社会经济地位,种族和种族是否会改变酒精使用与无意伤害死亡率之间的关系?
Laura Llamosas-Falcón1,2, Yachen Zhu3, William C Kerr3
1Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada laura.llamosas@camh.ca.
概括
社会经济地位和种族改变了重型插曲性饮酒 (HED) 和致命伤害之间的联系. 低教育,低收入和少数种族/少数民族增加了其他无意伤害死亡的风险,但不是机动车死亡事故.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 伤害预防 预防伤害
背景情况:
- 社会经济地位 (SES),种族和民族可能会影响酒精使用和受伤风险.
- 对于这些因素如何改变重度插曲性饮酒 (HED) 和无意伤害死亡率之间的关联,人们的理解有限.
研究的目的:
- 检查SES (教育,收入),种族和种族作为效果修饰因素.
- 调查它们在HED与机动车和其他无意伤害造成的死亡率之间的关系中的作用.
主要方法:
- 利用了美国国家健康访谈调查数据 (1997-2018) 与死亡记录相关.
- 员工调查加权的考克斯比例危险模型.
- 根据教育,收入,种族和种族对HED和伤害死亡率的评估影响修改.
主要成果:
- 在机动车死亡事故中,SES,种族/种族和HED之间没有显著的相互作用.
- 其他无意伤害死亡率的显著相互作用:低教育 (HR 2.75) 和低收入 (HR 1.84) 与HED.
- 黑人和西班牙裔参与者与白人参与者相比,在HED中出现其他致命的无意伤害的风险更高.
结论:
- 在了解酒精使用和非故意伤害死亡率方面,SES和种族/种族是至关重要的.
- 针对小组的具体分析对于有针对性的干预和减少健康差异至关重要.
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