巴西的教育不平等和与酒精有关的后果
Leandro Machado Oliveira1, Flávio Fernando Demarco2,3, Fabrício Batistin Zanatta1
1Department of Stomatology, Postgraduate Program in Dentistry, Santa Maria, Rio Grande do Sul 97015-900, Brazil.
Alcohol and alcoholism (Oxford, Oxfordshire)
|May 2, 2024
概括
在巴西观察到酒精危害悖论,较低的教育程度与更多与酒精有关的后果有关. 行为因素最小限度地减少了这些差异,而酒精量和重度饮酒则放大了这些差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会科学 社会科学 社会科学
背景情况:
- 酒精危害悖论 (AHP) 表明,较高的酒精消费与较低社会经济群体中较少的酒精相关伤害有关.
- 了解巴西等多元人口中的AHP对于有针对性的公共卫生干预至关重要.
研究的目的:
- 在巴西调查酒精有害悖论的存在.
- 检查教育成就与与酒精有关的后果 (ARC) 之间的关联.
- 评估平均酒精消耗量 (AVC),剧烈情节性饮酒 (HED),吸烟,体重指数 (BMI) 和抑郁症在调解ARC教育差异中的作用.
主要方法:
- 分析2019年巴西国家健康调查,全国代表性家庭调查.
- 由酒精导致的活动失败,记忆丧失或对他人的担忧定义的复合ARC结果.
- 调整的二进制物流回归模型,使用层次方法来评估可变贡献.
主要成果:
- 具有最低教育程度 (不完整的小学教育) 的个人有显著更高的ARC几率 (OR:2.03;95%CI:1.73-2.37).
- 吸烟,BMI和抑郁症使ARC的教育不平等程度减轻了大约13%.
- 平均酒精消耗量和重度偶尔饮酒增加了ARC的教育差异,分别为0.3%和5.7%.
结论:
- 证据支持巴西存在酒精危害悖论的存在.
- 行为因素在减轻与酒精相关后果的教育不平等方面具有有限的影响.
- 当调整为平均酒精量和重度偶尔饮酒时,观察到抑制效应,表明这些因素加剧了差异.
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