酒精危害悖论:它是否适用于自我报告的酒精危害,危险的饮酒模式是否重要?
1Dept of Alcohol, Tobacco and Drug Research, Norwegian Institute of Public Health, Oslo, Norway. Ingeborg.Rossow@fhi.no.
BMC public health
|November 5, 2024
概括
酒精伤害悖论适用于自我报告的伤害,显示较低社会经济地位 (SEP) 群体的更高患病率. 危险饮酒模式部分解释,但不能完全解释这些与酒精有关的伤害差异.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 流行病学 流行病学
背景情况:
- 酒精危害悖论 (APH) 表明,与酒精有关的危害在较低社会经济地位 (SEP) 群体中不成比例地高于较高社会经济地位 (SEP) 群体,即使考虑到酒精消费量.
- 这项研究调查了APH对自我报告的酒精危害的有效性.
研究的目的:
- 要确定酒精危害悖论是否适用于自我报告的酒精危害.
- 评估SEP群体之间危险饮酒模式的差异是否解释了酒精危害的差异,控制消费量.
主要方法:
- 挪威全国人口调查数据的横截面分析 (n=8,171个25-79岁的过去一个月的饮酒者).
- 使用AUDIT-10项目 (依赖症状,相关后果) 衡量自我报告的酒精危害.
- 后勤回归模型用于比较低与高的SEP群体,调整消费量,重度插曲性饮酒和酒精消费比例.
主要成果:
- 与酒精有关的伤害在低SEP组中明显比高SEP组更为普遍,即使调整了年龄,性别和消费量.
- 危险的饮酒习惯和婚姻状况只解释了低SEP组中酒精相关伤害风险增加的很小一部分.
- 在所有灵敏度分析中,调查结果保持稳健.
结论:
- 这项研究支持酒精危害悖论对自我报告的酒精危害的有效性.
- 低SEP与增加与酒精有关的伤害和更危险的饮酒模式有关,尽管总体消费量较低.
- 单纯的饮酒模式并不能完全解释SEP群体之间酒精危害的差异.
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