饮酒开始的年龄和饮酒后无意中受伤的参与
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
概括
在21岁之前开始饮酒显著增加了在醉酒状态下遭受无意伤害的风险. 早期饮酒是与酒精有关的伤害的关键因素,强调了预防的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 药物滥用研究 药物滥用研究
背景情况:
- 意外伤害是年轻人死亡的主要原因.
- 酒精是许多伤害相关死亡事故的重要因素.
- 早期开始饮酒和后来的受伤风险之间的联系在醉酒时仍然不清楚.
研究的目的:
- 调查饮酒开始的年龄与在酒精影响下经历意外伤害的可能性之间的关联.
- 确定在较年轻时开始饮酒是否会增加与酒精有关的伤害的风险.
主要方法:
- 利用了来自全国纵向酒精流行病学调查的数据,这是对代表性美国成年人口的大规模横截面研究.
- 分析了自我报告的数据,涉及无意的伤害,而醉酒,按第一次饮酒的年龄分类.
- 对潜在的混因素进行控制,包括酒精依赖,重度饮酒频率和家族酒精史.
主要成果:
- 在21岁之前开始饮酒的人比21岁或以上开始饮酒的人更容易报告与酒精有关的伤害.
- 醉酒时受伤的风险在年轻时开始饮酒的人中大幅增加 (例如,在14岁之前开始饮酒的几率比率为2.98).
- 即使调整了人口统计和物质使用变量后,这种关联仍然存在.
结论:
- 在21岁之前开始饮酒是体验酒精影响下的无意伤害的重要危险因素.
- 这些发现强调了预防早开始饮酒以减轻与酒精有关的伤害风险对公共卫生的重要性.
- 这项研究提供了强有力的证据,将青少年饮酒模式与成人受伤结果联系起来.
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