量化阿托亚罗亚/新西兰除饮酒者之外的其他人的酒精归因残疾调整寿命年数:基于行政数据的建模研究
Sally Casswell1, Taisia Huckle1, Jose S Romeo1
1Social and Health Outcomes Research and Evaluation (SHORE), SHORE and Whariki Research Centre College of Health, Massey University, Auckland, New Zealand.
Addiction (Abingdon, England)
|February 26, 2024
概括
酒精饮料 酒精饮料 酒精饮料 酒精饮料
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 酒精对健康的负担往往低估了对他人的伤害.
- 对他人的伤害 (HTO) 文献缺乏系统的风险评估.
- 胎儿酒精谱系障碍 (FASD),暴力和交通伤害是HTO的关键领域.
研究的目的:
- 在新西兰量化酒精对他人的伤害 (HTO) 的疾病负担.
- 为了比较HTO的负担与对饮酒者的伤害.
- 根据种族,年龄和性别分析HTO负担.
主要方法:
- 2018年新西兰使用残疾调整寿命年 (DALYs) 的疾病负担分析.
- 模拟FASD,人际暴力和交通伤害的DALY.
- 从患病率,可归因于酒精的分数和行政记录的数据;调整的残疾权重.
主要成果:
- 2018年,酒精导致新西兰78,277个健康生命年因HTO而丧失.
- FASD是最大的贡献者 (90.3%),其次是交通事故 (6.3%) 和暴力 (3.4%).
- 毛利人的HTO负担比非毛利人的高 (25 DALYs/1000);HTO负担超过了对饮酒者的伤害 (78,277对 60,174 DALYs).
结论:
- 在新西兰,FASD是酒精HTO的主要贡献者.
- 酒精的HTO负担超过了对饮酒者的直接伤害,并显示了种族不平等.
- 量化HTO对于制定有效的酒精政策至关重要.
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