Time to Promote the Awareness of Unhealthy Alcohol Use Among Women.
Time to Promote the Awareness of Unhealthy Alcohol Use Among Women.
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是时候提高女性对不健康饮酒的认识了。
DOI：
10.1089/jwh.2021.0546
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Piano,MariannR
中科院分区：
文献类型：
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作者：
Hwang,Chueh-Lung;Phillips,ShaneA;Tu,Min-Hsuan;Piano,MariannR
自2020年3月2019冠状病毒病（COVID-19）爆发以来，美国的饮酒量急剧持续增加，尤其是女性。1,7,9这是令人关切的，因为在大流行之前，妇女饮酒的流行率已经在上升。对六项全国性调查的荟萃分析表明，尽管男性的酒精使用流行率保持不变，但在过去十年中，女性的酒精使用显著增加了6%。2020年全国酒精调查的结果发现，69%的美国女性成年人每周至少饮用一种饮料，例如一罐啤酒（12盎司≥* 355毫升），一杯餐酒（5盎司≥* 148毫升），一杯80度烈性酒（1.5盎司≥* 44mL），或8-9盎司≥* 250毫升麦芽酒。12美国疾病控制与预防中心行为风险因素监测系统2017-2018年的数据显示，* 20%的18-44岁美国女性报告过度饮酒，包括狂饮（即一次饮酒≥4杯）和重度饮酒（即每周饮酒≥8杯）。13在大流行期间，多份报告表明，不健康饮酒和饮酒超过建议限度的情况在女性中比在男性中更多。女性酒精使用的增加与卫生保健系统负担的增加有关。来自全国急诊科样本的数据显示，从2006年到2014年，女性与酒精相关的急诊科就诊率显著增加了56%，年增长率高于男性。15 White等人利用美国国家卫生统计中心的死亡率数据发现，从1999年到2010年，女性与酒精相关的死亡率每年增加2.1%，从2010年到2017年，每年增加5.2%。16 .虽然大多数与酒精有关的死亡发生在男子身上，但妇女死亡率的年增长率高于男子。16然而，与男性相比，女性酒精使用对健康相关结果的影响研究不足。虽然轻度至中度饮酒可能不会明显损害健康，但过度饮酒与妇女的几种不利健康结果有关。17长期过量饮酒与酒精使用障碍的发展有关，并增加妇女患精神障碍、传染病、乳腺癌和心血管疾病的风险。17,18与酒精有关的肝脏疾病的发病率呈上升趋势，这一趋势令人担忧，与此同时，女性饮酒量也在增加。20最近，Wood等人对来自83项前瞻性研究的599,912名当前饮酒者进行了综合分析，他们发现，在男性和女性中，每周饮酒量超过100克（* 7）与全因死亡风险较高相关。21更有可能的是，妇女饮酒强度和模式的增加和变化的原因是多方面的，但可能与饮酒动机有关，其中可能包括社交、应对、自我提升和从众。与男性相比，女性更有可能通过饮酒来应对心理困扰，如焦虑、压力和抑郁。在大流行期间，Rodriguez等人发现，与covid -19相关的心理困扰与较高的酒精使用量相关，而且这种关联在女性中比在男性中更为明显。7为了应对大流行期间因社会孤立和（或）有孩子在家而造成的心理困扰，7妇女可能倾向于增加饮酒。增加的其他原因…
Since the coronavirus disease 2019 (COVID-19) out-break in March 2020, alcohol consumption has sharply and continuously increased in the United States, 1–9 particularly among women. 1, 7, 9 This is of concern, since before the pandemic, the prevalence of alcohol use in women was already rising. A meta-analysis of six national surveys shows that although the prevalence of alcohol use in men remained unchanged, alcohol use significantly increased in women by 6% over the past decade. 10 Results from the 2020 National Alcohol Survey found that 69% of female US adults had a weekly consumption of at least one drink, 11 such as a can of beer (12 oz≥* 355 mL), a glass of table wine (5 oz≥* 148 mL), a shot of 80-proof spirits (1.5 oz≥* 44mL), or 8–9 oz≥* 250 mL of malt liquor. 12 Data from Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2017–2018, show that* 20% of US women aged 18–44 years old reported excessive alcohol use including binge drinking (ie, having≥ 4 drinks on one occasion) and heavy drinking (ie, having≥ 8 drinks per week). 13 During the pandemic, multiple reports indicate that unhealthy alcohol use and drinking above recommended limits14 were greater in women than in men. 1 Increases in alcohol use among women are associated with an increased burden on the health care system. Data from the Nationwide Emergency Department Sample show that the rate of emergency department visits related to alcohol significantly increased by 56% in women from 2006 to 2014, with a larger annual increase than in men. 15 Using US mortality data from the National Center for Health Statistics, White et al. found that alcohol-related death rate among women increased by 2.1% per year from 1999 to 2010, and increased further more by 5.2% per year from 2010 to 2017. 16 Although the majority of alcohol-related deaths occur in men, the annual increase in death rates is higher in women than in men. 16 However, compared with those in men, the effects of alcohol use on health-related outcomes are understudied in women.Although light-to-moderate alcohol consumption may not be overtly harmful to health, excessive alcohol use is associated with several adverse health outcomes in women. 17 Chronic excessive alcohol use is associated with the development of alcohol use disorder, and an increased risk of mental disorders, infectious diseases, breast cancer, and cardiovascular diseases in women. 17, 18 There is an alarming trend in the increased prevalence of alcohol-related liver disease19 that parallels the increase in alcohol consumption in women. 20 Recently, Wood et al. conducted a combined analysis of 599,912 current drinkers from 83 prospective studies and they found that in men and women, alcohol consumption higher than 100 g per week (* 7 drinks) was associated with a higher risk of all-cause mortality. 21 More than likely, the reasons for the increase and change in women’s drinking intensity and patterns are multifactorial but may relate to drinking motives that may include social, coping, enhancement, and conformity. Compared with men, women are more likely to drink alcohol to cope with psychological distress, such as anxiety, stress, and depression. During the pandemic, Rodriguez et al. found that COVID-19–related psychological distress was associated with a higher amount of alcohol use and the association was more pronounced in women than in men. 7 To cope with psychological distress due to social isolation and/or the presence of children at home during the pandemic, 7 women may tend to increase their alcohol use. Other reasons for increased …
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DOI：
10.3390/ijerph17249189
发表时间：
2020-12-09
影响因子：
--
作者：
Grossman ER;Benjamin-Neelon SE;Sonnenschein S
通讯作者：
Sonnenschein S
影响因子：
3.9
作者：
Bramness, Jorgen G.;Bye, Elin K.;Rossow, Ingeborg
通讯作者：
Rossow, Ingeborg
影响因子：
13.5
作者：
Mellinger, Jessica L.;Shedden, Kerby;Lok, Anna S. F.
通讯作者：
Lok, Anna S. F.
影响因子：
8.5
作者：
Rolland B;Haesebaert F;Zante E;Benyamina A;Haesebaert J;Franck N
通讯作者：
Franck N
DOI：
10.1111/add.15622
发表时间：
2022-03
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
Nordeck CD;Riehm KE;Smail EJ;Holingue C;Kane JC;Johnson RM;Veldhuis CB;Kalb LG;Stuart EA;Kreuter F;Thrul J
通讯作者：
Thrul J