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目的了解河北省农村18岁及以上人群酒精滥用和依赖性障碍患病率及流行病学特点。方法采用多阶段、整群、分层随机抽样方法调查河北省农村18岁及以上人群共20696人,调查筛选工具采用改编后的一般健康问卷12项(GHQ-12),以《DSM-IV-TR轴I障碍定式临床检查》(SC ID-T/P)病人版为调查的诊断工具,采用功能大体评定量表(GAF)评价功能状况。结果河北省农村酒精滥用和依赖性障碍时点患病率为20.16‰,终生患病率为36.78‰,女性为0.78‰,男性为39.60‰,男性明显高于女性(U=19.81,P<0.01)。酒精滥用和酒精依赖性障碍以30~39岁、40~49岁、50~59岁患病率最高,分别为24.39‰、20.16‰、28.17‰,Log istic表明男性是最大的危险因素,是女性的48倍。结论酒精滥用和依赖性障碍发病率高、上升趋势明显,已经成为河北省农村精神疾病发病率最高的前4位疾病。
Objective To understand the prevalence and epidemiological characteristics of alcohol abuse and dependence disorders among rural population aged 18 years and over in Hebei province. Methods A total of 20 696 people aged 18 years and over were surveyed in rural Hebei province by multi-stage, cluster-based and stratified random sampling method. The screening tools used 12 items of general health questionnaire (GHQ-12) and "DSM-IV- The TR ID-T / P Patient Edition was used as a diagnostic tool for the investigation and the functional status was assessed using the Generalized Function Scale (GAF). Results The prevalence of alcohol abuse and dependence disorders in rural areas of Hebei Province was 20.16 ‰, the lifetime prevalence was 36.78 ‰, the female was 0.78 ‰, the male was 39.60 ‰, and the male was significantly higher than the female (U = 19.81, P <0.01) ). The prevalence rates of alcohol abuse and alcohol dependence were the highest in 30-39, 40-49, and 50-59 years old, which were 24.39 ‰, 20.16 ‰ and 28.17 ‰, respectively. Log istic showed that males were the biggest risk factor and were female 48 times. Conclusions The incidence of alcohol abuse and dependence disorder is high and the upward trend is obvious. It has become the first 4 diseases with the highest incidence of mental illness in rural areas in Hebei Province.