Risk functions for frequency of alcohol-related negative consequences: New Zealand survey data
Risk functions for frequency of alcohol-related negative consequences: New Zealand survey data
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DOI：
10.1046/j.1360-0443.2000.9512182111.x
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发表时间：
2000-12-01
期刊：
影响因子：
6
通讯作者：
Casswell, S
中科院分区：
文献类型：
--
作者：
Wyllie, A;Zhang, JF;Casswell, S
目标。检查自我报告的饮酒量与自我报告的饮酒负面后果水平之间的剂量反应关系。设计。将 1990 年至 1997 年 10 次一般人群随机抽样调查的数据合并起来，绘制响应图并进行回归分析。环境。奥克兰，新西兰北岛一座约有100万人口的城市。参与者使用计算机辅助电话访谈系统在家中接受访谈。参与者。一般人口样本为 11 817 名年龄在 14-65 岁之间的人，代表奥克兰人口。测量。经历 14 种负面后果的频率；年饮酒量；大量饮酒的频率。结果。对于不同的后果，发现了后果与消费之间的三种不同的关系模式。这些结果的流行率和频率之间存在差异，但对于两种不同的消费量（年饮酒量和大量饮酒）而言，这些结果相似。对经历后果的频率的分析发现，最常见后果的风险曲线近似于一条直线，低容量摄入的影响是由于那些饮酒量较大的人造成的。三种不太常见的结果清楚地显示出一条凹曲线，表明存在阈值效应，效应从每年约 20 升无水酒精开始。结论。消费与后果之间的不同关系意味着，有些后果只有在达到非常大量的饮酒量时才会发生，而另一些后果则与消费直接相关，反映出饮酒量与消费量密切相关。
Aims. To examine the dose-response relationship between self-reported alcohol consumption and levels of self-reported negative consequences of drinking. Design. Data from 10 general population random sample surveys over the years 1990-1997 were combined and responses were plotted and subjected to regression analysis. Setting. Auckland, a city of approximately I million people in the North Island of New Zealand. Participants were interviewed in their homes using a computer-assisted telephone interviewing system. Participants. General population sample of 11 817 aged 14-65 years, representative of the Auckland population. Measurements. Frequency of experience of 14 negative consequences; annual volume of alcohol consumed; frequency of drinking larger quantities of alcohol. Results. Three different patterns of relationship between consequences and consumption were found for different consequences. These differed between the prevalence and the frequency of consequences bur mere similar for two different measures of consumption, annual volume and larger quantity drinking. Analysis of the frequency of experienced consequences found that the risk curves for the most common consequences approximated a straight line and the effects at low volume intake were due to those drinking larger quantities. Three less common consequences clearly showed a concave curve suggesting a threshold effect, with effects beginning at about 20 litres per annum of absolute alcohol. Conclusion. The different relationships between consumption and consequences imply that some consequences occur only once a very heavy volume of drinking is reached, while others show a direct relationship with consumption, reflecting that volume of alcohol consumed is closely related to the quantities consumed.