The Investigation On Drinking Practice And Analysis On The Propaganda And Education Of Nutrition In Yi Minority, Yunnan Province

Objectives:(1) To understand the drinking patterns and health status in Yi people of Yunnan Province, probe into the relationship between drinking activity and nutrition condition. (2) To observe the effects of nutrition health education interventions program to the drinkers' level of nutrition knowledge, the acknowledgment of the harm of alcohol, drinking activity and nutrition condition, and also, to evaluate the interfering result. (3) Find out the effective ways and methods of interfering of drinking activity suitable for the minority people and provide scientific evidence for the popularization and propaganda.Methods:Use the method of cluster random sampling, and 1769 Yi people over 18 in three poor townships of Dayao country ((Tanhua, Guihua, Santai) in Yi Autonomous Prefecture, Chuxiong, Yunan Province were selected and investigated with questionnaire on General Drinking Activity and Health Condition by face to face, and their height, weight and blood pressure were also measured. Dietary survey was conducted using the method of 24h dietary recall. The dietary data were evaluated by the Chinese Balanced Diet Pagoda and the Chinese RNIs in 2007. All the examinees should fill. Based on the result of baseline investigation, research objects were screened out and randomly divided into nutrition education and control groups. Nutrition education group were carried out 6 months'education and propaganda of nutrition, no interference to the control groups. After Nutrition interfering, the level of nutrition knowledge, the acknowledgment of the harm about alcohol, drinking activity and the nutrition condition of this two groups were investigated, the investigation method is the same with the investigation before interfering. The data were analyzed by spss11.5 software.Results:(1) Annual drinking rate was 47.9% in general population, and 67.6% in men which was significantly higher than women 20.1%. With the increase of age, the drinking rate of the respondents became higher, reaching at peak in the age of 35 to 45 years old. And logistic regression analysis indicated that gender, age, education and occupation were influencing factors on drinking. (2) 46.2% male drinkers drank every day,51.4% female drinkers used alcohol once or twice a week. Strong distilled spirit was the most common beverage of alcohol use in this area, accounting for 90.8%. It was 34.1% that annual alcohol consumption for high-alcohol liquor was 125 to 250 milliliter, and 6.4% male drinkers intake 450 ml per time. (3) 58.1% drinkers of their first alcohol use were 18 to 25 years old, and 9.5% drinkers were under 18 years old when they first drank. In terms of the level of health status,33.7% of the drinkers considered that they were very good and 3.4% of the drinkers thought that they were in bad health status. (4) The rate of prevalence hypertension was 36.6% in intervention objects, and logistic regression analysis indicated that gender, age, body mass index were influencing factors. (5) The dietary surveys show the intakes of the total energy and other vitamins and minerals were inadequate, especially, calcium and vitamin A. The intakes of fruits and milk were lower, while the animal oil and salt were higher. The protein was most from cereal and fat was almost from animal foods. (6)The excretion of thiamine, riboflavin in urine test indicated that vast majority of the intervention objects were deficiency. (7) After the nutritional education for half a year, the intervening group formed more reasonable diet. The awareness rate of nutritional knowledge was higher significantly in the intervening group than that in the control group. The number of persons who know the dietary Guidelines for Chinese increased in the intervening group. All differences were significant statistically.Conclusion:Alcohol consumption was a general behavior in Yi people, and related knowledge about the harm of alcohol and nutrition were very poor. The nutrition health education intervention can increase the nutrition knowledge of the residents and correct the dietary behaviors and promote the nutrition status in rural ethnic areas. Continuation and expansion of such a program should be carried out so as to reduce the rate of chronic diseases among alcohol drinking residents.