目的 :了解我国社区普通人群饮酒者的健康状况和饮酒相关疾病的患病率 ,探讨饮酒与健康的关系。方法 :应用定式检查问卷 ,调查我国五地区 2 4992例受试者过去一年中饮酒、总体健康状况 (自评 )和饮酒相关疾病的患病情况。结果 :97%的饮酒者和 92 2 %的非饮酒者认为自己的健康状况较好 ,3 0 %的饮酒者和 7 8%的非饮酒者认为较差。总体健康状况的逐步多因素回归分析结果表明是否饮酒和饮酒年限是影响健康的重要因素。饮酒相关疾病的单因素分析结果显示饮酒者胃炎或胃溃疡、偏头痛、腰背痛和失眠的患病率高于非饮酒者 ,心脏病、脑梗塞或脑出血、听力或视力障碍和糖尿病的患病率低于非饮酒者。分层控制年饮酒量后 ,胃炎、胃溃疡和失眠的患病率随年饮酒量增加而增加 ,二者呈非线性相关 ,非饮酒者和重度饮酒者心脑血管疾病的患病率高于轻中度饮酒者 ,患病率与饮酒量呈“V”字型关系 ,但趋势检验结果未表明二者直接相关。结论 :我国社区普通人群中 ,是否饮酒及饮酒者的饮酒时间长短是饮酒健康的重要因素 ,饮酒能够增加消化道疾病和失眠的发病率 ,轻中度饮酒则对心脑血管疾病的发生具有保护作用。调查者的健康状况可能是各因素综合作用的结果。 Objective: To understand the general population drinkers in our community health status and prevalence of alcohol related diseases, to explore the relationship between drinking and health. Methods: The questionnaire was used to investigate the prevalence of alcohol consumption, general health status (self-rated) and alcohol-related diseases in 24992 subjects in five regions of China. RESULTS: Ninety-seven percent of drinkers and 92.2% of non-drinkers considered their health as good, while 30 percent of drinkers and 78 percent of non-drinkers considered poor. A stepwise multivariate regression analysis of overall health status showed that drinking and drinking years were important factors affecting health. Univariate analysis of alcohol related diseases showed that the prevalence of gastritis or gastric ulcer, migraine, low back pain, and insomnia was higher in drinkers than in drinkers, heart disease, cerebral infarction or cerebral hemorrhage, hearing or visual impairment, and diabetes The prevalence was lower than non-drinkers. The prevalence of gastritis, gastric ulcer and insomnia after stratified control of annual alcohol consumption increased with the increase of annual alcohol consumption, the two were non-linearly correlated, and the prevalence of cardiovascular and cerebrovascular diseases was higher in non-drinkers and those with severe drinkers Light and moderate drinkers, prevalence and alcohol consumption was “V” type relationship, but the trend test results did not show that the two are directly related. Conclusion: Among the general community population in our country, the duration of alcohol consumption and drinkers’ drinking is an important factor of drinking health. Drinking alcohol can increase the incidence of gastrointestinal diseases and insomnia, and mild to moderate alcohol consumption can protect cardiovascular and cerebrovascular diseases effect. The health status of the investigators may be the result of a combination of factors.