美国的酒精消费和死亡率的种族和民族差异
Timothy S Naimi1, Adam Sherk1, Keegan W Lawrence1
1Canadian Institute for Substance Use Research, University of Victoria, Victoria, Canada.
American journal of preventive medicine
|September 16, 2025
概括
酒精死亡的种族和民族差异仍然存在,即使考虑到酒精消费水平. 解决健康的社会决定因素和实施酒精政策对于减少这些伤害至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 药物滥用研究 药物滥用研究
背景情况:
- 在酒精消费模式中存在显著的种族/民族差异.
- 关于与酒精有关的死亡率和死亡原因的种族/民族差异的有限数据.
- 了解酒精摄入量调整后差异的持续性至关重要.
研究的目的:
- 综合评估酒精死亡的种族/民族差异.
- 为了评估由于酒精减少的预期寿命的种族/民族差异.
- 为了确定在对乙醇消费进行调整后,差异存在的程度.
主要方法:
- 利用行为风险因素监测系统来获取酒精流行数据.
- 雇员国家生命统计系统用于死亡率数据.
- 应用酒精归因分数和酒精相关疾病影响申请美国数据 (2020-2021年).
主要成果:
- 白人占酒精死亡的最大比例 (70.8%).
- 美国印第安人/阿拉斯加土著人表现出最高的酒精归因死亡率 (每10万人中有145.3人) 和最年轻的死亡年龄 (48.1岁).
- 在对人均酒精消费量进行调整后,种族/族群之间仍然存在四倍的酒精死亡率差异.
结论:
- 由于饮酒导致的死亡的种族/民族差异仅部分由消费差异来解释.
- 需要有效的酒精政策来减轻与酒精有关的危害.
- 解决健康的社会决定因素对于减少所有种族/族群之间的差异至关重要.
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