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目的探讨饮酒与慢性病的关系。方法采用多阶段等比例分层整群抽样的方法,在胜利油田滨州工作区某社区抽取18岁以上常住居民3 471人作为调查对象进行慢性病相关问卷调查。结果本社区居民饮酒率为32.87%(标化率为21.54%),其中男性饮酒率为72.29%(标化率为58.80%),女性饮酒率为4.16%(标化率为3.13%),男性高于女性(χ2=766.39,P<0.05)。饮酒人群慢性病患病率高于不饮酒人群,饮酒年限越长,慢性病患病率越高(χ2趋势=127.95,P<0.05),饮用高度白酒慢性病患病率高,而饮用葡萄酒患病率低(χ2=40.39,P<0.05),随着饮酒频率的增加,慢性病患病率呈现“～”型,以“10次以上/周”患病率为最高,“小于3次/周”为最低(χ2趋势=17.61,P<0.05),平均每次饮酒量越高,慢性病患病率越高,但是“平均每次饮用400 ml以上”人群患病率有所下降(χ2趋势=4.00,P<0.05)。多因素分析结果显示:是否饮酒(OR=1.81)、饮酒年限(OR=1.30)、饮酒频率(OR=1.42)、平均每次饮用量(OR=1.26)均是慢性病发生的危险因素。结论被调查社区居民饮酒率较高,应加强饮酒人群的健康教育,控制饮酒,以降低与饮酒有关的慢性病患病率。
Objective To explore the relationship between drinking and chronic diseases. Methods A multistage equal-proportion stratified cluster sampling method was used to collect 3 471 permanent residents over the age of 18 in a community in Binzhou work area of Shengli Oilfield as a questionnaire for chronic diseases. Results The drinking rate of residents in this community was 32.87% (standardization rate was 21.54%), of which male drinking rate was 72.29% (standardization rate was 58.80%), female drinking rate was 4.16% (standardization rate was 3.13%), male Higher than female (χ2 = 766.39, P <0.05). The prevalence of chronic diseases in drinkers was higher than that in non-drinkers. The longer the drinking period, the higher the prevalence of chronic diseases (χ2 trend = 127.95, P <0.05). The prevalence of chronic alcoholism was high while drinking low prevalence of drinking wine (χ2 = 40.39, P <0.05). With the increase of drinking frequency, the prevalence of chronic diseases showed “” “type, with the highest prevalence of ” 10 times / week / Week “is the lowest (χ2 trend = 17.61, P <0.05), the higher the average per alcohol consumption, the higher the prevalence of chronic diseases, but ” the average daily consumption of more than 400 ml "the prevalence of the crowd Decreased (χ2 trend = 4.00, P <0.05). Multivariate analysis showed that whether drinking (OR = 1.81), drinking time (OR = 1.30), drinking frequency (OR = 1.42) and average drinking per day (OR = 1.26) were the risk factors of chronic diseases. Conclusion The drinking rate of community residents surveyed is relatively high. Health education should be strengthened to control alcohol consumption in order to reduce the prevalence of chronic diseases related to alcohol consumption.