Socioeconomic and psychosocial exposures across the life course and binge drinking in adulthood: population-based study.
Socioeconomic and psychosocial exposures across the life course and binge drinking in adulthood: population-based study.
复制标题
整个生命过程中的社会经济和社会心理暴露以及成年期的酗酒：基于人群的研究。
DOI：
10.1093/aje/kwj357
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发表时间：
2007
影响因子：
5
通讯作者：
Kaplan,GeorgeA
中科院分区：
文献类型：
--
作者：
Yang,Seungmi;Lynch,JohnW;Raghunathan,TrivelloreE;Kauhanen,Jussi;Salonen,JukkaT;Kaplan,GeorgeA
尽管人们认识到酗酒的健康风险，但其生命周期前兆尚未得到广泛研究。库奥皮奥缺血性心脏病风险因素研究（1984-1989）的数据被用来调查 2,316 名中年男性的人群样本中整个生命过程中的社会经济和社会心理暴露与酗酒之间的关联。暴饮被定义为一次至少喝四瓶啤酒、一瓶葡萄酒、一瓶烈酒或六份烈酒。儿童社会经济地位的综合指标基于父母教育、职业和房间数量，并分为三等份。当调整其他早期生活暴露时，儿童社会经济地位较低会增加酗酒的几率（优势比 = 1.70，95% 置信区间：1.26，2.31）。对成人社会经济和社会心理因素的额外调整降低了与儿童社会经济地位较低相关的暴饮暴食的可能性（优势比 = 1.29，95% 置信区间：0.93，1.79）。成人社会经济条件、婚姻状况、敌意和组织成员身份与暴饮暴食独立相关。这项研究表明，早年和晚年的生活特征，包括社会经济条件和成人心理社会因素，都会导致该人群成人酗酒，但成人特征的影响更强。
Despite recognition of the health risks of binge drinking, its life-course precursors have not been widely examined. Data from the Kuopio Ischemic Heart Disease Risk Factor Study (1984–1989) were used to investigate the association between socioeconomic and psychosocial exposures across the life course and binge drinking in a population-based sample of 2,316 middle-aged men. Binge drinking was defined as drinking at least four bottles of beer, one bottle of wine, one bottle of strong wine, or six servings of spirits on a single occasion. A composite indicator of childhood socioeconomic position was based on parental education, occupation, and number of rooms and divided into tertiles. Low childhood socioeconomic position increased the odds of binge drinking (odds ratio = 1.70, 95% confidence interval: 1.26, 2.31) when other early life exposures were adjusted. Additional adjustment of adult socioeconomic and psychosocial factors attenuated the odds of bingeing associated with low childhood socioeconomic position (odds ratio = 1.29, 95% confidence interval: 0.93, 1.79). Adult socioeconomic conditions, marital status, hostility, and organizational membership were independently associated with bingeing. This study shows that both early and later life characteristics including socioeconomic conditions and adult psychosocial factors contribute to adult binge drinking in this population, but the effects of adult characteristics are stronger.