较低的教育程度扩大了种族/民族差异的酒精使用障碍
Sung In H Kim-Vences1,2, Roger J Zoorob1, Jacqueline M Hirth1
1Department of Family and Community Medicine, Baylor College of Medicine.
Journal of studies on alcohol and drugs
|February 14, 2025
概括
低教育水平增加了黑人和美国印第安人/美洲原住民成年人的酒精使用障碍 (AUD) 几率. 就业和贫困并没有调解这种关联,这表明其他因素有助于AUD的种族差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 较低的教育程度是已知的与酒精有关的死亡率的风险因素.
- 教育对不同种族和族群的酒精使用障碍 (AUD) 的差异影响仍未得到充分研究.
研究的目的:
- 调查教育水平和种族/种族之间的相互作用对发展AUD的几率.
- 评估就业和贫困在教育,种族/种族和AUD之间的关系中扮演的调解角色.
主要方法:
- 利用了2016-2019年国家药物使用和健康调查 (NSDUH) 对26岁及以上成年人的数据.
- 采用多变量逻辑回归分析,按四个教育水平分层 (低于高中到4年制大学+).
- 在包括就业和贫困作为共同变量时,在种族/民族群体中比较了几率比率 (OR) 和评估了OR的变化.
主要成果:
- 美国印第安人/阿拉斯加原住民 (8.06%) 的酒精使用障碍 (AUD) 患病率最高,其次是非西班牙裔白人 (5.37%) 和黑人 (5.09%).
- 与非西班牙裔白人相比,教育水平下降显著增加了黑人和美国印第安人/美洲原住民之间AUD的几率.
- 包括就业和贫困状况并没有实质性地改变赔率比率,这表明调解或混效应最小.
结论:
- 较低的教育程度是黑人和美国印第安人/美洲原住民人口中AUD患病率增加的重要风险因素.
- 就业和贫困似乎不是与教育和种族/种族相关的AUD观察到的差异的重要调解者.
- 需要进一步的研究,以确定导致饮酒障碍的种族和民族差异的潜在机制.
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