Beyond drinking: differential effects of demographic and socioeconomic factors on alcohol-related adverse consequences across European countries.
Beyond drinking: differential effects of demographic and socioeconomic factors on alcohol-related adverse consequences across European countries.
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除了饮酒之外：欧洲国家人口和社会经济因素对酒精相关不良后果的不同影响。
DOI：
10.1159/000130419
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发表时间：
2008
影响因子：
3.9
通讯作者：
Knibbe,Ronald
中科院分区：
文献类型：
--
作者：
Kuendig,Herve;Plant,MoiraL;Plant,MartinA;Kuntsche,Sandra;Miller,Patrick;Gmel,Gerhard;Ahlstrom,Salme;Bergmark,KarinHelmersson;Olafsdottir,Hildigunnur;Elekes,Zsuzsanna;Csemy,Ladislav;Knibbe,Ronald
背景/目的：有证据强调饮酒模式和个人特征对于经历与酒精相关的不良后果的重要性；然而，很少有研究来探讨谁会因相似的饮酒方式而遭受后果，谁不会遭受后果。本研究使用来自七个欧洲国家的数据，评估了人口和社会经济特征与六种不良后果之间的关联。方法：估计条件逻辑回归模型，通过饮酒模式将病例（经历后果）与对照组（未经历后果）进行匹配。结果：一般来说，随着年龄的增长和处于伴侣关系中，保护作用是一致的。性别影响参差不齐，但主要是对女性的保护。教育成就和经济状况在不同国家之间表现出一致的影响，但不同后果的影响方向不同。大多数与个人饮酒模式相关的后果（受伤、昏迷和饮酒失控）表现出类似的关联模式，但由于对饮酒的社会反应（内疚、角色失败和减少饮酒的压力）的额外影响，后果出现了不同的关联。结论：各种后果的影响强度和方向的差异表明，不良后果的报告不仅受到饮酒的影响，而且还受到与人口和社会经济地位相关的归因过程的影响。
Background/Aims:Evidence underlines the importance of drinking patterns and individual characteristics in experiencing adverse alcohol-related consequences; however, little research has been conducted to explore who does and who does not experience consequences with similar drinking patterns. Using data from seven European countries, this study assesses the association between demographic and socioeconomic characteristics and six adverse consequences.Methods:Conditional logistic regression models were estimated, cases (experiencing a consequence) being matched to controls (not experiencing the consequence) by drinking patterns.Results:In general, protective effects with increasing age and being in a partnership were consistent. Gender effects were mixed, but mainly protective for women. Educational achievement and economic status showed consistent effects across countries, but different directions of effect across consequences. Consequences mostly associated with individual drinking pattern(injury, blackout, andloss of control over drinking)exhibited similar patterns of associations, but varying ones arose for consequences additionally influenced by societal reaction to drinking(guilt,role failure, andpressure to cut down drinking).Conclusion:Differences in strengths and directions of effects across consequences pointed to the possibility that the reporting of adverse consequences is not only influenced by alcohol consumption, but also by attributional processes related to demographic and socioeconomic statuses.