在阿巴明奇健康和人口监测点居住的成年人中重度间歇性饮酒的流行情况及相关因素：一项横断面研究。
Prevalence of heavy episodic drinking and associated factors among adults residing in Arba Minch health and demographic surveillance site: a cross sectional study.
机构信息
School of Public Health, Arba Minch University, P.O.Box 21, Arba Minch, Ethiopia.
Arba Minch Health and Demographic Surveillance System (HDSS), Arba Minch, Ethiopia.
出版信息
BMC Public Health. 2020 Dec 9;20(1):1895. doi: 10.1186/s12889-020-09998-3.
BACKGROUND
Alcohol consumption is associated with different types of illnesses; particularly heavy episodic drinking is one of the risk factors for the disease burden of alcohol intake. The aim of the study was to assess the prevalence of heavy episodic drinking and associated factors in Arba Minch Health and Demographic Surveillance Site (HDSS).
METHODS
A community-based cross-sectional study was conducted in 2017 among adult residents of Arba Minch HDSS. Using Arba Minch HDSS database, 3368 individuals were selected by simple random sampling techniques. From WHO STEPS instruments, step one was applied for this study. Variables with a p-value of less than 0.10 for bivariate analysis entered into a multivariable logistic regression model to outline the independent predictors of the heavy episodic drinking. To assess the presence of an association between dependent and independent variables, a p-value of less than 0.05 was considered.
RESULTS
The prevalence of heavy episodic drinking was 13.7% (95% CI: 12.6-14.9). The study has shown that heavy episodic drinking was significantly associated with occupation (daily laborer [AOR = 0.49; 95% C.I: 0.29-0.85] and housewives [AOR = 0.63; 95% C.I: 0.45-0.88] compared with farmers), wealth index (2nd quintiles [AOR =0.55; 95% C.I: 0.41-0.74) and 3rd quintiles [AOR = 0.66; 95% C.I: 0.46-0.93] compared with 1st quintiles), and climatic zone (midland [AOR = 1.80;95% CI: 1.11-2.93), highland [AOR = 1.95;95% CI: 1.19-3.18] compared with lowland). In addition, tobacco use [AOR = 4.28;95% CI: 3.38-5.43], and khat use [AOR = 4.75; 95% CI: 2.66-8.50) were also associated with heavy episodic drinking among the study participants.
CONCLUSIONS
More than one in ten adults reported heavy episodic drinking in the study area. Intervention programs that aim to prevent heavy episodic drinking should be designed appropriately for individuals from lower wealth status, and for highlander.
背景
饮酒与不同类型的疾病有关；特别是重度间歇性饮酒是导致酒精摄入疾病负担的危险因素之一。本研究旨在评估在阿巴明奇健康和人口监测点（HDSS）中重度间歇性饮酒的流行情况和相关因素。
方法
2017 年在阿巴明奇 HDSS 进行了一项基于社区的横断面研究。使用阿巴明奇 HDSS 数据库，采用简单随机抽样技术抽取了 3368 名成年人。采用世卫组织 STEPS 工具，对第一步进行了本研究。在单变量分析中 p 值小于 0.10 的变量进入多变量逻辑回归模型，以确定重度间歇性饮酒的独立预测因素。为了评估因变量和自变量之间的关联，将 p 值小于 0.05 视为有统计学意义。
结果
重度间歇性饮酒的患病率为 13.7%（95%CI：12.6-14.9）。研究表明，与农民相比，重度间歇性饮酒与职业（体力劳动者[OR=0.49；95%CI：0.29-0.85]和家庭主妇[OR=0.63；95%CI：0.45-0.88]）、财富指数（第 2 五分位数[OR=0.55；95%CI：0.41-0.74]和第 3 五分位数[OR=0.66；95%CI：0.46-0.93]与第 1 五分位数）和气候带（中陆地区[OR=1.80；95%CI：1.11-2.93]和高原地区[OR=1.95；95%CI：1.19-3.18]与低地地区）显著相关。此外，烟草使用[OR=4.28；95%CI：3.38-5.43]和恰特草使用[OR=4.75；95%CI：2.66-8.50]也与研究参与者的重度间歇性饮酒有关。
结论
研究地区超过十分之一的成年人报告有重度间歇性饮酒。应针对财富状况较低的个体和高地居民设计适当的预防重度间歇性饮酒的干预计划。
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