The World Health Organization Risk Drinking Levels Measure of Alcohol Consumption: Prevalence and Health Correlates in Nationally Representative Surveys of U.S. Adults, 2001-2002 and 2012-2013.
The World Health Organization Risk Drinking Levels Measure of Alcohol Consumption: Prevalence and Health Correlates in Nationally Representative Surveys of U.S. Adults, 2001-2002 and 2012-2013.
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世界卫生组织酒精消费的风险饮酒水平测量：2001-2002年和2012-2013年美国成年人全国代表性调查中的患病率和健康相关性。
DOI：
10.1176/appi.ajp.2020.20050610
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发表时间：
2021-06
期刊：
影响因子：
--
通讯作者：
Alcohol Clinical Trials Initiative (ACTIVE Group)
中科院分区：
文献类型：
--
作者：
Shmulewitz D;Aharonovich E;Witkiewitz K;Anton RF;Kranzler HR;Scodes J;Mann KF;Wall MM;Hasin D;Alcohol Clinical Trials Initiative (ACTIVE Group)
关于世界卫生组织（世卫组织）风险饮酒水平（非常高、高、中等、低）的流行率随时间的变化及其与总体健康状况和性别的关系，人们知之甚少。使用logistic回归分析了2001-2002年全国酒精及相关疾病流行病学调查（NESARC; N= 26，655）和2012-2013年NESARC-III（N= 25，659）中当前饮酒者的数据。调查之间的患病率差异估计每个饮酒水平的整体和性别。在每项调查中，估计了以下健康状况的世卫组织风险饮酒水平的患病率差异：酒精使用障碍[AUD]、药物使用障碍、功能障碍、肝病、抑郁/焦虑障碍。2012-2013年，中度、高度和极高风险饮酒的流行率分别为5.9%、3.2%和3.5%，与2001-2002年相比，极高风险饮酒的流行率显著增加了0.9%，高风险饮酒的流行率增加了0.6%，中度饮酒的流行率增加了1.0%。男性中非常高风险饮酒的增加（+0.5%）小于女性（+1.4%）。在两项调查中，与低风险相比，健康状况与非常高风险（患病率差异范围：+2.2%-+57.8%），高风险（+2.6%-+41.3%）和中度风险（+0.6%-+29.8%）饮酒显著相关。不同性别之间的相关性相似，除了男性对AUD的影响更大，女性对功能障碍和抑郁/焦虑障碍的影响更大。美国成年人潜在问题饮酒水平的增加强调了更好的预防和治疗策略的必要性。结果支持WHO风险饮酒水平的有效性，这表明非戒酒饮酒减少治疗目标的临床效用。这些目标可以让更多的人参与治疗，通过减少风险饮酒的个人和社会后果来改善公共卫生。
Little is known about change over time in the prevalence of World Health Organization (WHO) risk drinking levels (very high, high, moderate, low) and their association with health conditions, overall, and by gender. Data on current drinkers from the 2001–2002 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC; N=26,655) and the 2012–2013 NESARC-III (N=25,659) were analyzed using logistic regression. Prevalence differences between surveys were estimated for each drinking level overall and by gender. Within each survey, prevalence differences by WHO risk drinking level were estimated for health conditions: alcohol use disorders [AUD], drug use disorders, functional impairment, liver disease, depressive/anxiety disorders. In 2012–2013, the prevalences of moderate, high and very high risk drinking were 5.9%, 3.2% and 3.5%, respectively, representing significant increases from 2001–2002 of +0.9% in very high risk drinking, +0.6% in high risk drinking and +1.0% in moderate drinking. The increase for very high risk drinking in men (+0.5%) was smaller than the increase in women (+1.4%). Within both surveys, compared to low risk, health conditions were significantly associated with very high risk (range of prevalence differences: +2.2%-+57.8%), high risk (+2.6%-+41.3%), and moderate risk (+0.6%-+29.8%) drinking. Associations were similar by gender, except there were stronger effects for AUD in men and for functional impairment and depressive/anxiety disorders in women. The increase in potentially problematic drinking levels among US adults emphasizes the need for better prevention and treatment strategies. Results support the validity of the WHO risk drinking levels, which show clinical utility as non-abstinent drinking reduction treatment goals. Such goals could engage more people in treatment, improving public health by decreasing personal and societal consequences of risk drinking.
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DOI：
10.15288/jsa.1999.60.790
发表时间：
1999-11-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
Canino, G;Bravo, M;Hasin, D
通讯作者：
Hasin, D
影响因子：
25.8
作者：
Grant, Bridget F.;Saha, Tulshi D.;Ruan, W. June;Goldstein, Rise B.;Chou, S. Patricia;Jung, Jeesun;Zhang, Haitao;Smith, Sharon M.;Pickering, Roger P.;Huang, Boji;Hasin, Deborah S.
通讯作者：
Hasin, Deborah S.
影响因子：
3.1
作者：
Doycheva, Iliana;Watt, Kymberly D.;Alkhouri, Naim
通讯作者：
Alkhouri, Naim
影响因子：
25.8
作者：
Grant, Bridget F.;Chou, S. Patricia;Hasin, Deborah S.
通讯作者：
Hasin, Deborah S.
影响因子：
4.2
作者：
Cottler, LB;Grant, BF;Mager, D
通讯作者：
Mager, D