Growing alcohol use preceding death by suicide among women compared with men: age-specific temporal trends, 2003-18.
Growing alcohol use preceding death by suicide among women compared with men: age-specific temporal trends, 2003-18.
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DOI：
10.1111/add.15905
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发表时间：
2022-09
期刊：
影响因子：
6
通讯作者：
Rehm, Juergen
中科院分区：
文献类型：
--
作者：
Lange, Shannon;Kaplan, Mark S.;Tran, Alexander;Rehm, Juergen
在美国，截至2018年，男性和女性的重度饮酒流行率和自杀死亡率都有所增加;然而，女性的增幅明显更高。鉴于大量饮酒是自杀的一个危险因素，我们假设大量饮酒可能导致了自杀死亡率增加中观察到的性别差异，这可能反映在随着时间的推移与酒精有关的自杀比例上。因此，本研究的目的是调查美国特定性别和年龄组与酒精有关的自杀比例的时间趋势。使用来自国家暴力死亡报告系统的限制访问数据，我们进行了联合点回归分析，以调查性别和年龄组（年轻人：18-34岁;中年人：35-64岁;老年人：65岁以上）与酒精有关的自杀比例的时间趋势。美国的从2003年到2018年，共有115，193名18岁以上的自杀死亡者。在所有自杀死亡者中，血液酒精浓度（BAC）a）≥0.04 g/dl和B）≥0.08 g/dl的性别和年龄组特定酒精相关自杀比例。2003- 2018年，所有年龄组的女性中，因酒精导致的自杀比例（其中死者BAC ≥0.08 g/dl）平均每年显著增加（年轻女性：2.80% [95% CI：1.86%，3.75%];中年女性：2.20% [95% CI：1.20%，3.21%];老年女性：10.48% [95% CI：1.17%，20.65%]，而只有中年男性经历了显着的年平均百分比增加（0.81% [95%CI：0.003%，1.62%]）。增加酒精使用前死亡的女性自杀相比，男性随着时间的推移在美国被found. These研究结果支持需要额外的研究之间的联系大量饮酒和加速增加的自杀死亡率在美国的女性。
In the United States (US), up until 2018, both the prevalence of heavy alcohol use and the suicide mortality rate increased among men and women; however, women had experienced a notably higher increase in both. Given that heavy alcohol use is a risk factor for suicide, we postulate that heavy alcohol use may have contributed to the observed sex disparity in the suicide mortality rate increase, which may be reflected in the proportion of suicides that were alcohol-involved over time. Therefore, the aim of the current study was to investigate the temporal trend of the sex- and age group-specific proportion of suicides that were alcohol-involved in the US. Using restricted-access data from the National Violent Death Reporting System, we performed joinpoint regression analyses to investigate temporal trends in the sex- and age-group (young adults: 18-34 years; middle-aged adults: 35-64 years; and older adults: 65+ years) specific proportion of suicides that were alcohol-involved. United States. A total of 115,193 suicide decedents 18+ years of age from 2003 to 2018. The sex- and age-group specific proportion of suicides that were alcohol-involved, among all suicide decedent, for which the decedent had a blood alcohol concentration (BAC) a) ≥0.04 g/dl and b) ≥0.08 g/dl. For 2003-18, the proportion of suicides that were alcohol-involved wherein the decedent had a BAC ≥0.08 g/dl significantly increased on average annually for women of all age groups (young women: 2.80% [95% CI: 1.86%, 3.75%]; middle-aged women: 2.20% [95% CI: 1.20%, 3.21%]; older women: 10.48% [95% CI: 1.17%, 20.65%], while only middle-aged men experienced a significant average annual percent increase (0.81% [95% CI: 0.003%, 1.62%]). An increase in alcohol use preceding death by suicide among women compared to men over time in the US was found. These findings of the present study support the need for additional research into the link between heavy alcohol use and the accelerated increase in the suicide mortality rate among women in the US.
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