Risk profiles of adults with heavy alcohol use: Drinking patterns, behavioral and metabolic factors, health problems, and racial and ethnic disparities.
Risk profiles of adults with heavy alcohol use: Drinking patterns, behavioral and metabolic factors, health problems, and racial and ethnic disparities.
复制标题
成人大量饮酒的风险概况：饮酒模式、行为和代谢因素、健康问题以及种族和民族差异。
DOI：
10.1111/acer.15211
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Sterling,Stacy
中科院分区：
文献类型：
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作者：
Palzes,VanessaA;Chi,FeliciaW;Weisner,Constance;Kline-Simon,AndreaH;Satre,DerekD;Sterling,Stacy
大量饮酒是慢性病的一个日益增长的危险因素，但对其与其他危险因素和健康问题的共同发生知之甚少。本研究旨在确定成年人重度酒精使用的风险概况，并研究了潜在的差异，由种族和ethnication.MethodsThis横断面研究包括211,333成年人重度酒精使用（超过每日或每周的限制建议由国家酒精滥用和酒精中毒研究所）之间的2013年6月1日和2014年12月31日在凯撒永久北方加州。潜在类别分析被用来研究大量饮酒模式如何与其他行为和代谢风险因素以及健康问题聚集在一起形成风险特征。多项逻辑回归模型进行拟合，以检查种族，民族和风险profiles.ResultsA 5类模型被选为最佳拟合的数据和代表临床有意义的风险概况：（1）“每天大量饮酒和较低的健康风险”（每日，44.3%）;（2）“物质使用障碍和精神健康障碍”（SUD/MH，2.3%）;（3）“每周大量饮酒和降低健康风险”（WEEKLY，19.6%）;（4）“每日大量饮酒和更多的健康风险”（DAILY-R，18.5%）;（5）“每周大量饮酒和更多的健康风险”（WEEKLY-R，15.3%）。美洲印第安人或阿拉斯加原住民（AIAN）和黑人患者在SUD/MH、DAILY‐R和WEEKLY‐R特征中的几率高于白色患者。AIAN，黑人，拉丁裔/西班牙裔患者有较高的赔率比白色患者的SUD/MH，DAILY-R，和WEEKLY-R的配置文件，而不是WEEKLY profile.ConclusionsAIAN，黑人，和拉丁裔/西班牙裔患者自我报告大量饮酒更有可能是在风险配置文件与更大的酒精消费，更多的健康风险，和更高的发病率。需要针对酗酒采取文化上适当的干预措施，以解决其他可改变的风险因素，努力实现健康公平。
BackgroundHeavy alcohol use is a growing risk factor for chronic disease, yet little is known about its co‐occurrence with other risk factors and health problems. This study aimed to identify risk profiles of adults with heavy alcohol use and examined potential disparities by race and ethnicity.MethodsThis cross‐sectional study included 211,333 adults with heavy alcohol use (in excess of daily or weekly limits recommended by National Institute on Alcohol Abuse and Alcoholism) between June 1, 2013 and December 31, 2014 in Kaiser Permanente Northern California. Latent class analysis was used to examine how heavy drinking patterns clustered with other behavioral and metabolic risk factors and health problems to form risk profiles. Multinomial logistic regression models were fit to examine associations between race, ethnicity, and risk profiles.ResultsA 5‐class model was selected as best fitting the data and representing clinically meaningful risk profiles: (1) “heavy daily drinking and lower health risks” (DAILY, 44.3%); (2) “substance use disorder and mental health disorder” (SUD/MH, 2.3%); (3) “heavy weekly drinking and lower health risks” (WEEKLY, 19.6%); (4) “heavy daily drinking and more health risks” (DAILY‐R, 18.5%); (5) “heavy weekly drinking and more health risks” (WEEKLY‐R, 15.3%). American Indian or Alaska Native (AIAN) and Black patients had higher odds than White patients of being in the SUD/MH, DAILY‐R, and WEEKLY‐R profiles than the DAILY profile. AIAN, Black, and Latino/Hispanic patients had higher odds than White patients of being in the SUD/MH, DAILY‐R, and WEEKLY‐R profiles rather than the WEEKLY profile.ConclusionsAIAN, Black, and Latino/Hispanic patients with self‐reported heavy drinking were more likely to be in risk profiles with greater alcohol consumption, more health risks, and higher morbidity. Targeted, culturally appropriate interventions for heavy alcohol use that may address other modifiable risk factors are needed to work towards health equity.