The risk of alcohol abuse and dependence in adulthood: the association with educational level.
The risk of alcohol abuse and dependence in adulthood: the association with educational level.
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成年期酗酒和依赖的风险：与教育水平的关联。
DOI：
10.1093/oxfordjournals.aje.a116411
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发表时间：
1992
影响因子：
5
通讯作者：
Anthony,JC
中科院分区：
文献类型：
--
作者：
Crum,RM;Bucholz,KK;Helzer,JE;Anthony,JC
在对前瞻性收集数据的分析中，作者试图估计在那些上过高中但没有完成学业的成年人和那些上过大学但没有获得学位的成年人中，酒精滥用和依赖的风险可能会升高的程度。研究对象于1980-1984年在流行病学集水区计划的五个地点通过成年家庭居民的概率抽样选择：康涅狄格州新天堂；在马里兰州的巴尔的摩;密苏里州的圣路易斯；北卡罗来纳州的达勒姆-皮埃蒙特；以及加州的洛杉矶。在基线，参与者完成标准化访谈，测量社会人口学变量，评估他们是否符合当前或以前的活动性酒精滥用依赖综合征的诊断标准。访谈在一年后再次进行，以确定13673名参与者中的事件案例。在按年龄和居住人口普查区将受试者划分为风险组，并排除有酒精滥用或依赖史的人后，156个风险组中有160例事件病例和526名受试者有未来发生酒精综合征的风险。与获得大学学位的成年人相比，那些上过高中但没有完成学业的人的风险增加(相对风险（RR) = 6.23, 95%置信区间（CI） 2.41-16.09），上过大学但没有获得学位的成年人的风险增加（RR = 3.25, 95% Cl 1.36 - 7.76）。相比之下，有高中学历但没有大学学历的成年人患酒精障碍的风险并不比有大学学历的成年人高（RR = 1.88, 95% Cl 0.79 - 4.47）。流行病学杂志1992；135: 989 - 99
In this analysis of prospectively gathered data, the authors sought to estimate the degree to which risk of alcohol abuse and dependence might be elevated among adults who attended but did not complete high school and amongthose who attended college without earning a degree. Study subjects were selected in 1980–1984 by taking probability samples of adult household residents at five sites of the Epidemiologic Catchment Area Program: New Heaven, Connecticut; Baltimore, Maryland; St. Louis, Missouri; Durham-Piedmont, North Carolina; and Los Angeles, California. At baseline, participants completed standardized interviews that measured sociodemographic variables and assessed whether they had met diagnostic criteria for currently or formerly active alcohol abuse-dependence syndromes. The interviews were readministered 1 year later to identify incident cases among the 13, 673 participants. After subjects were sorted into risk sets by age and residence census tract and after persons with a prior history of alcohol abuse or dependence were excluded, there were in 156 risk sets 160 incident cases and 526 subjects at risk for future occurrence of alcohol syndromes. Compared with adults who had earned a college degree, those who had attended high school without completion were at increased risk (relative risk (RR) = 6.23, 95 percent confidence interval (CI) 2.41–16.09) as were adults who had attended college without earning a degree (RR = 3.25, 95 percent Cl 1.36– 7.76). In contrast, risk of alcohol disorders among adults with a high school diploma but no college was not reliably greater than the level of risk for those with a college degree (RR = 1.88, 95 percent Cl 0.79– 4.47). Am J Epidemiol 1992; 135: 989–99