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Background  To describe the prevalence of alcohol dependence and to explore the relationship between alcohol dependence and newly detected hypertension in China.    Methods  A multistage stratified cluster sampling method was used to obtain samples from February to June 2013. The Michigan Alcoholism Screening Test was used to estimate alcohol dependence level. A standard questionnaire measured other independent variables. Enumeration data were analyzed using chi-square; quantitative data were analyzed using t-tests. Spearman correlation analysis and multivariate logistic regression analysis were performed to identify the relationship between alcohol dependence and hypertension.    Results  The alcohol dependence rate was 11.56%; 22.02% of males (3854/17501) and 1.74% of females (324/18656) were classified as alcohol dependent. The newly detected hypertension rate was 9.46% (3422/36157). Significant associations were found between alcohol dependence levels and blood pressure ( P  < 0.01). Alcohol dependence was positively correlated with systolic blood pressure ( r  = 0.071,  P  < 0.01) and diastolic blood pressure ( r  = 0.077,  P  < 0.01) and was an independent risk factor for hypertension after adjusting for confounders (low alcohol dependence: odds ratio [OR] = 1.44, 95% confidence intervals [CI] = 1.14–1.81,  P  < 0.01; light alcohol dependence: OR = 1.35, 95% CI = 1.11–1.64,  P  < 0.01; medium alcohol dependence: OR = 1.83, 95% CI = 1.40–2.41,  P  < 0.01).    Conclusion  Alcohol dependence was high and associated with hypertension. Health education and precautions against alcoholism should be implemented in Xuzhou city.

The prevalence of alcohol dependence and its association with hypertension: a population-based cross-sectional study4 in Xuzhou city, China