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目的 了解煤矿企业职工酒精依赖状况以及其与高危性行为间的关系.方法 采用酒精依赖问卷(MAST)和自编高危性行为相关问卷,对整群抽取的2个矿区1 180名煤矿职工进行问卷调查.结果 煤矿职工的饮酒率为85.51%,饮酒者中酒精依赖率为94.1%;随酒精依赖状况加重,非婚性行为率有升高趋势(OR=1.55,χ2趋势=35.02,P=0.00),非婚性行为中的安全套使用率有下降趋势(OR=1.801.χ2趋势=8.45,P=0.00).结论 改善煤矿职工酒精依赖状况,减少煤矿职工高危性行为的发生,以防止性传播疾病传播.“,”Objective To explore the association of alcohol dependence and high risk sexual behavior among coal min-ers. Methods With cluster sampling, 1180 coal miners were surveyed with questionnaire about alcohol dependence (MAST) and high risk sexual belavior in two mines of Huainan in Anhui province. Results The prevalence of alcoholdrinking was 85.51% in miners and the prevalence of alcohol dependence was 94. 1% in the drinking miners. With increas-ing aggravation of alcohol dependence stares, the incidence rate of sexual intercourse outside marriage raised (OR=I. 55, χ2trend=35.02, P=0. 00) while the incidence rate of using condom in sexual intercourse outside marriage decreased (OR= 1.801 ,χ2trend=8.45, P=0.00). Conclusion Improving alcohol dependence status may be an effective way to prevent high risk sexual behavior for prevention of sexually transmitted disease among coal miners.