Điều tra thực trạng uống rượu và nghiên cứu sự can thiệp về dinh dưỡng ở Vân Nam_TQThe investigation on drinking practice and research on the interference of nutrition in yi yunnan province

The investigation on Drinking practice a
nd Research on the Interference of Nutri
tion in Yi, Yunnan Province
Liu Min


Report content
1

Background

2

Aims

3 Research content
4

Methods

5

Results

6

Conclusion


Background

Somcompact e problems related to drinking and
alcohol in China, especially in the community of mino
rity nationality in Yunan Province, now show a gradua


Aims
Aims

1

(1) To understand the drinking pattern
s and health status in Yi people of Yu
nnan Province, probe into the relation
ship between drinking activity and nut
rition condition.

(2) To observe the effects of nutritio

Aims

2

n health education interventions progr
am to the drinkers’ level of nutrition
knowledge, the acknowledgment of the h
arm of alcohol, drinking activity and
nutrition condition, and also, to eval
uate the interfering result.

Research content
1

Baseline characteristics

2

The investigation to interfered targets

3

Nutrition education

4

The investigation to interference of nutrition

5

The evaluation of the result this interference


Use the face to face investigation
Baseline investigation
into every house.
Subjects were asked if they
Based on the result
drunk or not, then they were inveof baseline investigation,
Use the method of
stigated further who given suchFilter

as
object
interfered targets were picluster random
‘usually’ or ‘occasionally’ to detersampling, and 1769 Yi
cked out according to the
mine the category of drinking, the
people over 18 in three
screening criteria that the
frequency of drinking, the amount
poor town-ships of
average time of drinking
of drinking, the source of drinking,
Dayao country (Tanhua,
per week was over 3 times,
Nutrition
education
g
Guihua,
Santai)
in Yi
control
group
the ways
ofDietary
drinking 12
months
survey
was
or the average drinking
Autonomousroup

Prebefore the time being investigated,
amount each
time is 125g
conducted
using
the
mfecture, Chuxiong, Yunthe beginning age to drink, ect.
or more than
that
when
nan Province were
ethod of 24h dietary reconverted into high-degree
selected and investigatcall.
The
dietary
data
wDrinking
beha
wine. And also
the interfered with questionnaire on
Physical
examination
。
evaluated
Interfering with front
Dietary
General survey
Drinking Activity
ed targetere
should

be theviorby the
and Health Condition by
group who
don’t suffer
from
Chinese
Balanced
Diet
face to face, and their
serious illness
which
cantheChinese
Nutrition education
Use the face to faceheight,
in
Pagoda
and
weight and blood
affect
the
nutrition
condithe
level
of nutrition
kn
vestigation
into
every
hou
the acknowledgment

t Use
After confirmed
to be ofAll
pressure were
also
the
face
to
face
inves
RNIs
in
2007.
the
tion of the organism. 。
Interfering
with last
se.
measured.
without
error,
all
the
d
tigation
into
every
house.
heany
harm

of
alcohol
owledge
examinees should fill.
Excessive
ata got from investigati-on
The common
food inhabitual con
alcohoshould have tendency che
the role ofsumption
various of
nutrckup, variance ana-lysis,
ients such lic
asBeverages
soy beansdespite
Statistics
and analysis
physical,mental,
χ2 checkup using the spp Data
and milk, the
role of vari- social,
or economic
harm (e.g., ci
ss11.5 software.
ous vitamins,
the relationrrhosis,drunk
driving and
ship
between
saltofand

hyThe
Evaluation
the
Resul
accidents,family strife, frepertension,ect.
t this Interference
quently missing work)."

Methods

Height,Weight,Waist,Hip,Blood
pressure


Results
 baseline characteristics ： The total percent of drinkin
g

There are totally 1769 persons,there
are 1034 men and 735 women.
 The total percent of drinking during
sample people is 47.9% ， while it is 67.
6% for men and 20.1% for women.
The difference between them has statist
ical meaning ， χ2 = 387.862 ， P ， 0.001 ， .


Results
 baseline characteristics ： The total percent of drinking


For ages, the group in the range of 35-45 years old has the drinking r

ate as high as 59.5%.
Table 1. The comparison among different age groups on drinking rates

Age group

Drinking
people

Survey
people

Drinking
rate(%)

18 ，

49

179

27.4

25 ，

158

390

40.5

35 ，

285

479

59.5

45 ，

218

373

58.4

55 ，

86

190

45.3

65 ，

51

158

32.3

1769

47.9

Note:，，χ2 = 97.172 ，847
P ， 0.001


Results


As shown in table 2, intervention group has more information after nutrition propaganda
and education of six months and has a big difference comparing with that before propaganda;
however, the control group has no obvious change.

table 2. The awareness about the relationship between excessive
alcohol consumption and disease (n, %)
Contents

Intervention group
(n=299)
Before

After

Control group
(n=276)
Before

After

Alcoholism

65 ， 21.7
，

169 ， 56.5 ， 88 ， 31.9
*
，

91 ， 33.0
，

Nutrients deficiency

16 ， 5.4 ，

98 ， 32.8 ，
*

18 ， 6.5 ，

17 ， 6.2 ，

Cirrhosis

15 ， 5.0 ，

201 ， 67.2 ，
25 ， 9.1 ，
*

32 ， 11.6
，

184 ， 61.5 ，
24 ， 8.7 ， 27 ， 9.8 ，
*
Note:，P<0.01, self-comparison before and after
Stomach ulcer

