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.