Consistency of Drinker Status Over Time: Drinking Patterns of Ex-Drinkers Who Describe Themselves as Lifetime Abstainers
Consistency of Drinker Status Over Time: Drinking Patterns of Ex-Drinkers Who Describe Themselves as Lifetime Abstainers
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DOI：
10.15288/jsad.2019.80.552
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发表时间：
2019-09-01
影响因子：
3.4
通讯作者：
Livingston, Michael
中科院分区：
文献类型：
--
作者：
Callinan, Sarah;Chikritzhs, Tanya;Livingston, Michael
目的：对自我报告的终生戒酒者的错误分类已被证明会使研究酒精对健康的长期影响的研究产生偏见，特别是适度饮酒对健康的益处。本文使用16波纵向数据来检验自我报告饮酒者状态的一致性。方法：参与者来自2016年完成澳大利亚家庭收入和劳动力动态调查的17，964名受访者。其中，807名参与者符合在2001年至2016年期间完成至少6项调查的纳入标准，并报告他们在2016年从未饮酒。研究人员检查了前15波参与者的饮酒状况是否存在不一致。结果如下：在2016年，不到一半（44%）的受访者称自己是终身戒酒者，他们在之前的所有调查中都一直给予这种回应。另有8%的人在某个时候称自己为前饮酒者，但没有报告任何实际消费，而其余48%的人在之前的调查中报告了酒精消费。这些受访者报告的消费量普遍较低，大多数人很少喝酒。然而，5%的自我报告终身戒酒者在以前的调查中报告了危险的消费水平。结论：大多数受访者报告说，他们在2016年从未饮酒，但在以前的调查中至少喝了一些酒（或至少是一个前饮酒者）。终生戒酒的自我报告可能无法准确区分终生戒酒者和戒酒者，可能会使关于适度饮酒的危害和益处的工作产生偏差。
Objective: Misclassification of self-reported lifetime abstainers from alcohol has been shown to bias studies that examine the long-term health effects of alcohol, notably the health benefits from moderate drinking. This article uses 16 waves of longitudinal data to examine the consistency of self-reported drinker status. Method: Participants were drawn from the 17,964 respondents who completed the Household Income and Labour Dynamics in Australia survey in 2016. Of these, 807 participants met the inclusion criterion of completing at least six surveys between 2001 and 2016 and reported that they had never consumed alcohol in 2016. The drinking status of the participants in the previous 15 waves was examined for inconsistencies. Results: Less than half (44%) of respondents who described themselves as lifetime abstainers in 2016 had consistently given this response in all previous surveys. A further 8% had described themselves as ex-drinkers at some point without reporting any actual consumption, whereas the remaining 48% had reported alcohol consumption in a previous survey. The reported consumption of these respondents was generally low, and most drank rarely. However, 5% of self-reported lifetime abstainers had reported risky levels of consumption in a previous survey. Conclusions: Most survey respondents who reported that they had never consumed alcohol in 2016 did report consuming at least some alcohol (or at least being an ex-drinker) in previous surveys. Self-report of lifetime abstention may not be accurately separating lifetime abstainers from ex-drinkers, possibly biasing work on the harms and benefits of moderate consumption.