酒精消费在一生中的发展轨迹和全因和疾病特异性死亡率:墨尔本协作队列研究
Julie K Bassett1,2, Yang Peng1,3, Robert J MacInnis1,2
1Cancer Epidemiology Division, Cancer Council Victoria, East Melbourne, VIC, Australia.
International journal of epidemiology
|March 10, 2025
概括
稳定的轻度至中度饮酒与较低的死亡率有关,而增加或减少大量饮酒增加了风险. 为了减少死亡率,避免在一生中摄入更高的酒精摄入量至关重要.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 酒精研究 酒精研究
背景情况:
- 关于长期饮酒模式与死亡率之间的联系的研究有限.
- 了解这些轨迹对于公共卫生倡议至关重要.
研究的目的:
- 为了研究长期,性别特定的饮酒轨迹和死亡率之间的关系.
- 分析与全因,心血管疾病和癌症特定死亡率的关联.
主要方法:
- 利用了来自墨尔本协作队列研究 (1990-1994) 的39588名参与者的数据.
- 使用考克斯回归来估计死亡率结果的危险比率 (HR) 和95%置信区间 (CI).
- 确定了男性和女性不同的基于团体的酒精摄入轨迹.
主要成果:
- 稳定的轻度到中度饮酒与与终身戒酒相比,所有原因死亡率降低9%-12%有关.
- 较高的全因死亡率 (18%-21%) 观察到早期和晚期下降的重度饮酒轨迹.
- 增加的癌症特异性死亡率 (19%-37%) 与增加中度,早期减少重度和晚期减少重度饮酒模式有关.
结论:
- 研究结果强调了维持低酒精摄入量水平在一生中的重要性.
- 避免高水平的酒精消费可以显著降低所有原因和癌症特异性死亡率的风险.
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