Converging Patterns of Alcohol Use and Related Outcomes Among Females and Males in the United States, 2002 to 2012

Converging Patterns of Alcohol Use and Related Outcomes Among Females and Males in the United States, 2002 to 2012
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DOI:
10.1111/acer.12815
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发表时间:
2015-09-01
影响因子:
3.2
通讯作者:
Hingson, Ralph
Hingson, Ralph
中科院分区:
医学3区
文献类型:
--
作者:
White, Aaron;Castle, I-Jen P.;Hingson, Ralph

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背景在美国,女性饮酒较少,造成和经历的酒精相关伤害也比男性少。然而,最近的研究表明,这种差距可能正在缩小。本研究的目的是探讨2002年至2012年美国女性和男性饮酒的变化及其相关结果。方法使用全国药物使用和健康调查的数据,评估12岁以上女性和男性在终身戒酒、发病年龄、当前饮酒、酗酒、酒后驾车、达到DSM-IV酒精使用障碍的标准,将酒精与其他药物如大麻和其他变量相结合。特别感兴趣的是女性和男性之间的差异是否缩小在十年study.ResultsDifferences在女性和男性的饮酒模式12岁以上缩小2002年和2012年之间的当前饮酒,每月饮酒天数,过去一年的DSM-IV酒精滥用,和过去一年的驾驶酒精的影响下。此外,在1个或多个年龄亚组中,注意到酗酒和DSM-IV酒精依赖的患病率以及饮酒开始时的平均年龄的收敛性。在任何年龄组的任何措施中,饮酒习惯的差异都没有发生,除了年轻成年男性饮酒者中酒精与大麻结合的患病率比18至25岁的女性饮酒者增加更多。饮酒模式趋同的原因尚不清楚,而且似乎也不容易用就业状况、怀孕状况或婚姻状况的近期趋势来解释。需要进行更多的研究,以确定这些变化的心理和环境因素,并评估预防和治疗工作的影响。
BackgroundFemales in the United States consume less alcohol and cause and experience fewer alcohol-related harms than males. However, recent research suggests such gaps might be narrowing. The purpose of this study was to explore changes in alcohol use and associated outcomes among females and males in the United States between 2002 and 2012.MethodsData from the National Survey on Drug Use and Health were used to assess the prevalence and trends for females and males aged 12+ in lifetime abstinence, age of onset, current drinking, binge drinking, drinking and driving, reaching DSM-IV criteria for an alcohol use disorder, combining alcohol with other drugs such as marijuana, and other variables. Of particular interest was whether differences between females and males narrowed during the decade under study.ResultsDifferences in the drinking patterns of females and males aged 12+ narrowed between 2002 and 2012 for current drinking, number of drinking days per month, past year DSM-IV alcohol abuse, and past-year driving under the influence of alcohol. In addition, convergence was noted in 1 or more age subgroups for the prevalence of binge drinking and DSM-IV alcohol dependence and mean age at drinking onset. Divergence in drinking habits did not occur for any measure in any age subgroups with the exception of a greater increase in the prevalence of combining alcohol with marijuana among young adult male drinkers than female drinkers aged 18 to 25.ConclusionsBetween 2002 and 2012, differences in alcohol consumption and related outcomes narrowed for females and males. Reasons for converging patterns of alcohol use are unclear and do not appear to be easily explainable by recent trends in employment status, pregnancy status, or marital status. More research is needed to identify the psychosocial and environmental contributors to these changes and to assess implications for prevention and treatment efforts.