Alcohol consumption and mortality. I. Characteristics of drinking groups
Alcohol consumption and mortality. I. Characteristics of drinking groups
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DOI：
10.1046/j.1360-0443.1998.9321834.x
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发表时间：
1998-02-01
期刊：
影响因子：
6
通讯作者：
Ferrer, HP
中科院分区：
文献类型：
--
作者：
Fillmore, KM;Golding, JM;Ferrer, HP
目标。这是评估饮酒状况和死亡风险的三篇论文中的第一篇。对多项研究的分析描述了饮酒模式与假设的特征之间的关联，这些特征混淆了饮酒状况和死亡率之间的关系。这些特征既能显着区分饮酒群体，又能在研究中保持一致，这表明不控制饮酒群体的死亡率研究可能会受到影响。设计和参与者。关联性是根据 10 项包含死亡率数据的一般人群研究的原始数据进行评估的。将长期戒酒者与以前饮酒者进行比较，将长期戒酒者和以前饮酒者与轻度饮酒者进行比较（单独分析中的数量、频率和体积），将中度至重度饮酒者与轻度饮酒者进行比较。四面体相关系数评估统计显着性；荟萃分析确定研究之间的关联是否同质。测量。饮酒量的衡量标准是数量、频率和数量；长期戒酒者与以前的饮酒者有所不同。对健康、社会地位、社会融合和心理健康特征的多项指标进行了评估。发现。各项研究显示，与长期戒烟者相比，曾经吸过大麻的成年男性始终更有可能成为重度吸烟者、抑郁症患者、失业者、社会经济地位较低的人以及吸食大麻的人。与长期戒酒者相比，曾经饮酒的成年女性往往更容易吸烟、健康状况较差、不信教且未婚。两种类型的戒酒者的社会经济地位往往都低于轻度饮酒者，并且健康状况较差（不一致）。女性戒酒者比轻度饮酒者更有可能体重正常或超重。结论。两组戒酒者的特征，除了不饮酒之外，可能会混淆饮酒与死亡风险之间的关联。
Aims. This is the first of a set of three papers evaluating drinking status and mortality risk. Analyses of multiple studies describe associations of drinking patterns with characteristics hypothesized to confound the relationships between drinking status and mortality. Characteristics which both significantly differentiate drinking groups and are consistent across studies would suggest that mortality studies not controlling for them may be compromised. Design and participants. Associations are evaluated from the raw data of 10 general population studies which contained mortality data. Long-term abstainers are compared to former drinkers, long-term abstainers and former drinkers are compared to light drinkers Coy quantity, frequency and volume in separate analyses) and moderate to heavy drinkers are compared to light drinkers. Tetrachoric correlation coefficients assess statistical significance; meta-analysis determines if associations are homogeneous across studies. Measurements. Measures of alcohol consumption are quantity, frequency and volume; long-term abstainers ave differentiated from former drinkers. Multiple measures of health, social position, social integration and mental health characteristics are evaluated. Findings. Across studies, adult male former drinkers are consistently more likely to be heavier smokers, depressed, unemployed, lower SES and to have used marijuana than long-term abstainers. Adult female former drinkers are consistently move likely to be heavier smokers, in poorer health, not religious, and unmarried than long-term abstainers. Both types of abstainers tend to be of lower SES than light drinkers and report poorer health (not consistent). Female abstainers are more likely to be of normal or overweight than light drinkers. Conclusions. Characteristics of two groups of abstainers, other than their non-use of alcohol, may confound the associations found between drinking and mortality risk.