Alcohol consumption, hospitalization and medical expenditure:a large epidemiological study on the medical insurance system in Japan.
Alcohol consumption, hospitalization and medical expenditure:a large epidemiological study on the medical insurance system in Japan.
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饮酒、住院与医疗费用：日本医疗保险制度的大型流行病学研究
DOI：
10.1093/alcalc/agu089
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
Nakamura K,Okuda N,Okamura T,Miura K,Nishimura K,Nishimura K,Yasumura S,Sakata K,Hidaka H,Okayama A.
中科院分区：
文献类型：
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作者：
本橋美希;菅野丈夫;福岡裕人;相原絵梨花;山崎卓麿;町田あゆみ;中田美江;三浦まき;本間隆志;木庭新治;小林洋一;木庭新治;Nakamura K,Okuda N,Okamura T,Miura K,Nishimura K,Nishimura K,Yasumura S,Sakata K,Hidaka H,Okayama A.
目的：本研究探讨了饮酒习惯与日本男性人群发生高医疗费用之间的关系。方法：该队列包括94,307名年龄在40-69岁的日本医疗保险制度的男性受益人，他们每天都有饮酒习惯。在根据饮酒量分组的参与者中，比较了发生高医疗费用的可能性（定义为基线后1年研究人群中医疗费用分布的≥ 90百分位数）以及当年住院的可能性（<2、2-3.9、4-5.9、≥6杯/天）。结果：基线后1年内排名前10%医疗支出组的参与者每人至少花费2152欧元/年。前10%的医疗费用组占研究人群总医疗费用的61.1%。比值比（95%置信区间），与<2杯饮料相比，（23克酒精）/天组，分别为1.08（1.02-1.15）每天2-3.9杯，1.11（1.05-1.19），在调整年龄、体重指数、吸烟和运动习惯后，≥6杯/天为1.31（1.18-1.45）。住院的校正比值比分别为1.11（1.04-1.19）、1.14（1.06-1.24）和1.39（1.24-1.56）。
Aims:This study investigated the relationship between alcohol drinking habits and the onset of high medical expenditure in a Japanese male population.Methods:The cohort comprised 94,307 male beneficiaries 40–69 years of age of the Japanese medical insurance system, who had daily alcohol drinking habits. The likelihood of incurring high medical expenditure, defined as the ≥90th percentile of the medical expenditure distribution in the study population 1 year after baseline, as well as the likelihood of undergoing hospitalization that year were compared among the participants grouped according to their alcohol consumption amount (<2, 2–3.9, 4–5.9, ≥6 drinks/day).Results:Participants who ranked in the top 10% medical expenditure group within the 1 year after baseline each incurred at least 2152 euros/year. The top 10% medical expenditure group accounted for 61.1% of the total medical expenditure in the study population. The odds ratios (95% confidence intervals) for ranking in the top 10% group during the 1-year period, compared with the <2 drinks (23 g of alcohol)/day group, were 1.08 (1.02–1.15) for 2–3.9 drinks/day, 1.11 (1.05–1.19) for 4–5.9 drinks/day, and 1.31 (1.18–1.45) for ≥6 drinks/day after adjustment for age, body mass index, and smoking and exercise habits. The adjusted odds ratios for undergoing hospitalization were 1.11 (1.04–1.19), 1.14 (1.06–1.24) and 1.39 (1.24–1.56), respectively.Conclusion:The likelihood of incurring high medical expenditure and undergoing hospitalization increased with daily alcohol consumption amount.