The interplay of drinking patterns and other determinants of health

The interplay of drinking patterns and other determinants of health
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DOI:
10.1080/09595239800187241
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发表时间:
1998-12-01
影响因子:
3.8
通讯作者:
Rehm, J
Rehm, J
中科院分区:
医学3区
文献类型:
--
作者:
Bondy, S;Rehm, J

文献摘要

被引文献

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酒精对健康的影响不仅取决于摄入量,还取决于饮酒模式和许多其他健康决定因素。本研究旨在识别在饮酒方式和其他健康指标方面具有不同特征的人群。使用的数据是 1990 年安大略省健康调查的子集,对应于 20-64 岁的男性和女性,并在四个实质性领域提供完整数据:饮酒;人口特征;目前的健康状况;以及慢性疾病的各种行为危险因素。聚类分析用于饮酒方式相似的男性和女性受访者群体,以及与健康风险和健康状况相关的其他结构。对于两性,都确定了在饮酒模式和其他相关变量方面符合预期的聚类。对于男女来说,集群的社会阶层指标普遍较高,健康行为、健康状况和饮酒模式普遍积极,但不包括过量饮酒。还发现大量饮酒场合与健康状况不佳和慢性病危险因素高水平相对应。还发现了其他意想不到的模式。这些信息可能有助于识别流行病学研究中的混杂效应,以及识别可能成为初级预防工作重点的独特亚人群的特征。
The health effects of alcohol are determined not only by level of intake but also by patterns of alcohol use and many other health determinants. This study seeks to identify groups of individuals who share various features in terms of drinking styles and other health indicators. Data used are a subset of the 1990 Ontario Health Survey, corresponding to men and women aged 20-64 with complete data in four substantive areas: alcohol use; demographic characteristics; current health status; and various behavioural risk factors for chronic disease. Cluster analysis was used to groups of male and female respondents who were similar in terms of their style of alcohol use, along with other constructs relevant to health risk and health status. For both sexes, clusters were identified which matched expectation in terms of drinking patterns and other relevant variables. For both sexes, clusters were found with generally higher social class indicators, generally positive health behaviours and health status and drinking patterns which did not include drinking to excess. Clusters were also found for which high-volume drinking occasions corresponded with poor health status and high levels of risk factors for chronic disease. Other unanticipated patterns were also identified. This information may assist in identifying confounding effects in epidemiological studies as well as identifying the characteristics of unique sub-populations which are likely to be the focus of primary prevention efforts.