Predictors of quit attempts and successful quit attempts among individuals with alcohol use disorders in a nationally representative sample
Predictors of quit attempts and successful quit attempts among individuals with alcohol use disorders in a nationally representative sample
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DOI：
10.1016/j.drugalcdep.2014.05.019
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发表时间：
2014-08-01
影响因子：
4.2
通讯作者：
Blanco, Carlos
中科院分区：
文献类型：
--
作者：
Chiappetta, Viviana;Garcia-Rodriguez, Olaya;Blanco, Carlos
背景：本研究旨在确定一般人群中尝试戒烟和成功戒除酒精滥用或依赖的预测因素。方法：数据来自全国酒精及相关病症流行病学调查 (NESARC)。结果：在三年的随访期内，大约 10% 的酗酒者和 18% 的酒精依赖者试图戒烟。在那些尝试过的人中，38% 的虐待者和 30% 的依赖者成功戒烟。在酗酒或酗酒的人中，单身、年龄小于 40 岁、收入低、同时患有精神疾病和更多的依赖症状会增加尝试戒烟的可能性。在酗酒者中，男性和低教育程度进一步增加了尝试戒烟的可能性。然而，酒精使用障碍的严重程度、同时存在的药物使用障碍和精神疾病的数量较多，会降低酗酒者的成功几率，而女性、已婚且年龄超过 40 岁则增加成功几率。在酒精依赖的个体中，尼古丁依赖、更多的精神疾病和人格障碍会降低成功的几率。结论：尝试戒烟的预测因素与成功戒烟的预测因素不同，有时甚至相反，这可能表明一些增加动机的因素可能会降低戒烟的能力。这些发现可能有助于针对酒精使用障碍制定更有针对性和更有效的干预措施。 (C) 2014 年，爱思唯尔爱尔兰有限公司出版。
Background: This study sought to identify predictors of attempting to quit and of successfully quitting alcohol abuse or dependence in the general population.Methods: Data were drawn from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC).Results: Approximately 10% of individuals with alcohol abuse and 18% of those with dependence attempted to quit over the three year follow-up period. Of those who tried, 38% of individuals with abuse and 30% of those with dependence successfully quit. Among individuals with alcohol abuse or dependence, being single, younger than 40 years old, having low income, a co-occurring psychiatric disorder and greater number of dependence symptoms increased the likelihood of attempting to quit. Among individuals with alcohol abuse, male gender and low educational attainment further increased the odds of quit attempts. However, greater severity of alcohol use disorder, having a co-occurring drug use disorder and greater number of psychiatric disorders decreased the odds of success among individuals with alcohol abuse, while female gender, being married and older than 40 years old increased the odds of success. Among individuals with alcohol dependence, having nicotine dependence, greater number of psychiatric disorders and personality disorders decreased the odds of success.Conclusions: Predictors of attempts to quit are different and sometimes opposite from those leading to successful quitting probably indicating that some factors that increase motivation may decrease ability to quit. These findings may help in the development of more targeted and effective interventions for alcohol use disorders. (C) 2014 Published by Elsevier Ireland Ltd.