摘要
目的 调查新型冠疫情期间城市人口发生酒精依赖情况,揭示疫情下城市成年人口酒精滥用高危因素,为预防和干预酒精依赖提供科学参考.方法 采用横断面调查方式,于2022年10月在商丘市市区采用在线问卷的调查形式,收集可能影响的因素,如年龄、性别、教育程度、婚姻状态、社会支持、体育锻炼等一般人口学资料以及酒精危害认知、既往酒精饮用史和既往基础病等疾病相关信息.采用《中国精神障碍分类与诊断标准第3版》(CCMD-3)作为酒精依赖标准,并采用多元Logistic回归分析其影响因素.结果 共收集有效问卷调查5894份,其中发生酒精依赖的共有227人,占总调查人数的3.85％;多因素分析结果提示男性(OR=10.45,P＜0.001)、中年(OR=3.43,P＜0.05)、未婚/离异(OR=3.72,P＜0.05)、无业(OR=5.91,P＜0.001)、缺乏社会支持(OR=11.36,P＜0.001)和既往饮酒史(OR=6.61,P＜0.01)是疫情期间城市成年人口酒精依赖的危险因素.结论 疫情期间城市人口发生酒精依赖的比例较高,应重视引起酒精依赖的相关因素,加强对高危人群的针对性干预,对于预防酒精危害有着重要意义.
Abstract
Objective This article aims to investigate the occurrence of alcohol dependence among urban populations during the COVID-19 pandemic,reveal high-risk factors for alcohol abuse among urban adults during the pandemic,and provide scientific reference for preventing and intervening in alcohol dependence.Methods A cross-sectional survey was conducted in October 2022 in the urban area of Shangqiu City using an online questionnaire to collect potentially influencing factors.These included general demographic information such as age,gender,education level,marital status,social support,and physical exercise,as well as information related to diseases such as cognition of alcohol harm,past alcohol consumption history,and past underlying medical conditions.The Chinese Classification and Diagnostic Criteria of Mental Disorders,3rd Edition(CCMD-3)was used as the criterion for alcohol dependence,and multivariate Logistic regression analysis was employed to analyze its influencing factors.Results A total of 5894 questionnaires were effectively collected,with 227 individuals experiencing alcohol dependence,accounting for 3.85％of the total survey population;The results of multivariate analysis showed that male(OR=10.45,P＜0.001),middle-aged(OR=3.43/2.64,P＜0.05),unmarried/divorced(OR=3.72,P＜0.05),unemployed(OR=5.91,P＜0.001),lack of social support(OR=11.36,P＜0.001),and previous drinking history(OR=6.61,P＜0.01)were risk factors for alcohol dependence among urban adults during the epidemic period.Conclusion During the epidemic period,the proportion of urban population experiencing alcohol dependence is relatively high.Attention should be paid to the relevant factors that cause alcohol dependence,and targeted interventions should be strengthened for high-risk groups,which is of great significance for preventing alcohol harm.
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