社会经济地位,酒精使用和酒精归因的急诊室访问
Brendan T Smith1,2, Claire Benny3, Alessandra T Andreacchi3,2
1Public Health Ontario, Toronto, Ontario, Canada brendan.smith@oahpp.ca.
Journal of epidemiology and community health
|December 25, 2024
概括
较低社会经济地位 (SEP) 的个人面临与酒精有关的紧急诊所访问的风险更高,特别是与重度饮酒相结合时. 需要采取干预措施来解决这些不平等问题.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 酒精消费不成比例地影响着较低的社会经济群体,加剧了健康不平等.
- 了解社会经济地位 (SEP) 和酒精使用之间的相互作用对于有针对性的减少危害战略至关重要.
研究的目的:
- 为了估计SEP和酒精消费模式对酒精归因的急诊室 (ED) 访问的性别/性别特异性联合影响.
- 为了确定SEP和重度插曲性饮酒或高酒精量的ED访问率之间的协同相互作用.
主要方法:
- 来自加拿大社区健康调查 (2003-2008) 的36900名男性和39700名女性 (年龄在15-64岁) 的队列研究与ED数据联系在一起.
- 分析SEP (教育,收入) 与酒精使用 (重度偶尔饮酒,每周数量) 之间的性别/性别特异性关联,以及与酒精相关的ED访问事件.
- 使用协同效应指数 (S) 评估添加性相互作用.
主要成果:
- 较低的教育和收入与男性和女性因酒精而增加的ED访问率有显著的关联.
- 观察到低SEP (教育和收入) 与大量插曲性饮酒或更高的酒精量之间存在超添加的联合效应,这表明风险增加.
- 这些协同效应突出了低SEP和重度酒精使用的危害负担.
结论:
- 较低社会经济地位的个人对与酒精有关的伤害的脆弱性更高.
- 调查结果强调,迫切需要在人口层面采取干预措施,以减轻酒精造成的危害的负担和社会经济差异.
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