A prospective population based study of changes in alcohol use and binge drinking after a mass traumatic event
A prospective population based study of changes in alcohol use and binge drinking after a mass traumatic event
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DOI：
10.1016/j.drugalcdep.2010.09.011
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发表时间：
2011-05-01
影响因子：
4.2
通讯作者：
Galea, Sandro
中科院分区：
文献类型：
--
作者：
Cerda, Magdalena;Tracy, Melissa;Galea, Sandro
很少有研究评估大规模灾难前后饮酒情况的变化。我们调查了与卡特里娜和丽塔飓风相关的创伤事件和压力源对饮酒和酗酒的影响。我们使用了在密西西比州、路易斯安那州和阿拉巴马州收集的关于 18-85 岁成年人 (n = 439) 的收入动态小组研究的数据： (1) 1968 年至 2005 年的家庭收入数据； (2) 2005年和2007年受访者每年饮酒总数和酗酒天数的数据； (3) 2007 年有关飓风相关创伤事件和飓风后应激源的数据。每增加一次与飓风相关的创伤事件，与过去一年中饮酒量增加 79.2 次以及连续饮酒天数增加 2.46 倍相关（95% Cl：1.09、5.55），而更多的灾后压力源与过去一年中饮酒次数增加 16.5 次以及连续饮酒天数增加 1.23 倍相关（95% Cl：0.99、5.55）。 1.51）。由于经历了与飓风相关的创伤事件和飓风后压力源，终生收入轨迹较低且经历过更多终生创伤事件的受访者报告饮酒增加的风险最高。与灾害相关的创伤事件和灾后压力源的扩散可能导致灾后饮酒和滥用的增加。与灾害相关的暴露可能对有社会和经济逆境历史的个人产生特别强烈的影响，扩大了先前存在的健康差距。 (C) 2010 Elsevier Ireland Ltd. 保留所有权利。
Few studies have assessed changes in alcohol use before and after a massive disaster. We investigated the contribution of exposure to traumatic events and stressors related to Hurricanes Katrina and Rita to alcohol use and binge drinking. We used data from the Panel Study of Income Dynamics collected in Mississippi, Louisiana and Alabama on adults aged 18-85 (n = 439): (1) data from 1968 to 2005 on household income; (2) data from 2005 and 2007 on total number of drinks per year and number of days the respondent binged; and (3) data from 2007 on exposure to hurricane-related traumatic events and post-hurricane stressors. Exposure to each additional hurricane-related traumatic event was associated with 79.2 more drinks and 2.46 times higher odds of binge drinking for more days in the past year (95% Cl: 1.09, 5.55), while more post-disaster stressors were associated with 16.5 more drinks and 1.23 times higher odds of binge drinking for more days in the past year (95% Cl: 0.99, 1.51). Respondents who had followed a lower lifetime income trajectory and were exposed to more lifetime traumatic events experienced the highest risk of reporting increased alcohol use given exposure to hurricane-related traumatic events and post-hurricane stressors. Disaster-related traumatic events and the proliferation of post-disaster stressors may result in increased post-disaster alcohol use and abuse. Disaster-related exposures may have a particularly strong impact among individuals with a history of social and economic adversity, widening preexisting health disparities. (C) 2010 Elsevier Ireland Ltd. All rights reserved.