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目的 调查兰州市城乡男性工人酒依赖者与适量饮酒者生活质量及焦虑状况,为制定相关预防和干预措施提供依据.方法 采用整群抽样的方法,使用酒精依赖性疾患识别测验(AUDIT)、焦虑自评量表(SAS)、生活质量综合评定问卷(成人用)(GQOL-74)调查兰州市城乡男性工人的饮酒状况,并对酒依赖者的生活质量及焦虑状况与适量饮酒者进行比较.结果 调查人群中酒依赖检出率为7.5％,工人检出率为5.9％,农民工检出率高达9.1％.从生活质量4个维度来看,酒依赖者在躯体功能、心理功能及社会功能维度评分均低于适量饮酒者,差异均有统计学意义(P＜0.01);从各因子来看,酒依赖者和适量饮酒者在经济状况、睡眠与精力、躯体不适感、性功能、精神紧张度、负性情感、认知功能、自尊、社会支持、人际交往能力、工作与学习、婚姻与家庭及生活质量总体评价因子方面差异均有统计学意义(P＜0.05,P＜0.01).酒依赖者干预前后在躯体功能、心理功能及社会功能维度评分差异均有统计学意义(P＜0.01).酒依赖者干预前后除住房、社区服务、生活环境、正性情感和业余娱乐生活无明显差异外,其余因子及生活质量总体评价因子方面差异均有统计学意义(P＜0.05,P＜0.01).在焦虑状况方面,酒依赖者和适量饮酒者SAS得分[分别为(35.96±10.68)、(30.36±9.27)分]与普通人SAS常模得分[(27.78±0.46)分]比较,差异均有统计学意义(P＜0.05),两者相互比较,差异也有统计学意义(P＜0.05);且酒依赖者干预前后比较,差异也有统计学意义(P＜0.05).结论 兰州市城乡男性工人酒依赖者生活质量差于适量饮酒者,同时其焦虑问题更为突出;心理干预可明显改善酒依赖者生活质量及焦虑状况,具有较高的应用价值,值得推广.“,”Objective To investigate the life quality and anxiety of alcohol reliers and appropriate drinkers in urban and rural male workers of Lanzhou and to provide the base for prevention and intervene measures.Methods The cluster sampling method was used to select the subjects.The Alcohol Dependence Disorders Identification Test (AUDIT),Self-evaluation of Anxiety Scale (SAS)and the Quality of Life Overall Evaluation Questionnaire for Adults (GQOL-74) were utilized to investigate the drinking status in urban and rural male workers of Lanzhou.The life quality and anxiety were compared between alcohol reliers and appropriate drinkers.Results The alcohol dependence rate in all subjects,urban workers and migrant workers were 7.5％,5.9％ and 9.1％,respectively.On the basis of four dimensions of life quality,the physical function,mental function and social function in alcohol reliers were significantly lower than those in appropriate drinkers (P＜0.01).Also the various factors (economic condition,sleep and energy,body discomfort,sexual function,mental tension,negative emotion,cognitive function,self-esteem,social support,interpersonal skills,work and learning,marriage and the family and total life quality) in alcohol reliers were significantly lower than those in appropriate drinkers (P＜0.05,P＜0.01).The scores of physical function,mental function and social function after intervention were significantly different to those before intervention in alcohol reliers (P＜0.05).Other scores (economic condition,sleep and energy,body discomfort,sexual function,mental tension,negative emotion,cognitive function,self-esteem,social support,interpersonal skills,work and learning,marriage and the family and total life quality) after intervention were significantly different to those before intervention in alcohol reliers (P＜0.05).The SAS scores (35.96±10.68 and 30.36±9.27,respectively) of anxiety in alcohol reliers and appropriate drinkers were significantly lower than that (27.78±0.46) in general population (P＜0.05),and there was significant difference of SAS score between alcohol reliers and appropriate drinkers (P＜0.05).There was significant difference of SAS score between before intervention and after intervention in alcohol reliers (P＜0.05).Conclusion The life quality of alcohol reliers is lower than that of appropriate drinkers in urban and rural male workers of Lanzhou.The main mental problem is anxiety,and mental intervention could significantly improve the life quality and anxiety of alcohol reliers.