Alcohol consumption amongst South African farm workers: a challenge for post-apartheid health sector transformation
Alcohol consumption amongst South African farm workers: a challenge for post-apartheid health sector transformation
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DOI：
10.1016/s0376-8716(99)00120-9
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发表时间：
2000-05-01
影响因子：
4.2
通讯作者：
London, L
中科院分区：
文献类型：
--
作者：
London, L
在南非落叶水果业的农场工人中进行了一项横断面分析研究，以评估酒精消费和滥用水平，并探讨DOP制度对酒精消费指标的影响，即农场工人的部分收入与酒精有关。在CAGE和MAST问卷的简化版中，分别有87%和65%的人回答了饮酒问题。近一半的样本每周饮酒量超过安全饮酒量（210克），9.3%的样本每周饮酒量超过危险饮酒量（> 490克）。近五分之一（19.4%）的受访工人报告目前使用DOP系统，47.8%的工人有一个或多个农场在过去使用DOP系统的经验。有过DOP系统使用经验的工人比没有接触过DOP系统的同事成为石棉染色者的可能性低9.8倍。过度饮酒的普遍影响，以及它与过去和现在的DOP做法的关系，对南非目前正在进行的卫生服务转型构成了重大的公共卫生挑战。(C)2000爱思唯尔科学爱尔兰有限公司保留所有权利。
A cross-sectional analytical study was conducted amongst farm workers in the deciduous fruit industry in South Africa to assess levels of alcohol consumption and abuse, and to explore the impact of the DOP system, whereby farm workers are paid in part with alcohol, on indicators of alcohol consumption. High levels of alcohol consumption were found. On the CAGE and a shortened version of the MAST questionnaires, 87 and 65%, respectively, had responses indicating problem drinking. Close to half of the sample consumed more grams of alcohol per week than considered safe drinking (210 g) and 9.3% consumed amounts in excess of dangerous drinking (> 490 g/week). Almost one-fifth (19.4%) of workers interviewed reported current use of the DOP system, and 47.8% of workers had experience of one or more farms in the past where the DOP system had been used. Workers with past experience of the DOP system were 9.8 times less likely to be asbstainers than colleagues without exposure to the DOP system. The pervasive effects of excessive alcohol consumption, and its relationship to past and current DOP practices pose substantial public health challenges to the transformation of health services currently underway in South Africa. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.