Smoking Is Associated with Increased Risk of Binge Drinking in a Young Adult Hispanic Population at the US-Mexico Border.

Smoking Is Associated with Increased Risk of Binge Drinking in a Young Adult Hispanic Population at the US-Mexico Border.
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DOI:
10.1080/08897077.2014.987945
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发表时间:
2015
期刊:
影响因子:
3.5
通讯作者:
Cherpitel CJ
Cherpitel CJ
中科院分区:
医学3区
文献类型:
--
作者:
Woolard R;Liu J;Parsa M;Merriman G;Tarwater P;Alba I;Villalobos S;Ramos R;Bernstein J;Bernstein E;Bond J;Cherpitel CJ

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我们研究了与一般健康和健康行为相关的因素,包括吸烟,这些因素可能与墨西哥血统的年轻人酗酒,饮酒“风险”和酒精使用障碍的可能性有关。在美国/墨西哥边境附近的一家公立医院,对2191名墨西哥血统的年轻成人急诊科(艾德)患者(18 - 30岁)进行了健康调查,包括一般健康、饮酒、吸烟和药物使用等问题。37%的研究参与者报告了酗酒,38%的人是高于NIAAA指南的“风险”酒精使用者,22%的人是RAPS阳性(表明可能患有酒精使用障碍)。据报道,吸烟占31%,大麻使用占16%,其他药物使用占9%。多变量模型显示,吸烟是预测酗酒的最强因素。吸烟者酗酒的可能性是其他人的3.1倍(p <0.0001)。与酗酒独立相关的其他因素包括年龄22 - 25岁(OR = 1.5,p = 0.003)、男性(OR = 1.5,p = 0.0001)和因受伤就诊的艾德(OR = 1.4,p = 0.007)。吸烟和酗酒有很强的关联,因此,年轻的西班牙裔的简短干预措施的设计,包括讨论避免酗酒和吸烟,可以提高这些干预措施的疗效。
We examine factors related to general health and health behavior, including smoking, that may be associated with binge drinking, drinking ‘at risk’ and potential for alcohol use disorder among young adults of Mexican ancestry. 2191 young adult emergency department (ED) patients (18–30) of Mexican ancestry in a public hospital proximate to the US/Mexican border were interviewed using health surveys including questions on general health, drinking, smoking and drug use. 37% of the study participants reported binge drinking, 38% were “at risk” alcohol users above NIAAA guidelines and 22% were RAPS positive (indicating potential for alcohol use disorder). Smoking was reported by 31%, marijuana use by 16%, and other drug use by 9%. Multiple variable models revealed that smoking was the strongest factor predicting binge drinking. Those who smoked were 3.1(p<0.0001) times more likely to binge drink. Other factors independently associated with binge drinking were age 22–25 year old (OR=1.5, p=0.003), male gender (OR=1.5, p=0.0001), and ED visit for injury (OR=1.4, p=0.007). There is a strong association of smoking and binge drinking; hence brief interventions for young Hispanics should be designed to include discussion of avoidance of binge drinking and smoking which could improve the efficacy of these interventions.
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