呈负相关。环境预测因素是同伴联系程度较高。饮酒与危险行为之间的关联在性伴侣数量方面呈正相关。
该研究表明男性街头劳动者易面临健康风险。决策者应注意到这一目标群体中有很大一部分人饮酒量超过了饮酒指南标准，这一点应纳入未来的干预措施或进一步研究中。需要采取多部门方法以及重要的教育策略来控制饮酒。
