Pengpid Supa, Peltzer Karl, Puckpinyo Apa, Thammaaphiphol Kriengsak
ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhonpathom, Thailand.
Department of Research Innovation and Development, University of Limpopo, Turfloop campus, South Africa.
S Afr J Psychiatr. 2016 Mar 22;22(1):763. doi: 10.4102/sajpsychiatry.v22i1.763. eCollection 2016.
To better understand conjoint alcohol and tobacco use among male hospital out-patients, the purposes of this study were: (1) to assess the prevalence of conjoint use and (2) to determine the factors associated with the conjoint alcohol use and tobacco use.
In a cross-sectional survey, consecutive male out-patients from four district hospitals in Nakhon Pathom province in Thailand were assessed with the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), Hospital Anxiety and Depression Scale (HADS), self-reported chronic conditions and health-seeking behaviour. The sample included 2208 study participants, with a mean age of 36.2 years (SD = 11.7) and an age range of 18-60 years.
Overall, 34.5% of the male hospital out-patients were conjoint moderate or high-risk alcohol and tobacco users, and 31.1% were moderate or high-risk alcohol or tobacco users. In multivariate analysis, younger age, having primary or less education, being separated, divorced or widowed, not having diabetes and not being obese were associated with conjoint moderate or high-risk alcohol and tobacco use.
High prevalence and several risk factors of conjoint alcohol and tobacco use were found among hospital male out-patients. The findings of this study call for dual-intervention approaches for both alcohol and tobacco.
为了更好地了解男性医院门诊患者中酒精和烟草联合使用的情况，本研究的目的是：（1）评估联合使用的患病率，以及（2）确定与酒精和烟草联合使用相关的因素。
在一项横断面调查中，对泰国佛统府四家地区医院的连续男性门诊患者进行了酒精、吸烟和物质使用情况筛查测试（ASSIST）、医院焦虑抑郁量表（HADS）、自我报告的慢性病和就医行为评估。样本包括2208名研究参与者，平均年龄为36.2岁（标准差 = 11.7），年龄范围为18至60岁。
总体而言，34.5%的男性医院门诊患者是酒精和烟草的中度或高风险联合使用者，31.1%是酒精或烟草的中度或高风险使用者。在多变量分析中，年龄较小、小学及以下学历、分居、离婚或丧偶、没有糖尿病以及不肥胖与酒精和烟草的中度或高风险联合使用有关。
在医院男性门诊患者中发现了酒精和烟草联合使用的高患病率及若干风险因素。本研究结果呼吁对酒精和烟草采取双重干预措施。
