School of Public Health, Kunming Medical University, Kunming 650500, China.
Department of Epidemiology, Faculty of Medicine, Prince of Songkla University, Songkhla 90110, Thailand.
Int J Environ Res Public Health. 2022 Dec 1;19(23):16081. doi: 10.3390/ijerph192316081.
Although differences in the prevalence of alcohol-related harm between ethnic minority and majority groups have been reported in many countries, such data are scarce in China. The findings of such assessment can provide empirical data to inform stakeholders in prioritization and allocation of resources for programs to manage and control alcohol-related problems. The objective of this study is to compare the prevalence of alcohol-related harm from others among Han and Yi populations in the Chuxiong Yi Autonomous Prefecture, Yunnan Province, China.
We conducted a cross-sectional study in 1370 households from 21 villages. Enumerators used convenient sampling to recruit one person aged 18 years or older from each selected household, obtained informed consent to participate, and conducted an interview using a structured questionnaire. The questionnaire included three parts: (1) demographic characteristics of the participant (including ethnic identity); (2) history of alcohol-related harm from other in the past 12 months, and; (3) drinking behaviors. We analyzed data using descriptive statistics and multivariate regression analyses, stratified by sex of the participant.
The prevalence of experiencing alcohol-related harm from others in Han men, Yi men, Han females, and Yi females, were 69.9%, 62.1%, 75.3%, and 63.4%, respectively. The Han vs. Yi disparity was higher among females (Adjusted OR = 2.06; 95% CI = 1.41, 3.01) than males (Adjusted OR = 1.47; 95% CI = 1.05, 2.07). The most common type of harm was feeling scared or threatened (36.9% among males, 32.4% among females) and the least common type was financial difficulty (3% among males, and 3.3% among females).
Yi ethnic minorities in Yunnan Province had lower prevalence of alcohol-related harm from others than Han persons in the same region. However, measurement and translation-related issues of the study instrument and limited generalizability should be considered as caveats in the interpretation of the study findings.
尽管许多国家都报告了少数民族和多数群体之间酒精相关危害的流行率存在差异，但在中国，此类数据却很少。此类评估的结果可以为利益相关者提供经验数据，以便为管理和控制与酒精相关问题的计划确定优先事项和分配资源。本研究的目的是比较云南省楚雄彝族自治州汉族和彝族人群中来自他人的酒精相关危害的流行率。
我们在 21 个村庄的 1370 户家庭中进行了横断面研究。调查员使用便利抽样法从每个选定的家庭中招募一名 18 岁或以上的人员，征得参与的知情同意，并使用结构化问卷进行访谈。问卷包括三部分：（1）参与者的人口统计学特征（包括族裔身份）；（2）过去 12 个月中来自他人的与酒精相关的伤害史；以及（3）饮酒行为。我们使用描述性统计和多变量回归分析对数据进行分析，按参与者的性别分层。
汉族男性、彝族男性、汉族女性和彝族女性中，经历来自他人的与酒精相关的伤害的比例分别为 69.9%、62.1%、75.3%和 63.4%。汉族与彝族之间的差异在女性中更高（调整后的 OR=2.06；95%CI=1.41，3.01），而在男性中则较低（调整后的 OR=1.47；95%CI=1.05，2.07）。最常见的伤害类型是感到恐惧或受到威胁（男性中占 36.9%，女性中占 32.4%），最不常见的伤害类型是经济困难（男性中占 3%，女性中占 3.3%）。
云南省彝族少数民族的酒精相关伤害来自他人的流行率低于同一地区的汉族人。然而，研究工具的测量和翻译相关问题以及有限的通用性应被视为解释研究结果的注意事项。
