Alcohol and suicide at the population level - the Canadian experience

Alcohol and suicide at the population level - the Canadian experience
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DOI:
10.1080/09595230500170274
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发表时间:
2005-05-01
影响因子:
3.8
通讯作者:
Ramstedt, M
Ramstedt, M
中科院分区:
医学3区
文献类型:
--
作者:
Ramstedt, M

文献摘要

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研究表明,酒精和自杀之间的人口水平联系在不同国家之间以及男性和女性之间有所不同。这篇论文的目的是评估酒精消费与加拿大自杀之间的关系,并将结果放在比较的角度来看。这一关系在整个加拿大、不同省份以及不同的男性和女性中都得到了阐明。随着人均酒精消费量增加1升,加拿大的总自杀率显著增加了约4%,这表明加拿大约有25%-30%的自杀与酒精有关。这种关系对女性来说比对男性更牢固。除魁北克省外,其余各省均有明显影响,但总体地区差异不显著。从国际角度来看,妇女之间的关系比瑞典和挪威要弱一些,但比芬兰、美国和南欧国家要大。在男性中,这种关联性与美国和芬兰相似,弱于瑞典、挪威和俄罗斯,但强于南欧国家。研究结果仅部分支持了醉酒频率可以解释这种关系的国家差异的观点。文中还讨论了女性之间更强关联的可能解释。
Studies suggest that the population level link between alcohol and suicide differs across countries and between men and women. The aim of this paper was to estimate the relationship between alcohol consumption and suicide in Canada and to put the results in a comparative perspective. The relationship was elucidated for whole Canada, different provinces and also separately for men and women. The total suicide rate in Canada increased signicantly by around 4% as alcohol consumption increased by one litre per capita, suggesting that approximately 25 - 30% of Canadian suicides were related to alcohol. The relationship was stronger for women than for men. A signicant effect was found in all provinces except from Quebec, but the overall regional variation was not statistically signicant. In an international perspective, the relationship for women was somewhat weaker than in Sweden and Norway, but larger than in Finland, the United States and Southern European countries. For men, the association was similar to what is found in the United States and Finland, weaker than in Sweden, Norway and Russia but stronger than in Southern European countries. The results only partly support the idea that intoxication frequency explains national differences in this relationship. Possible explanations for the stronger association among women are also discussed.