| 王丽敏,孙要武,韩云峰,HuiyunXiang,LorannStallones,薛海峰,程宇,李省三.中国北方少数民族聚居地农村居民饮酒与农业伤害的流行病学研究[J].Chinese journal of Epidemiology,2009,30(12):1252-1257 |
| 中国北方少数民族聚居地农村居民饮酒与农业伤害的流行病学研究 |
| Epidemiological study on alcohol consumption and agricultural profession-related injuries among Minority Residents from the Northern parts of China |
| Received:May 21, 2009 |
| DOI： |
| KeyWord: 农业伤害 饮酒 发生率 Logistic回归分析 |
| English Key Word: Agricultural profession-related injury Alcohol Incidence rate Logistic |
| FundProject:美国NIH(1D43TW007257-01A2) |
| Author Name | Affiliation | | WANG Li-min | 齐齐哈尔医学院公共卫生学院流行病与卫生统计学教研室, 161061 | | SUN Yao-wu | 齐齐哈尔医学院公共卫生学院流行病与卫生统计学教研室, 161061 | | HAN Yun-feng | 齐齐哈尔医学院公共卫生学院流行病与卫生统计学教研室, 161061 | | Huiyun Xiang（Center for Injury Research and Policy，The Research Institute at Nationwide Children's Hospital，The Ohio State University College of Medicine，Columbus，Ohio，USA） | Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, Ohio, USA | | Lorann Stallones（Colorado Injury Control Research Center，Department of Psychology，Colorado State University，Fort Collins，Colorado，USA） | Colorado Injury Control Research Center, Department of Psychology, Colorado State University, Fort Collins, Colorado, USA | | XUE Hai-feng | 齐齐哈尔医学院公共卫生学院流行病与卫生统计学教研室, 161061 | | CHENG Yu | 齐齐哈尔医学院公共卫生学院流行病与卫生统计学教研室, 161061 | | LI Sheng-san | 齐齐哈尔医学院公共卫生学院流行病与卫生统计学教研室, 161061 |
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| Abstract: |
| 目的 了解北方少数民族聚居地农村居民农业伤害的发生情况和饮酒与农业伤害的关系.方法 采用多级抽样的方法选取样本,通过面对面访谈方式收集资料;共抽取2366名达斡尔族聚居地农村居民,收到合格问卷2198份.结果 在2198名达斡尔族聚居地农村居民中,农业伤害发生率为11.8%,男性伤害发生率(13.8%)明显高于女性(9.7%)(P=0.003).年龄、职业、从事农业生产的年限、睡眠困难、从事农业生产时吸烟、驾驶农用机动车、使用农用机械和饮酒是伤害的危险因素(P＜0.01).通过控制混杂因素,饮酒与农业伤害有关,先前饮酒者、目前饮酒者发生伤害的危险性分别是不饮酒者的1.57倍(95%CI:1.05～2.37)和1.80倍(95%CI:1.24～2.62).目前的饮酒率为29.1%(640/2198).随着每周饮酒次数、每次饮纯酒精量、饮酒年限、饮用酒精饮料种类的变化,农业伤害的危险性增加;在早午餐饮酒发生农业伤害的危险性是不饮酒者的2.15倍(95%CI:1.43～3.22),经常醉酒者发生农业伤害的危险性是不饮酒者的2.09倍(95%CI:1.38～3.15).结论 饮酒是农业伤害的主要危险因素.控制饮酒、加强道路安全知识和农用机械使用知识培训,是预防农业伤害的主要措施. |
| English Abstract: |
| Objective To understand the incidence rates of agricultural profession-related injuries and the relationship to alcohol consumption.Methods A multistage sample of 2366 villagers was selected from Minority Nationality Villages,Heilongjiang province.Face-to-face interviews were conducted by trained interviewers during May 2008.2198(92.9%)of the eligible questionnaires were available.Results Incidence rate of agricultural profession-related injury rate was 11.8%(260/2198)from May 2007 to April 2008.Higher proportions of injuries were seen for males,30-49 year olds,farmers and among those people working on farms for 10 years or more,smoking during farm work,with sleeping disorder,using motor vehicles,and those using agricultural machinery.Rate of alcohol drinking was 29.1%(640/2198)in the month prior to the investigation.Results from logistic regression models showed that alcohol consumption patterns and other alcohol-related behavior were examined in separate logistic models because of collinearity by controlling the variables that were associated with agricultural profession-related injury including sex,age,years of farm work,driving a motor vehicle,and agricultural machinery use etc.In each model,the reference group was those villagers who did not drink in the past month.The odds of injury among villagers with history of past month drinking,who drank distilled spirits,and alcohol drinking at breakfast and lunch were 1.80(95%CI:1.24-2.62),2.09(95%CI:1.38-3.15),2.15(95%CI:1.43-3.22)respectively.The odds of agricultural injury also significantly increased with greater average amounts of pure alcohol per day,with increased frequency of drinking per week,and reported years of drinking.Conclusion Intervention efforts should include increasing awareness about alcohol drinking as a major risk factor causing agricultural injuries as well as controlling alcohol drinking,improving knowledge about driving motor vehicle and using agricultural machinery. |
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