Alcohol use in the Pacific region: Results from the STEPwise approach to surveillance, Global School-Based Student Health Survey and Youth Risk Behavior Surveillance System.
Alcohol use in the Pacific region: Results from the STEPwise approach to surveillance, Global School-Based Student Health Survey and Youth Risk Behavior Surveillance System.
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DOI：
10.1111/dar.12328
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发表时间：
2016-07
影响因子：
3.8
通讯作者：
Hoy D
中科院分区：
文献类型：
--
作者：
Kessaram T;McKenzie J;Girin N;Roth A;Vivili P;Williams G;Hoy D
饮酒是太平洋岛屿国家和地区 (PICT) 疾病和伤害的主要危险因素。本文研究了 20 个 PICT 的饮酒模式。我们综合了针对 25-64 岁成年人的逐步监测方法或类似调查的已发布数据，以及针对青少年的全球学校学生健康调查和青少年风险行为监测系统 (YRBSS) 的数据。我们检查了当前饮酒情况和酗酒情况，以及成人的饮酒频率。我们利用 YRBSS 研究了 2001 年至 2013 年间美国附属 PICT 中青少年饮酒趋势。各个 PICT 中成年人和青少年的饮酒量差异很大。在 8 个 PICT 人群中，超过 60% 的男性成年人当前饮酒。男性成年人比女性成年人更频繁地饮酒并且酗酒。类似的性别差异也出现在青少年的当前饮酒和大量饮酒中。在 10 个 PICT 中，目前 13-15 岁男性的饮酒流行率为 10% 到 40% 以上。在 YRBSS 中观察到 9 至 12 年级学生的饮酒量有所下降，但幅度因岛屿和性别而异。不同 PICT 的酒精消费量差异很大。使用和放弃方面存在明显的性别差异。 PICT 中有实施最佳实践策略以减少酒精相关危害的空间。这些需要对性别问题有敏感认识，并认识到青少年饮酒的相关模式。加强对饮酒及其后果的监测对于了解和监测国家和区域政策的影响至关重要。 [Kessaram T、McKenzie J、Girin N、Roth A、Vivili P、Williams G、Hoy D。太平洋地区的酒精使用情况：逐步监测方法、全球学校学生健康调查和青少年危险行为监测系统的结果。药物酒精修订版 2016；35:412–423]
Alcohol use is a leading risk factor for disease and injury in Pacific Island countries and territories (PICT). This paper examines drinking patterns across 20 PICTs. We synthesised published data from the STEPwise approach to surveillance or similar surveys for adults 25–64 years, and from the Global School‐Based Student Health surveys and Youth Risk Behavior Surveillance System (YRBSS) for youth. We examined current and heavy drinking, and for adults also frequency of consumption. Using YRBSS, we studied trends in youth alcohol use in US‐affiliated PICTs between 2001 and 2013. Alcohol consumption in adults and youth varied considerably across PICTs. In eight PICT populations, over 60% of male adults were current drinkers. Male adults consumed alcohol more frequently and engaged in heavy drinking more than female adults. Similar gender differences occurred in current and heavy drinking among youth. Across 10 PICTs, current drinking prevalence in males 13–15 years ranged from 10% to over 40%. Declines in alcohol use among grade 9–12 students were observed in YRBSS, although the magnitude differed by island and sex. Alcohol consumption varies widely between PICTs. There are marked gender differences in use and abstention. There is scope in PICTs for implementation of best practice strategies to reduce alcohol‐related harm. These need to be gender responsive and cognisant of concerning patterns of youth drinking. Strengthening surveillance of alcohol use and its consequences is vital to inform and monitor the impact of national and regional policies. [Kessaram T, McKenzie J, Girin N, Roth A, Vivili P, Williams G, Hoy D. Alcohol use in the Pacific region: Results from the STEPwise approach to surveillance, Global School‐Based Student Health Survey and Youth Risk Behavior Surveillance System. Drug Alcohol Rev 2016;35:412–423]
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