ロシアにおける危険なアルコール摂取と早死:人口ベースのケース・コントロール研究
David A Leon1, Lyudmila Saburova2, Susannah Tomkins1
1London School of Hygiene and Tropical Medicine, London, UK.
Lancet (London, England)
|June 19, 2007
まとめ
飲料以外のアルコールの消費を含む危険な飲酒は,働く年齢のロシア人の男性死亡のほぼ半分を占めています. この発見は,1990年代に観察された急激な死亡率の変動を説明する可能性がある.
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
- 毒理学 毒理学 毒理学
背景:
- ロシアの男性における低寿命と高い死亡率の変動の原因を調査した.
- 男性の死亡率に対するアルコール,特に危険な飲酒パターンの貢献に焦点を当てた.
研究 の 目的:
- ロシアの都市で危険なアルコールの消費が男性死亡率に与える影響を決定するために.
- 飲酒以外のアルコールの消費と死亡率との関連を調査する.
主な方法:
- イジェフスクの男性死亡 (25~54歳) の2年間のケース・コントロール研究.
- 代理インタビューでは,アルコールの消費 (ビール,ワイン,スピリッツ,飲料以外のアルコール),問題のある飲酒マーカー,喫煙,教育に関するデータを収集しました.
- 頻度一致した対照群は,一般集団から選択された.
主要な成果:
- 男性の死亡の51%は,問題のある飲酒者または飲料以外のアルコールを消費した者と分類され,対照群の13%でした.
- 危険な飲酒は,調整後の6倍増加した死亡リスク (OR 6.0,95%CI 5.0-7.3) と関連していました.
- 飲料以外のアルコールを飲むことは,エタノール量,教育,喫煙を考慮した後でも,死亡リスク (OR 9.2) を著しく増加させた.
結論:
- 飲料以外のアルコールを含む危険な飲酒は,研究されたロシアの都市における労働年齢の男性死亡のほぼ半分を占める可能性がある.
- 調査結果は,危険な飲酒習慣と1990年代初頭のロシアでの死亡率の急激な増加との潜在的な関連を示唆しています.
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