Investigating the growing trend of non-drinking among young people; analysis of repeated cross-sectional surveys in England 2005-2015.
Investigating the growing trend of non-drinking among young people; analysis of repeated cross-sectional surveys in England 2005-2015.
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DOI：
10.1186/s12889-018-5995-3
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发表时间：
2018-10-10
影响因子：
4.5
通讯作者：
Cable N
中科院分区：
文献类型：
--
作者：
Ng Fat L;Shelton N;Cable N
在过去的十年里，英国年轻人中不喝酒的人数有所增加，但推动这一变化的潜在因素尚不清楚。传统上，不饮酒被认为与较低的社会经济地位和较差的健康状况有关。这项研究探讨了不饮酒的亚组增加了，以及这与饮酒模式的变化如何相关，以确定行为是否变得更加两极分化，或者在年轻人中普遍减少。在16至24岁的参与者（N = 9699）中，在英格兰2005-2015年年度横断面全国代表性健康调查数据集中，进行了以下分析：1）按年计算社会人口统计学和健康亚组中不饮酒者的比例，并计算了亚组之间的线性趋势检验，调整了年龄。在汇总分析中，在性别和年龄调整的logistic回归模型中对年份和每个变量之间的相互作用进行建模，以确定不饮酒者与饮酒者的比值。2）在人群水平上，计算了每年最严重饮酒日的非饮酒比例与平均饮酒单位和酗酒之间的斯皮尔曼相关系数。普通最小二乘回归分析，建模的比例非饮酒作为自变量，和平均单位/狂饮作为因变量。不饮酒率从2005年的18%（95%CI 16-22%）增加到2015年的29%（25-33%）（趋势检验; p < 0.001），主要归因于终身饮酒的增加。过去一周不喝酒的比例从35%（32-39%）上升到50%（45-55%）（p < 0.001）。在大多数亚组中，包括健康亚组（不吸烟者、体力活动量大和精神健康状况良好的人）、白色族裔、北部和南部地区、全日制教育和就业者，发现不饮酒的人数呈显著线性增长。在吸烟者、少数民族和精神健康状况不佳的人中，不饮酒的人数没有显著增加。在人群水平上，发现不饮酒的增加与平均消费单位的下降（ρ =-0.85，p < 0.001）和酗酒（ρ =-0.87，p < 0.001）之间存在显著的负相关。年轻人不喝酒的人数增加，同时开始喝酒的时间也推迟了，这是值得欢迎的。未来的研究应该探讨年轻人对饮酒的态度。本文的在线版本（10.1186/s12889-018-5995-3）包含补充材料，可供授权用户使用。
Non-drinking among young people has increased over the past decade in England, yet the underlying factor driving this change is unknown. Traditionally non-drinking has been found to be associated with lower socio-economic status and poorer health. This study explores among which sub-groups non-drinking has increased, and how this correlates with changes in drinking patterns, to identify whether behaviours are becoming more polarised, or reduction is widespread among young people. Among participants aged 16 to 24 years (N = 9699), within the annual cross-sectional nationally-representative Health Survey for England 2005–2015 datasets, the following analyses were conducted: 1) The proportion of non-drinkers among social-demographic and health sub-groups by year, and tests for linear trends among sub-groups, adjusting for age were calculated. In pooled analyses, an interaction between year and each variable was modelled in sex- and age-adjusted logistic regression models on the odds of being a non-drinker versus drinker 2) At the population level, spearman correlation co-efficients were calculated between the proportion non-drinking and the mean alcohol units consumed and binge drinking on the heaviest drinking day, by year. Ordinary least squares regression analyses were used, modelling the proportion non-drinking as the independent variable, and the mean units/binge drinking as the dependent variable. Rates of non-drinking increased from 18% (95%CI 16–22%) in 2005 to 29% (25–33%) in 2015 (test for trend; p < 0.001), largely attributable to increases in lifetime abstention. Not drinking in the past week increased from 35% (32–39%) to 50% (45–55%) (p < 0.001). Significant linear increases in non-drinking were found among most sub-groups including healthier sub-groups (non-smokers, those with high physical activity and good mental health), white ethnicity, north and south regions, in full-time education, and employed. No significant increases in non-drinking were found among smokers, ethnic minorities and those with poor mental health. At the population-level, significant negative correlations were found between increases in non-drinking and declines in the mean units consumed (ρ = − 0.85, p < 0.001), and binge drinking (ρ = − 0.87, p < 0.001). Increases in non-drinking among young people has coincided with a delayed initiation into alcohol consumption, and are to be welcomed. Future research should explore attitudes towards drinking among young people. The online version of this article (10.1186/s12889-018-5995-3) contains supplementary material, which is available to authorized users.
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影响因子：
4.4
作者：
de Visser, Richard O.;Robinson, Emily;Walmsley, Matthew
通讯作者：
Walmsley, Matthew
影响因子：
6
作者：
Marmot, M
通讯作者：
Marmot, M
影响因子：
5.1
作者：
Hagger-Johnson, Gareth;Bell, Steven;Bewick, Bridgette M.
通讯作者：
Bewick, Bridgette M.
影响因子：
6
作者：
Norstrom, Thor;Svensson, Johan
通讯作者：
Svensson, Johan
影响因子：
--
作者：
Colhoun, H;BenShlomo, Y;Marmot, M
通讯作者：
Marmot, M