飲酒の始まりの年齢と,飲酒後に意図しない怪我の関与
R W Hingson1, T Heeren, A Jamanka
1Department of Social and Behavioral Sciences, Boston University School of Public Health, MA 02118, USA. rhingson@bu.edu
JAMA
|September 23, 2000
まとめ
21歳未満のアルコールの使用を開始すると,中毒状態で意図しない怪我を経験するリスクが大幅に増加します. 早期発症した飲酒は,アルコール関連の怪我の重要な要因であり,予防の必要性を強調しています.
科学分野:
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
- 薬物乱用研究 薬物乱用研究
背景:
- 意図しない怪我は,若い成人の死亡の主な原因です.
- アルコールは,多くの怪我による死亡に大きく寄与する要因である.
- 早期発症した飲酒と,酔っぱらった状態の後の怪我のリスクとの関連は不明である.
研究 の 目的:
- アルコールの影響下で,飲酒を開始する年齢と,意図しない怪我を経験する可能性との関連性を調査する.
- 若いうちに飲酒を開始すると,アルコール関連の怪我のリスクが高まるかどうかを判断するためです.
主な方法:
- 代表的な米国成人の人口を対象とした大規模な横断的な研究であるNational Longitudinal Alcohol Epidemiology Surveyのデータを活用した.
- 酔っぱらった状態で意図しない怪我に関与した自己報告データを分析し,最初のアルコール消費の年齢によって分類しました.
- アルコール依存症,重度の飲酒頻度,アルコール依存症の家族歴など,潜在的な混同要因を制御する.
主要な成果:
- 21歳より前に飲酒を始めた人は,21歳以上で飲酒を始めた人と比較して,アルコール関連の怪我を報告する確率が著しく高かった.
- 酔っぱらった状態で負傷するリスクは,より若い年齢で飲酒を開始した人のために大幅に増加しました (例えば,14歳未満から始めるためのオッズ比率は2.98です).
- この関連性は,人口統計と薬物使用の変数を調整した後も維持された.
結論:
- 21歳未満のアルコールの摂取を開始することは,アルコールの影響下で意図しない怪我を経験する重大な危険因子です.
- 発見は,アルコール関連の怪我のリスクを軽減するために,早期発症の飲酒を予防することの公衆衛生上の重要性を強調しています.
- この研究は,青少年の飲酒パターンを,成人の怪我の結果と結びつける有力な証拠を提供します.
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