Another look at heavy episodic drinking and alcohol use disorders among college and noncollege youth
Another look at heavy episodic drinking and alcohol use disorders among college and noncollege youth
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DOI：
10.15288/jsa.2004.65.477
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发表时间：
2004-07-01
期刊：
影响因子：
--
通讯作者：
Chou, PS
中科院分区：
文献类型：
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作者：
Dawson, DA;Grant, BF;Chou, PS
目的：估计美国18-29岁成年人的重度间歇性饮酒，酒精滥用和酒精依赖的比率，并确定这些比率与学生身份和居住地的关系。方法：该分析基于美国成年人18-29岁（N = 8，666; 4，849名女性）的子样本数据，这些数据是作为2001-02年全国酒精和相关疾病流行病学调查（N = 43，093）的一部分进行采访的。数据收集在个人访谈的代表性样本的成年人18岁及以上，生活在家庭和选定的组宿舍在美国，包括阿拉斯加，夏威夷和哥伦比亚特区。结果如下：在所有18-29岁的成年人中，73.1%的人报告在过去一年中饮酒，39.6%的人报告偶尔饮酒，21.1%的人报告每月饮酒超过一次，11.0%的人报告每周饮酒超过一次。在过去一年的饮酒者中，这相当于54.3%的人偶尔重度饮酒，28.9%的人每月重度饮酒超过一次，15.0%的人每周重度饮酒超过一次。尽管大学生的重度间歇性饮酒率略高于非大学生（p <0.01），但居住地的差异大于学生身份的差异。总体而言，7.0%的18-29岁成年人在过去一年中符合DSM-IV酒精滥用标准，9.2%符合酒精依赖标准。住在校外的学生滥用率最高（p <0.01），住在校内的学生依赖率最高（p <0.01）。结论：大量的间歇性饮酒和酒精使用障碍是青年和大学的现象。需要开展针对所有青年的预防运动，以补充在校园一级开展的干预措施。
Objective: To estimate rates of heavy episodic drinking, alcohol abuse and alcohol dependence among U.S. adults 18-29 years of age and determine the relationship of these rates to student status and residence. Method: The analysis is based on data from a subsample of U.S. adults 18-29 years of age (N = 8,666; 4,849 female) who were interviewed as part of the 2001-02 National Epidemiologic Survey on Alcohol and Related Conditions (N = 43,093). Data were collected in personal interviews from a representative sample of adults 18 and older, living in households and selected group quarters in the United States, including Alaska, Hawaii and the District of Columbia. Results: Of all adults 18-29 years of age, 73.1% reported any drinking in the past year, 39.6% reported any heavy episodic drinking, 21.1% reported heavy drinking more than once a month and 11.0% reported heavy drinking more than once a week. Among past-year drinkers, these correspond to rates of 54.3% for any heavy episodic drinking, 28.9% for heavy drinking more than once a month and 15.0% for heavy drinking more than once a week. Although rates of heavy episodic drinking were slightly higher for college students than for noncollege students (p < .01), differences according to place of residence were greater than differences according to student status. Overall, 7.0% of adults ages 18-29 met the DSM-IV criteria for alcohol abuse in the past year, and 9.2% met the criteria for alcohol dependence. The prevalence of abuse was highest among students living off campus (p < .01), and rates of dependence were highest among students living on campus (p < .01). Conclusions: Heavy episodic drinking and alcohol use disorders are youth as well as college phenomena. Prevention campaigns targeted at all youth are needed to supplement interventions conducted at the campus level.