Health Utility of Drinkers' Family Members: A Secondary Analysis of a US Population Data Set.
Health Utility of Drinkers' Family Members: A Secondary Analysis of a US Population Data Set.
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DOI：
10.1177/23814683221128507
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发表时间：
2022-07
影响因子：
--
通讯作者：
Wittenberg, Eve
中科院分区：
文献类型：
--
作者：
Thornburg, Benjamin;Bray, Jeremy W.;Wittenberg, Eve
关键词：
背景资料。众所周知，有问题的饮酒会伤害饮酒者周围的个人。这项研究描述了那些报告有他们认为是“酗酒问题”的家庭成员(S)的人的健康效用。我们对美国国家酒精及相关疾病流行病学调查第三波(NESARC-III，2012-13)数据进行了二次分析，以评估家庭成员饮酒问题与受访者的健康效用(也称为健康相关生活质量)之间的独立关联，通过SF-6D进行评估。参与者包括29,159名非制度化成年人，其中21,808人报告称在他生命中的任何时候都感觉到一个或多个家庭成员有饮酒问题。通过自我报告和诊断性访谈评估被调查者的饮酒情况。我们使用人口加权多变量回归来估计非效用。结果。在调整了受访者自己的酒精消费、酒精使用障碍、家庭结构和社会人口学特征后，将家庭成员视为酗酒问题的SF-6D得分的平均降幅从配偶/伴侣的0.033(P<；0.001)到祖父母、兄弟姐妹、阿姨或叔叔的0.023(P<；0.001)。自闭症患者的SF-6D评分平均下降0.039(P<；0.001)。结论。在一个人的家庭中，感知到的问题饮酒与健康效用方面的统计上的显著损失有关，其程度取决于关系类型。与家庭饮酒问题相关的不良后果可能会与自己患上AUD相媲美。这意味着什么。以家庭为导向的AUD干预方法可能会带来巨大的好处，特别是如果重点放在配偶或伴侣身上。通过纳入家庭溢出效应，可以更准确地对酒精滥用进行经济评估。家庭中问题饮酒的溢出效应因关系类型而异。一个人认为自己的配偶或孩子有饮酒问题，这与自己有酒精使用障碍的效用减少程度相当。医疗决策者应该在饮酒的背景下，特别是在酗酒者的配偶和子女中，考虑到家庭溢出在治疗决策中的超大影响。经济评估应考虑如何将问题饮酒的家庭溢出效应纳入酒精相关模型。
Background. Problematic alcohol use is known to harm individuals surrounding the drinker. This study described the health utility of people who reported having a family member(s) whom they perceived as a “problem drinker.”Methods. We conducted a secondary analysis of the US National Epidemiologic Survey of Alcohol and Related Conditions Wave 3 (NESARC-III, 2012–13) data to estimate the independent associations of a family member’s problem drinking on the respondent’s health utility, also known as health-related quality of life, assessed via the SF-6D. Participants included 29,159 noninstitutionalized adults, of whom 21,808 reported perceiving a family member or members as having a drinking problem at any point in that person’s life. Respondent drinking was assessed via self-report and diagnostic interview. We used population-weighted multivariate regression to estimate disutility. Results. After adjusting for the respondent’s own alcohol consumption, alcohol use disorder (AUD), family structure, and sociodemographic characteristics, the mean decrement in SF-6D score associated with perceiving a family member as a problem drinker ranged from 0.033 (P < 0.001) for a spouse/partner to 0.023 (P < 0.001) for a grandparent, sibling, aunt, or uncle. The mean decrement in SF-6D score from having AUD oneself was 0.039 (P < 0.001). Conclusions. Perceived problem drinking within one’s family is associated with statistically significant losses in health utility, the magnitude of which is dependent on relationship type. The adverse consequences associated with problem drinking in the family may rival having AUD oneself. Implications. Family-oriented approaches to AUD interventions may confer outsize benefits, especially if focused on the spouse or partner. Economic evaluation of alcohol misuse could be made more accurate through the inclusion of family spillover effects. Spillover effects from problem drinking in the family vary by relationship type. One’s perception of their spouse or child as having a drinking problem is associated with a utility decrement of equal magnitude to having alcohol use disorder oneself. Medical decision makers should consider the outsize effects of family spillovers in treatment decisions in the context of alcohol consumption, particularly among spouses and children of problem drinkers. Economic evaluation should consider how to incorporate family spillover effects from problem drinking in alcohol-related models.
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DOI：
10.1111/add.15224
发表时间：
2021-05
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
Barbosa C;Bray JW;Dowd WN;Barnosky A;Wittenberg E
通讯作者：
Wittenberg E
影响因子：
6
作者：
Salize, Hans Joachim;Jacke, Christian;Mann, Karl
通讯作者：
Mann, Karl
影响因子：
3
作者：
Cherepanov D;Palta M;Fryback DG
通讯作者：
Fryback DG
影响因子：
25.8
作者：
Grant BF;Goldstein RB;Saha TD;Chou SP;Jung J;Zhang H;Pickering RP;Ruan WJ;Smith SM;Huang B;Hasin DS
通讯作者：
Hasin DS
影响因子：
3
作者：
Luo, Nan;Johnson, Jeffrey A.;Coons, Stephen Joel
通讯作者：
Coons, Stephen Joel