Educational differences in starting excessive alcohol consumption: explanations from the longitudinal GLOBE study
Educational differences in starting excessive alcohol consumption: explanations from the longitudinal GLOBE study
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DOI：
10.1016/s0277-9536(03)00411-8
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发表时间：
2004-05-01
影响因子：
5.4
通讯作者：
Mackenbach, JP
中科院分区：
文献类型：
--
作者：
Droomers, M;Schrijvers, CTM;Mackenbach, JP
本文介绍了教育的差异，在开始过度饮酒，在61年的后续1648最初饮酒的荷兰成年人。纵向地球仪提供了独特的可能性，研究教育差异的原因，因为1991年收集了关于教育水平、酒精消费、压力因素（减少紧张理论）和脆弱性指标（不同脆弱性理论）的广泛基线信息。1997年再次对酒精消费量进行了评估。我们报告说，与受教育程度最高的人相比，受教育程度较低的人在随访期间开始过度饮酒的可能性几乎是受教育程度最高的人的三倍。暴露于压力源（财务问题）和脆弱性（低社会支持）的教育差异都有助于开始过度饮酒的教育差异，并解释了23%的开始过度饮酒的教育差异。然而，其余的教育差异仍然具有统计学意义。这些结果进行了讨论方面的干预措施和可能的额外的解释机制的影响。(C)2003 Elsevier Ltd.保留所有权利。
This paper describes educational differences in starting excessive alcohol consumption during 61 years of follow-up among 1648 initially alcohol-consuming Dutch adults. The longitudinal GLOBE study provides the unique possibility to study explanations for educational differences due to the collection of extensive baseline information on educational level, alcohol consumption, stressors (tension reduction theory) and vulnerability indicators (differential vulnerability theory) in 1991. Alcohol consumption was again assessed in 1997. We report that lower educated people were almost three times more likely to start excessive alcohol consumption during follow-up compared to the highest educated persons. Both educational differences in exposure to stressors (financial problems) and vulnerability (low social support) contributed to the educational differences in starting excessive alcohol consumption and explained 23% of the educational variation in starting excessive alcohol consumption. Remaining educational differences were however still statistically significant. These results are discussed with regard to implications for interventions and possible additional explanatory mechanisms. (C) 2003 Elsevier Ltd. All rights reserved.