Alcohol drinking pattern and subjective health in a population-based study
Alcohol drinking pattern and subjective health in a population-based study
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DOI：
10.1111/j.1360-0443.2006.01517.x
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发表时间：
2006-09-01
期刊：
影响因子：
6
通讯作者：
Trevisan, Maurizio
中科院分区：
文献类型：
--
作者：
Stranges, Saverio;Notaro, James;Trevisan, Maurizio
目标某些饮酒模式(如酗酒、餐外饮酒)与对健康结果的有害影响有关。主观健康提供了对健康状况的全球评估，是总死亡率的有力预测指标；然而，人们对其与饮酒模式的关系知之甚少。随机抽取3586名男性和女性为研究对象，调查不同饮酒方式(饮酒强度和饮酒频度、餐外饮酒、饮品类型)与主观健康的关系。饮酒量是指面试前30天内的饮酒量。协方差分析比较了不同饮酒模式的性别平均得分。总体而言，非当前饮酒者报告的身心健康状况比终身戒酒者和当前饮酒者更差，而终身戒酒者和当前饮酒者之间没有发现一致的差异。在目前的女性饮酒者中，日常饮酒、啤酒和混合饮料的消费与更好的心理健康有关。在目前的男性饮酒者中，适度饮酒(每天2-2.9杯)、葡萄酒和混合饮料的消费与更好的身体健康有关。醉酒和饮酒与女性的心理健康较差和男性的身体健康较差有关。结论饮酒方式对男性和女性的主观健康有不同程度的影响。总体而言，与正常、适度饮用其他酒精饮料相比，醉酒和饮酒与自我感觉的健康状况较差有关。
Aims Some patterns of alcohol consumption (e.g. binge drinking, drinking outside of meals) have been associated with detrimental effects on health outcomes. Subjective health provides a global assessment of health status and is a strong predictor of total mortality; however, little is known about its relationship with alcohol drinking pattern. The association between several drinking patterns (i.e. drinking intensity and frequency, frequency of intoxication, drinking outside of meals, and beverage type) and subjective health was examined in a random sample of 3586 women and men.Design A population-based cross-sectional study.Methods Subjective health was assessed using the physical and mental health component summaries of the Short Form-36 health survey questionnaire. Alcohol consumption refers to the 30 days before the interview. Analysis of covariance compared gender-specific mean scores across alcohol drinking patterns.Findings Overall, non-current drinkers reported poorer physical and mental health than life-time abstainers and current drinkers, while no consistent differences were found between life-time abstainers and current drinkers. In female current drinkers, daily drinking, beer and mixed beverage consumption were associated with better mental health. In male current drinkers, moderate alcohol consumption (2-2.9 drinks per day), wine and mixed beverage consumption were associated with better physical health. Intoxication and liquor consumption were associated with poorer mental health in women and poorer physical health in men. No consistent associations were found for drinking outside meals.Conclusions Aspects of drinking pattern may affect subjective health differentially in women and men. Overall, intoxication and liquor drinking are associated with poorer self-perceived health status than regular, moderate consumption of other alcoholic beverages.