Reduction in alcohol consumption and health status
Reduction in alcohol consumption and health status
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DOI：
10.1111/j.1360-0443.2010.03164.x
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发表时间：
2011-01-01
期刊：
影响因子：
6
通讯作者：
Chikritzhs, Tanya
中科院分区：
文献类型：
--
作者：
Liang, Wenbin;Chikritzhs, Tanya
目的：本研究利用全国横断面调查数据调查饮酒与健康状况之间的关系。测量和设计本研究依赖于2004年和2007年澳大利亚国家药物战略家庭（NDSH）调查收集的自我报告数据。家庭选择采用多阶段，分层区域，随机抽样设计。这两项调查都采用了上门收集和计算机辅助电话访谈相结合的方法。受访者被问及他们目前和过去的饮酒情况、特定疾病（心脏病、2型糖尿病、高血压、癌症、焦虑、抑郁）的正式诊断以及自我感知的总体健康状况。在18岁以上和45岁以上的受访者中，饮酒状况、诊断存在和总体健康状况自我认知之间的关系采用多变量logistic回归进行评估。背景和参与者年龄在18岁或以上且居住在澳大利亚的男性和女性。二零零四年及二零零七年的NDSH统计调查的样本数目分别为24 109及23 356。研究发现，被诊断患有糖尿病、高血压和焦虑症的受访者更有可能在过去12个月内减少或停止饮酒。在过去12个月内减少或停止饮酒的可能性随着总体健康状况从良好降至较差而增加。结论健康状况不佳的经历与随后减少或停止饮酒有关。这可能至少在一定程度上解释了观察到的饮酒与过早死亡之间的“j形”函数关系。
AimsThis study investigated the association between alcohol consumption and health status using cross-sectional national survey data.Measurements and designThis study relied upon self-report data collected by the 2004 and 2007 Australian National Drug Strategy Household (NDSH) surveys. Households were selected using a multi-stage, stratified-area, random sample design. Both surveys used combinations of the drop-and-collect and computer-assisted telephone interview approaches. Respondents were questioned about their current and past drinking, the presence of formal diagnosis for specific diseases (heart disease, type 2 diabetes, hypertension, cancer, anxiety, depression) and self-perceived general health status. Associations between drinking status, the presence of diagnoses and self-perceptions of general health status among respondents aged 18+ and 45+ were assessed using multivariate logistic regression.Setting and participantsMales and females aged 18 years or older and resident in Australia. The sample sizes for the 2004 and 2007 NDSH surveys were 24 109 and 23 356, respectively.FindingsRespondents with a diagnosis of diabetes, hypertension and anxiety were more likely to have reduced or stopped alcohol consumption in the past 12 months. The likelihood of having reduced or ceased alcohol consumption in the past 12 months increased as perceived general health status declined from excellent to poor.ConclusionsExperience of ill health is associated with subsequent reduction or cessation of alcohol consumption. This may at least partly underlie the observed 'J-shape' function relating alcohol consumption to premature mortality.