俄罗斯的酒精和特定原因死亡率:了解你的心脏研究 2015-23
Nikita A Mitkin1,2, Tormod Brenn3, Tatiana N Unguryanu4
1Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, N- 9037, Norway. nikita.a.mitkin@uit.no.
BMC public health
|November 13, 2024
概括
在俄罗斯,与酒精有关的死亡率是一个主要问题. 与普通人群相比,接受酒精治疗的个人 (药物治疗患者) 面临的死亡风险明显更高,传统的风险因素对他们来说预测能力较低.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管研究研究心血管研究
背景情况:
- 俄罗斯与酒精有关的死亡率是一个关键的公共卫生问题,超过全球平均水平.
- 这项研究调查了酒精消费水平对俄罗斯人口死亡率的影响.
- 它特别研究了因酒精相关疾病 (毒理病患者) 接受治疗的个体的死亡率预测因素.
研究的目的:
- 评估不同饮酒水平对俄罗斯死亡率的影响.
- 确定一般人群和麻醉病患者之间死亡率的预测因素.
- 为了比较不同饮酒类别的死亡风险,包括不饮酒者,低风险,危险,有害饮酒者和麻醉病患者.
主要方法:
- 这项研究分析了2629名35-69岁的男性和女性,来自俄罗斯阿尔罕盖尔斯克的Know Your Heart研究 (2015-2017).
- 参与者被分为五种饮酒水平:不饮酒,低风险,危险,有害和毒理病患者.
- 考克斯比例危险回归被用来分析死亡率预测因素,并比较跨群体的风险,利用区域死亡率数据库进行跟踪.
主要成果:
- 在平均6.3年的随访期间,223名参与者 (8.5%) 死亡.
- 每10万人/年的全因死亡率在毒理病患者 (4757) 和有害饮酒患者 (2170) 中最高,与不饮酒者 (1229) 和低风险/危险饮酒者 (890/877) 相比.
- 与低风险饮酒者相比,麻醉学患者的死亡风险明显高:所有原因的3.23倍,心血管疾病的3.25倍和外部原因的9.36倍. 传统的风险因素,如吸烟和血压,在麻醉病患者中预测效果较差.
结论:
- 麻醉病患者经历了所有原因,心血管疾病和外部原因的大幅增加的死亡风险.
- 传统的死亡风险因素显示,与普通人群相比,毒理病患者的死亡预测能力较弱.
- 这些发现强调了与酒精使用障碍相关的严重健康负担,并强调了针对这一弱势群体进行有针对性的干预的必要性.
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