Alcohol use and health-related quality of life among youth in Taiwan.
Alcohol use and health-related quality of life among youth in Taiwan.
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DOI：
10.1016/j.jadohealth.2006.04.019
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发表时间：
2006-11-01
期刊：
影响因子：
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通讯作者：
Storr, Carla L
中科院分区：
文献类型：
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作者：
Chen, Chuan-Yu;Storr, Carla L
目的：研究台湾三种最常用药物（即，酒精、烟草和槟榔）与青少年的健康相关生活质量有关。我们探讨酒精使用与健康相关质量之间的关系是否因健康领域而异（例如，身体，社会，或情感），如果它不同于其他药物involvement.METHOD：本研究的数据来自一个有代表性的样本2235青少年（年龄12-18岁）收集的一部分，2001年全国健康访谈调查（NHIS），在台湾进行。最近的酒精，烟草和槟榔的经验进行了评估面对面的访谈。36个项目的简短形式的健康调查（SF-36）被用来评估受访者的一般健康状况。结果：青年与最近的酒精使用往往会遇到一个较差的健康相关的生活质量水平。在所检查的一般健康的八个领域中，估计的关联并不恒定，并且使用广义线性模型和广义估计方程的多变量建模发现，由于情绪问题而导致的角色限制领域中出现了最强的反向关系（beta =-10.5，95%置信区间[CI]：-16.9-4.12，p < .001）。在使用烟草和/或槟榔的青少年中没有发现更大的有害影响。结论：酒精的使用被证明与青少年健康相关的生活质量受损的水平。虽然酒精参与和心理健康水平较低之间的时间性并不明确，但研究结果表明，积极饮酒的青年可能是干预和避免心理健康相关问题的可能目标群体。
PURPOSE: To examine the extent to which the use of the three most commonly consumed drugs in Taiwan (i.e., alcohol, tobacco, and betel nut) is related with health-related quality of life among adolescents. We probe whether the relationship linking alcohol use with health-related quality varies by health-orientated domains (e.g., physical, social, or emotional) and if it differs with other drug involvement.METHOD: The data for this study come from a representative sample of 2235 adolescents (aged 12-18 years) collected as part of the 2001 National Health Interview Survey (NHIS), conducted in Taiwan. Recent alcohol, tobacco, and betel nut experiences were assessed by face-to-face interview. The 36-item short form Health Survey (SF-36) was used to assess respondents' generic health status.RESULTS: Youth with recent alcohol use tend to experience a poorer level of health-related quality of life. The estimated associations were not constant over the eight domains of general health examined, and multivariate modeling with generalized linear models and generalized estimating equations found that the strongest inverse relationship appears in the domain of role limitation due to emotional problems (beta = -10.5, 95% confidence interval [CI]: -16.9-4.12, p < .001). Greater deleterious effects were not found among youth also using tobacco and/or betel nut.CONCLUSIONS: Alcohol use was shown to be associated with impaired levels of health-related quality of life in adolescents. Although the temporality between alcohol involvement and lower levels of mental health is not explicit, the findings suggest that youth who are actively drinking might be a possible target group to intervene and avert mental health-related problems.