台灣體力勞工飲用含咖啡因酒精性飲料行為之質性研究

The Drinking Behavior of Caffeinated Alcoholic Beverages among Taiwanese Manual Workers: A Qualitative Study

背景：許多研究顯示在西方國家的大學生之中，飲用含咖啡因的酒精性飲料相當盛行， 且會增加酒精相關的健康風險。在不同族群中的飲用行為也不同，因此可導致不同的健康風 險。然而，台灣飲用含咖啡因酒精性飲料的行為從未被研究。方法：我們對25 位台灣的體 力勞工與3 位職場主管進行了深度個別訪談，以了解含咖啡因酒精性飲料的飲用行為，與其 感受的健康風險。結果：台灣體力勞工每週六天飲用含咖啡因酒精性飲料，每天飲用2 至5 次，總計飲用12 至96 克的純酒精。含咖啡因酒精性飲料主要用來提神、社交、及強身。飲 用者最在意的健康風險是慢性肝病及酒精成癮。討論：台灣體力勞工飲用含咖啡因酒精性飲 料的形式，帶來了許多健康的顧慮。我們需要更多的研究來確認飲用含咖啡因酒精性飲料的 急性與慢性健康後果，且政府應採取更積極的措施以減少不當的飲用行為。

Background: Many studies showed that caffeinated alcoholic beverage (CAB) consumption is prevalent among college students in Western societies, and has been found to increase alcohol-related medical risks. Drinking behaviors of CAB in various populations may lead to different medical risks. But how CAB is consumed in Taiwan has rarely been studied. Methods: We conducted in-depth individual interviews with 25 Taiwanese manual workers and 3 worksite supervisors to explore their CAB consumption behaviors and perceived medical risks. Results: Study participants reported that in Taiwanese manual workers, CAB drinkers typically consumed pre-mixed CAB at the workplace every work day, 2 to 5 times a day, and a total amount of 12 to 96 g of pure alcohol per day. CABs were consumed in an attempt to boost energy, to socialize, and to promote health. CAB drinkers in Taiwan were mostly concerned of the risks of chronic liver diseases and alcohol dependence. Conclusion: The CAB drinking pattern among Taiwanese manual workers caused several medical concerns. More research are needed to confi rm acute and chronic medical consequences of CAB consumption. The government offi cers should take more aggressive management measures to avoid inappropriate use of CABs.