有害饮酒风险因素:一个多层次分析
Jéssica Lima de Oliveira Pinheiro Gaia1,2, Ana Vitória Corrêa Lima1,2, Sheila Ramos de Oliveira1,3
1Escola de Enfermagem da Universidade de São Paulo, Departamento Materno-Infantil e Psiquiátrica, São Paulo, SP, Brazil.
Revista latino-americana de enfermagem
|October 31, 2025
概括
这项研究发现,圣保罗18.9%的初级医疗保健用户表现出有害的酒精消费. 男性性别,黑人种族/肤色和更高收入与危险/有害使用有关,而低教育和抑郁症诊断与可能的依赖有关.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 成 药物 药物 药物 药物
背景情况:
- 酒精消费模式及其相关风险是严重的公共卫生问题.
- 初级卫生保健 (PHC) 设置为识别和干预酒精使用障碍 (AUD) 提供了关键机会.
- 了解AUD在PHC使用者的患病率和决定因素对于有针对性的干预措施至关重要.
研究的目的:
- 为了确定PHC用户中风险,有害和可能的酒精依赖消费模式的普遍性.
- 研究这些消费模式与社会人口统计学,临床和行为特征之间的关联.
主要方法:
- 在圣保罗PHC服务的2,178名参与者中进行了一项横截面研究.
- 进行了酒精使用障碍识别测试 (AUDIT).
- 使用了描述性和分层的波桑回归分析.
主要成果:
- 18.9%的参与者符合有害饮酒标准.
- 男性性别,黑人种族/肤色,收入≥10最低工资与风险/有害消费有关.
- 较低的教育水平和抑郁症的诊断是可能的酒精依赖的决定因素.
结论:
- 在圣保罗卫生保健中心使用者中,AUD的患病率高于之前报告的水平.
- 医疗保健中心的服务对于查和早期诊断酒精使用障碍至关重要.
- 识别特定的风险因素可以在初级保健机构内定制公共卫生策略.
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