Disparities in patterns of alcohol use among reservation-based and geographically dispersed American Indian populations
Disparities in patterns of alcohol use among reservation-based and geographically dispersed American Indian populations
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DOI：
10.1097/01.alc.0000153789.59228.fc
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发表时间：
2005-01-01
影响因子：
3.2
通讯作者：
Spicer, P
中科院分区：
文献类型：
--
作者：
O'Connell, JM;Novins, DK;Spicer, P
背景：美洲印第安人（AI）的高酒精使用率和与酒精相关的发病率和死亡率是主要的公共卫生问题。本文的目的是描述三个不同的美国印第安人样本（AIs）与美国参考人口的酒精消费模式。方法：数据来自两项流行病学研究：1)研究了居住在西南（SW-AI）和北部平原（NP-AI）两个文化差异明显的部落保留地或附近的2,927名土著居民；2)国家纵向酒精流行病学研究（NLAES），其中包括来自地理分散的AIs样本（n = 780）以及美国参考人群（除AIs外的所有种族，n = 30,063）的数据。多变量分析用于评估饮酒模式。结果：在控制人口统计学特征后，过去一年中，NP-AI、NLAES-AI和美国人口中男性的饮酒患病率相似。在过去的一年中，SW-AI男性和女性饮酒的可能性明显降低（比值比分别为0.74和0.41），而NP-AI女性目前饮酒的几率是美国女性的两倍。在过去一年中饮酒的人群中，ai每天的饮酒量高于美国参考人群。然而，与NLAES-AI和美国人群相比，基于保留地的ai饮酒频率较低（比值比在0.18-0.40之间，p < 0.01）。结论：在两个基于保留地的人工智能人群、地理上分散的人工智能样本和美国参考人群之间，酒精消费模式存在很大差异。仔细考虑这些差异可能会提高酒精预防和治疗方案的有效性，因为它们可能反映了这些人群中饮酒文化的重要潜在差异。
Background: High rates of alcohol use and alcohol-related morbidity and mortality among American Indians (AI) are major public health concerns. The purpose of this paper is to describe patterns of alcohol consumption among three distinct samples of American Indians (AIs) compared to a U.S reference population.Methods: Data were drawn from two epidemiologic studies: 1) a study of 2,927 AIs living on or near reservations from two culturally distinct tribes in the Southwest (SW-AI) and Northern Plains (NP-AI); and 2) the National Longitudinal Alcohol Epidemiologic Study (NLAES), which included data from a geographically dispersed sample of AIs (n = 780) as well as the US reference population (all-race excluding AIs, n = 30,063). Multivariate analyses were used to assess drinking patterns.Results: After controlling for demographic characteristics, the prevalence of drinking during the past year was similar among males in the NP-AI, NLAES-AI and the US populations. SW-AI males and females were significantly less likely to drink during the past year (Odds Ratios of 0.74 and 0.41, respectively), while the odds of NP-AI females being current drinkers were twice that of US females. Among those who drank during the past year, the AIs consumed a larger quantity of alcohol per drinking day than the US reference population. However, the reservation-based AIs consumed alcohol less frequently (Odds Ratios between 0.18-0.40,p < 0.01) than the NLAES-AI and US populations.Conclusions: Patterns of alcohol consumption varied substantially between the two reservation-based AI populations, the geographically dispersed sample of AIs, and the US reference population. Careful consideration of these variations may improve the effectiveness of alcohol prevention and treatment programs as they may reflect important underlying differences in the cultures of alcohol consumption across these populations.