目的 了解京冀两地人群的饮酒模式现状,探究不同饮酒模式的特征及其生命质量的得分差异.方法 选取"正常人群不同体质中医脉诊生理参数系统调查"数据库中符合条件的数据,依据日均纯酒精摄入量划分饮酒模式,通过简明健康状况调查问卷(medical outcomes study 36-item short-form health survey,SF-36)获得生命质量得分,采用最小二乘回归分析不同饮酒模式的生命质量得分差异.结果 纳入样本1 994例,其中男性654例,女性1 340例;年龄为31.7(22.0,37.0)岁.不饮酒模式、前饮酒模式、适度饮酒模式、中度饮酒模式、重度饮酒模式分别有1 375人、74人、368人、90人、87人.5种饮酒模式比较,性别、年龄、婚姻情况、学历、主观经济状况、家庭人均实际收入、家庭成员、BMI、家族史、合并慢性病、饮茶情况、吸烟情况、睡眠习惯、劳逸情况、运动习惯的组间差异均有统计学意义(均P＜0.05).控制混杂变量的结果显示,5种饮酒模式的SF-36总分、心理领域以及下属的社会功能、情感职能、精神健康维度得分组间差异均有统计学意义(均P＜0.05).差异性检验与最小临床重要差值共同表明,不饮酒模式的生命质量最好,重度饮酒模式次之,其次是中度、适度饮酒模式,前饮酒模式最差,尤其在心理领域及其下属维度.结论 相较于不饮酒模式,前饮酒模式生命质量最差,重度饮酒模式得分虽高,但考虑到其他健康结局,建议人群减少饮酒或保持不饮酒,以获得较大的健康效益.
Differences in the characteristics of drinking patterns and their quality-of-life scores in the popula-tion of Beijing and Hebei
Objective To understand the current situation of drinking patterns in Beijing and Hebei,and to investigate the characteristics of different drinking patterns and the differences in quality of life(QOL)scores.Methods Eligible data from the database of"the Systematic Survey of TCM Pulse Diagnosis Physiological Parameters in Normal Adult Populations with Different Constitutions Database"were selected.Drinking patterns based on average daily intake of pure alcohol,and the quality of life(QOL)scores were obtained by the Medical Outcomes Study 36-item Short-Form Health Survey(SF-36).Least squares regression was used to analyze differences in QOL scores across drinking patterns.Results A total of 1 994 cases were included in the analysis,including 654 males and 1 340 females,with an age distribution of 31.7(22.0,37.0)years.Among them,the number of subjects in non-drinking patten,ex-drinking pattern,middle drinking pattern,moderate drinking pattern,and heavy drinking pattern was 1 375,74,368,90 and 87,respectively.Comparing the 5 groups,there were statistically significant between-group differences in gender,age,marital status,education,subjective economic situation,real per capita family income,family members,BMI,family history,complicated with chronic diseases,tea drinking situation,smoking situation,sleep habits,work and leisure situation,and exercise habits(all P＜0.05).After controlling for confounding variables,there were significant differences of scores on the SF-36 total score,the mental component summary(MCS),and subordinate social functioning(SF),role emotional(RE)and mental health(MH)dimensions for among the five drinking patterns(all P＜0.05).The test of difference and the Minimum Clinically Important Difference(MCID)together showed that the non-drinking pattern has the best QOL,followed by the heavy drinking pattern,then middle and moderate drinking patterns,and the ex-drinking pattern was the worst,especially in the MCS and its subordinate dimensions.Conclusions The ex-drinking pattern has the worst QOL compared to the non-drinking pattern.Although the heavy drinking pattern scores well,given the other health outcomes,it is recommended that the population reduce alcohol consumption or remain alcohol-free for greater health benefits.
Drinking patternsQuality of lifeMedical outcomes study 36-item short-form health survey
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NSTL
万方数据
