目的 ·调查上海市美沙酮维持治疗患者的酒精使用情况及相关影响因素，为患者后续的酒精干预提供依据。方法 ·入选上海市 837名美沙酮维持治疗患者，采用一般情况调查表、酒精使用障碍筛查问卷、患者健康问卷抑郁量表、广泛性焦虑量表、总体幸福感量表对患者进行调查并评估；根据近 1年内患者是否饮酒，将其划分为非饮酒组和饮酒组，并对 2组患者进行 t检验、 χ2检验及多因素 Logistic回归分析。结果 · 837名入选患者中，有 30.9%的患者存在饮酒行为，其中 13.8%的患者存在问题饮酒行为。影响患者饮酒行为的主要因素为性别（ P0.029）、首次吸毒年龄（ P0.005）、吸食*********前饮酒（ P0.000）、吸食*********时饮酒（ P0.000）。结论 ·上海市美沙酮维持治疗患者的饮酒情况较为普遍，该类患者缺乏对饮酒危害的认知。应对其采取有针对性的干预措施，以降低饮酒相关危害。
杜哲一 1*
,
张蕾 1*
,
张佳婷 1
,
杜江 1
,
施大庆 2
,
宝家怡 1
,
吴倩影 1
,
张靓颖 1
,
董萍 1
. 上海市美沙酮维持治疗患者的酒精使用情况调查[J]. 上海交通大学学报（医学版）, 2019
, 39(2)
: 193
.
DOI: 10.3969/j.issn.1674-8115.2019.02.016
Objective · To investigate the prevalence of alcohol and related influencing factors among the patients with methadone maintenance treatment (MMT) in Shanghai, and to provide information for the alcohol intervention in the future. Methods · A total of 837 MMT patients were investigated and evaluatedGeneral Situation Questionnaire, Alcohol Disorders Identification Test, Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, General Well-being Schedule. According to whether drinking or not in the past year, the two groups were divided into the non-drinking group and the drinking group. T-test, Chi-square test and multivariate Logistic regression analysis were used to detected between two groups. Results · 30.9% of the patients had drinking behavior in the past year, 13.8% of them had problem drinking behavior. The main factors affecting patients drinking behavior were sex (P0.029), age of first drug (P0.005), drinking before taking heroin (P0.000) and drinking when taking heroin (P0.000). Conclusion · In Shanghai, alcohol consumption is generally prevalent among MMT patients who lack awareness of the dangerous of drinking. In the future, targeted intervention measures should be taken to reduce the harm of drinking among MMT patients.