22 ， 7.4 ，


Table 3. The average intake of different types of foods between the gender and the
comparison with the national level
Rural

Nationa
l

416.1

402.2

a,b

55.7

49.1

a,b

16.3

16

68.7

78.6

285.6

276.2

a,b

35.6

45.0

a,b

10.9

10.2

a,b

11.4

26.6

27.3±17.9a

20.0

23.7

a,b

30.1

32.9

a,b

10.6

8.7

12.4

12.0

Foods

Male

Female

Per capita

Grain

605.4±258.1
*

500.1±242.
0

582.8±258.2a,

Tubers

53.3±28.9

50.4±26.5

52.7±28.4

Legume

30.1±24.0*

24.1±18.9

28.8±23.1

Meet

80.2±50.8*

65.3±31.5

76.9±47.6a

Vegetables

322.1±133.3
*

281.9±123.
6

313.4±132.2

Fruits

27.3±11.3

21.4±7.1

25.4±10.5

Pickles

19.6±17.9*

28.0±20.0

21.3±18.6

Milk

10.0±4.4

7.8±4.5

8.9±4.5

Eggs

29.1±18.7

21.5±13.9

Vegetable oil

16.8±12.3

17.4±10.4

16.9±11.9

Animal oil

21.9±14.2

21.2±13.3

21.7±14.0

Salt

15.2±5.1

14.7±5.7

15.1±5.2

b

a,b

a,b

204.9±94.6
: * P<0.05,
gender; 197.6±94.2
a: P<0.05, compared
with
Wine comparison between
147.7±75.7
——

—— the
*


Results


Table 3 shows that the various of food of the

object is complete before the nutrition teaching. The
construction of men and women's diet is mainly based on
grain, then vegetables and potatos, after that, meat, beans
and the food from beans,last,eggs and egg products. The
average of of various of food ingestion is different from the
report of Chinese resident nutrition and health investigation
data in 2002.


Table 4. Source analysis about diet nutrition
ingestion
Nutrients

Male

Intake

Female

%

Intake

%

Energy
， kcal ，
Carbohydrate
s

1718.7±863.
2

64.9

1430.5±646.
6

62.0

Protein

280.9±110.5

10.6

232.3±100.3

10.1

Fat

648.5±191.8

24.5

645.9±191.1

27.9

24.0±9.4

34.1

17.0±7.3

29.3

Legumes

9.6±3.8

13.6

8.5±3.7

14.7

Cereals

29.7±11.7

42.2

26.4±11.4

45.5

7.1±2.8

10.1

6.1±2.6

10.5

Animal food

64.4±19.1

81.8

65.5±19.4

84.7

Plant food

14.3±4.2

18.2

11.8±3.5

15.3

Protein ， g ，
Animal food

Other food
Fat ， g ，


Results
 As shown in table 4, man and woman’s protein
ingestion is 10.6% and 10.1% of total energy, respectively.
Man and woman’s fat ingestion is 24.5% and 27.9% of
total energy, respectively.Man and woman’s carbohydrate
ingestion is 64.9% and 62.0% of total energy, respectively.
These three major nutrition factors are reasonable, but fat
ingestion is a little bit high. The main source of protein of
investigated people comes from grain and animal food.
The quality of protein is good.


Table 5. food intake between intervention
before
and after
Intervention
group ， g ， Control group
Foods

Grain

Before

After

Before

After

579.4

597.1

553.0

588.7

Tubers

54.6

55.5

50.6

53.8

Legume

28.8

37.4*△

27.1

28.1

Meet

76.9

80.4

78.2

75.3*

Vegetables

313.4

321.8△

312.7

291.9

Fruits

25.4

40.0*△

21.4

22.6

Pickles

21.3

11.9*△

23.0

25.6

Milk

8.9

15.2*△

7.8

7.4

Eggs

28.2

42.5*△

25.9

32.6

Vegetable oil

17.2

17.9

16.5

19.6

Animal oil

21.0

15.3*△

22.5

22.7

Salt

15.4

12.8

14.8

14.5

Wine

183.6

54.7*△

187.7

167.9

Note:*P<0.05,compared with pre-intervention; △P<0.05, compared with control group.


Results


food intake between intervention before and after
。g。
 As shown in table 5, after 6 months in house nutrition propaganda
and education for propaganda and education group, fruit ingestion
increases; milk and milk product ingestion does not increase
obviously; animal oil and alcohol ingestion obviously decrease and

significantly meaningful comparing with data before propaganda; salt
ingestion decreases a little but no meaning comparing with data
before propaganda. Kinds of food ingestion of control group have no
change before and after intervention.


Results

Grain
Vegetables
Fruits
Milk
Animal oil
Salt
Wine

Inta
ke

Before
Three months
interferingTwo weeks
One month
Six months

Fig.2 Food intake of intervention group in different survey points


Conclusion

The
nutrition
health
education
intof b
1.2.
consumption
a general
3.Alcohol
Continuation
and was
expansion
ervention
can increase
the
suchinaYiprogram
should
benutrition
carried
ehavior
people,and
related
kn-owle
knowledge
oftothe
resi-dents
and
co
out
so

as
reduce
the
rate
of
dge about the harm of alcohol and nutriti
rrect the dietary behaviors and pro
chronic diseases among alcohol
on were
poor.
mote very
the nu-trition
status in rural et
drinking residents.
hnic areas.


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