酒精使用和环境因素:一项跨部门研究,探讨缅甸移徙工人的健康风险和社会影响
Kanit Hnuploy1, Kittipong Sornlorm2, Sameh Eltaybani3
1Faculty of Science and Technology, Suratthani Rajabhat University, Surat Thani, Thailand.
PloS one
|March 5, 2026
概括
环境和职业因素对泰国的缅甸移民工人与酒精有关的问题产生重大影响. 农村居住和住房问题显示出最强烈的关联,强调需要进行结构性干预.
科学领域:
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
- 移民健康 移民健康
背景情况:
- 酒精使用对移徙工人构成独特的挑战,对其决定因素和影响的理解有限.
- 现有的文献往往忽略了环境因素,健康,家庭和社会结果之间的相互作用.
研究的目的:
- 确定泰国缅甸移民工人中与酒精有关的影响的普遍性.
- 检查酒精使用,环境因素及其对健康和社会结果的更广泛影响之间的关系.
主要方法:
- 一项涉及泰国610名缅甸移民工人的跨度研究 (2023年9月至2024年3月),采用多阶段采样.
- 纸质问卷通过酒精使用障碍识别测试 (AUDIT) 和酒精相关结果评估酒精使用情况.
- 用通用线性混合模型来识别相关因素.
主要成果:
- 38.20%报告中度酒精相关影响;0.82%报告高影响.
- 虽然酒精依赖增加了不良结果 (AOR=1.70),但农村居住 (AOR=6.52) 和住房问题 (AOR=5.00) 等环境因素显示出更强烈的关联.
- 较长的工作时间,每日工作时间表,睡眠不良,中度/不良健康状况以及紧张的同事关系也是显著的相关因子.
结论:
- 在这一群体中,环境和职业因素与与酒精有关的影响比酒精依赖本身更为密切相关.
- 公共卫生战略应解决结构性条件,如农村居住和住房,以及个人层面的干预措施.
- 调查结果强调需要为移徙工人提供量身定制的支持,考虑到他们独特的环境和职业暴露.
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