自我报告的残疾类型和酒精引起的死亡风险 - - 一项使用全国代表性数据的纵向研究
Jonathan Aram1, Natalie Slopen2, Candace Cosgrove3
1Department of Epidemiology and Biostatistics, University of Maryland School of Public Health, USA.
Substance use & misuse
|April 18, 2024
概括
身体残疾的成年人面临着更高的酒精诱导死亡风险,特别是那些有复杂活动,视力或运动限制的人. 预防策略应针对这些高风险群体进行量身定制的干预措施.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 关于残疾人的研究.
背景情况:
- 残疾与滥用酒精和药物过量死亡有关.
- 障碍和酒精引起的死亡之间的关联还没有得到充分的研究.
研究的目的:
- 量化美国成年人与各种类型的残疾人酒精诱导死亡的风险.
- 确定与酒精引起的死亡风险增加相关的特定类型的残疾.
主要方法:
- 对美国成年人全国代表性纵向样本的分析 (美国社区死亡差异研究,n=3,324,000).
- 从2008年到2019年通过国家死亡指数确定的死亡结果.
- 根据残疾类型和酒精引起的死亡估计的调整危险比率 (aHRs),控制共变量.
主要成果:
- 在12年的随访期间,发生了4000起酒精引起的死亡.
- 对复杂活动限制 (aHR=1.7),视力限制 (aHR=1.6) 和运动限制 (aHR=1.4) 观察到的最高风险.
- 认知和听力限制显示,与酒精诱导死亡的相关性较小,不显著.
结论:
- 酒精诱导死亡的风险因残疾类型而异.
- 预防工作应优先考虑具有复杂活动,视力,移动性或多重限制的成年人.
- 建议采取量身定制的干预措施,包括早期酒精使用障碍治疗和改善机会的获取.
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