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凉山州HCV感染者吸烟饮酒情况分析

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目的 了解凉山州HCV感染者吸烟饮酒情况及相关因素,为制定相应的关怀干预措施提供参考.方法 抽取德昌县和布拖县HCV感染者为研究对象,进行现场一对一调查.统计分析采用x2检验、多元Logistic分析等方法.结果 本次调查共回收有效问卷489份.其中382人(78.12%)吸烟,194人(39.67%)饮酒,开始吸烟年龄(18.69±5.72)岁,日吸烟量(17.79±7.30)支.与吸烟行为相关的变量中,男性(OR=56.744,95%CI:23.390~138.252)相较于女性、注射毒品(OR=4.302,95%CI:2.195~8.429)相较于性传播吸烟概率更高等.与饮酒行为相关的变量中,男性(OR=6.145,95%CI:2.027~18.627)相较于女性、HCV 单独感染(OR=2.026,95%CI:1.354~3.032)相较于 HIV/HCV 合并感染饮酒概率更高等.同时吸烟饮酒行为的相关因素中,男性(OR=29.458,95%CI:7.044~123.197)相较于女性、共用注射器(OR=1.832,95%CI:1.144~2.932)相较于未共用注射器人群、未接受HCV治疗(OR=1.631,95%CI:1.002~2.657)相较于已进行HCV治疗人群、HCV单独感染(OR=2.674,95%CI:1.652~4.328)相较于HIV/HCV合并感染人群同时吸烟饮酒概率更高.结论 HCV感染人群中,对于男性、曾经注射毒品、未接受HCV治疗、无HIV合并感染人群应重点关注,加强健康教育,做到戒烟戒酒.当进行疾病筛查或治疗时,对相应重点对象开展吸烟饮酒行为调查,实施动态管理,积极干预,以提高HCV治疗效果或延缓疾病进程.
Smoking and alcohol drinking among HCV-infected people in Liangshan Yi Autonomous Prefecture
Objective This study seeks to understand the prevalence of smoking and alcohol drinking among HCV-infected people in Liangshan Yi Autonomous Prefecture,as well as its related factors,and provide reference for the development of intervention measures.Methods HCV-infected patients in Dechang and Butuo counties were sampled for on-site one-on-one surveys.Statistical analysis was performed using a chi-square test and multivariate Logistic analysis.Results A total of 489 valid questionnaires were collected.Among the respondents,382(78.12%)were smokers,and 194(39.67%)were alcohol drinkers.They started smoking at the age of 18.69±5.72 and consumed 17.79±7.30 cigarettes on a daily basis.Among the variables related to smoking,males(OR=56.744,95%CI:23.390-138.252)were more likely to smoke compared with females,and people who were infected by injecting drugs(OR=4.302,95%CI:2.195-8.429)had a higher tendency to smoke compared with patients infected through sexual transmission.Among the variables related to alcohol drinking,men(OR=6.145,95%CI:2.027-18.627)had a higher probability of drinking compared with women,and patients infected only with HCV(OR=2.026,95%CI:1.354-3.032)were more likely to consume alcohol compared with patients infected with both HIV and HCV.Among the correlates of concurrent smoking and drinking behaviors,men(OR=29.458,95%CI:7.044-123.197)were more likely to smoke and drink than were women,patients who shared syringes(OR=1.832,95%CI:1.144-2.932)were more likely to smoke and drink than those who did not,patients who did not receive HCV treatment(OR=1.631,95%CI:1.002-2.657)had a higher tendency to smoke and drink than those who had received HCV treatment,and those who were infected with only HCV(OR=2.674,95%CI:1.652-4.328)were more likely to smoke and drink than those who were infected with both HIV and HCV.Conclusions In the HCV-infected population,men,former injecting drug users,those not receiving HCV treatment,and those without HIV co-infections should be the focus of enhanced health education to help them quit smoking and drinking.When screening or treating the disease,screening for smoking and alcohol consumption should be carried out in accordance with dynamic management and active intervention to improve the effect of HCV treatment or slow down the progress of the disease.

HCVsmokingdrinkingrelevant factors

余刚、张玉莲、吉克春农、买泓、王菊、王忠红、王玉兵、布格阿呷、裴芳、王世宇、刘旖、梅婷、张瑜、刘根体、裴容

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凉山彝族自治州疾病预防控制中心,四川西昌 615000

成都中医药大学公共卫生学院,成都 611100

澳门科技大学商学院,澳门 999078

成都中医药大学管理学院,成都 611100

四川护理职业学院附属医院(四川省第三人民医院),成都 610031

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丙型肝炎病毒 吸烟 饮酒 相关因素

凉山州科技计划重点研发项目国家自然科学基金四川省科技计划重点研发项目成都中医药大学苗圃人才专项

22ZDYF0125723040502022YFS0229MPRC2021014

2024

中国艾滋病性病
中国性病艾滋病防治协会

中国艾滋病性病

CSTPCD北大核心
影响因子:1.292
ISSN:1672-5662
年,卷(期):2024.30(1)
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