危险的酒精饮用和俄罗斯的过早死亡率:一个基于人口的病例控制研究
David A Leon1, Lyudmila Saburova2, Susannah Tomkins1
1London School of Hygiene and Tropical Medicine, London, UK.
Lancet (London, England)
|June 19, 2007
概括
危险饮酒,包括非饮料酒精消费,占俄罗斯劳动年龄男性死亡的近一半. 这一发现可能解释了20世纪90年代观察到的死亡率急剧波动.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 毒理学 毒理学 毒理学
背景情况:
- 研究了俄罗斯男性预期寿命低和死亡率高的未知原因.
- 专注于酒精对男性死亡率的贡献,特别是危险的饮酒模式.
研究的目的:
- 确定危险饮酒对俄罗斯城市男性死亡率的影响.
- 探索非饮料酒精消费与死亡率之间的关联.
主要方法:
- 两年来,伊杰夫斯克的男性死亡 (25-54岁) 的病例控制研究.
- 代理访谈收集了关于酒精消费 (酒,葡萄酒,烈酒,非饮料酒精),问题饮酒标志物,吸烟和教育的数据.
- 从一般人群中选择了与频率匹配的对照.
主要成果:
- 51%的男性死亡被归类为问题饮酒者或消费非饮料酒精,而对照人群中只有13%.
- 在调整后,危险饮酒与死亡风险增加6倍 (OR 6.0,95% CI 5.0-7.3) 相关.
- 饮用非饮料酒精显著增加了死亡风险 (OR 9.2),即使考虑到乙醇量,教育和吸烟.
结论:
- 危险饮酒,包括非饮料酒精,可能占研究的俄罗斯城市所有劳动年龄男性死亡的近一半.
- 调查结果表明,危险饮酒模式与20世纪90年代初俄罗斯死亡率急剧增加之间存在潜在联系.
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