Are lifetime abstainers the best control group in alcohol epidemiology? On the stability and validity of reported lifetime abstention.

Are lifetime abstainers the best control group in alcohol epidemiology? On the stability and validity of reported lifetime abstention.
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DOI:
10.1093/aje/kwn093
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发表时间:
2008-10-15
影响因子:
5
通讯作者:
Greenfield TK
Greenfield TK
中科院分区:
医学2区
文献类型:
--
作者:
Rehm J;Irving H;Ye Y;Kerr WC;Bond J;Greenfield TK

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在酒精流行病学中,终身戒酒者经常被推荐为对照组。本研究的目的是通过使用1984年对美国家庭进行的全国酒精调查和1990年和1992年进行的2次后续调查的数据,深入了解终身戒酒的有效性和稳定性。结果表明,在1992年的调查中,超过一半(52.9%;所有比例均加权以代表美国人口)的人报告从未喝过任何酒精饮料,这些人在以前的调查中报告饮酒。根据不同的假设,这种差异可能会导致对男性2%-15%和女性2%-22%的酒精归因死亡率的低估。社会人口学因素区分了那些在调查中一直报告终生预防的人与其他研究人群。结果表明,使用报告的终身戒烟者作为唯一的比较组是有问题的,特别是如果报告是基于一个测量。建议建立多个测量点,并将不规则的终身轻度饮酒者与终身戒酒者作为对照组,用于未来的流行病学研究。
Lifetime abstainers have often been recommended as the comparison group in alcohol epidemiology. The objective of this study was to provide insight into the validity and stability of lifetime abstention by using data derived from the National Alcohol Survey, a national probability survey of US households conducted in 1984, and its 2 follow-up surveys conducted in 1990 and 1992. Results indicated that more than half (52.9%; all proportions were weighted to represent the US population) of those who reported never having a drink of any alcoholic beverage in the 1992 survey reported drinking in previous surveys. Depending on assumptions, this difference may result in an underestimation of alcohol-attributable mortality of 2%−15% in men and 2%−22% in women. Sociodemographic factors differentiated those who consistently reported lifetime abstention across surveys from the rest of the study population. Results suggest that using reported lifetime abstainers as a sole comparison group is problematic, especially if reporting is based on 1 measurement only. Establishing multiple measurement points and including irregular lifetime light drinkers with lifetime abstainers as the comparison group are recommended for future epidemiologic studies.
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发表时间: 2003-08-01
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DOI: 10.15288/jsa.2003.64.278
发表时间: 2003-03-01
期刊: JOURNAL OF STUDIES ON ALCOHOL
影响因子: --
作者:
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通讯作者: Bostrom, A