Ecological analysis of collectivity of alcohol consumption in England: Importance of average drinker
Ecological analysis of collectivity of alcohol consumption in England: Importance of average drinker
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DOI：
10.1136/bmj.314.7088.1164
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发表时间：
1997-04-19
影响因子：
--
通讯作者：
Marmot, M
中科院分区：
文献类型：
--
作者：
Colhoun, H;BenShlomo, Y;Marmot, M
目的：评估英国平均酒精消费量是否与重度饮酒、问题饮酒和戒酒的流行有关。设计：生态学分析使用的数据来自英国成年人的横断面家庭调查。研究对象：从参加1993年和1994年英国健康调查的英国人口中随机抽取32333名成年人。主要结果测量：区域平均和中位数酒精消费量与区域重度饮酒、问题饮酒和戒酒流行率之间的关联，用相关系数表示。结果：轻度至中度饮酒者的平均饮酒量与重度饮酒的患病率呈正相关（男性r = 0.75，女性r = 0.62，每周饮酒量分别超过21和14个单位）。饮酒量中位数与酗酒流行率之间也存在类似的关联，戒酒与饮酒者的平均饮酒量没有显著相关性（男性r = 0.08，女性r = -0.29）。饮酒者的中位数和平均饮酒量都与CAGE酒精使用问卷所定义的问题饮酒的患病率呈正相关（在与平均饮酒量的关联中，男性r = 0.53，女性r = 0.42）。结论：增加人口平均饮酒量的因素可能导致酗酒和相关问题的患病率增加。
Objective: To assess whether the average consumption of alcohol is associated with the prevalence of heavy drinking, problem drinking, and abstention in England.Design: Ecological analysis using data from a cross sectional household based survey of English adults.Subjects: Random sample of 32 333 adults from the English population who participated in the 1993 and 1994 health surveys for England.Main outcome measures: Association, expressed as the correlation coefficient, between the regional mean and median alcohol consumption and the regional prevalence of heavy drinking, problem drinking, and abstention.Results: Mean consumption of alcohol in light to moderate drinkers was strongly positively associated with the prevalence of heavy drinking (r = 0.75 in men and r = 0.62 in women for drinking more than 21 and 14 units per week respectively). A similar association was found between median consumption and prevalence of heavy drinking, Abstention was not significantly associated with mean consumption in drinkers (r = 0.08 for men and r = -0.29 for women). Both the median and mean consumption in drinkers were positively associated with the prevalence of problem drinking as defined by the CAGE questionnaire on alcohol use (r = 0.53 for men and r = 0.42 for women for the association with mean consumption).Conclusion: Factors that increase the average consumption of alcohol in the population may result in an increase in the prevalence of heavy drinking and related problems.