COMPONENT 4: Epidemiological Analyses of the National Alcohol Survey (NAS)

组成部分 4：全国酒精调查 (NAS) 的流行病学分析

• 批准号: 8376669
• 负责人: William C Kerr
• 金额: $ 23.6万
• 依托单位: PUBLIC HEALTH INSTITUTE
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/8376669
• 关键词: AODR mortality; Accident and Emergency department; Accidents; Address; Adult; Affect; Age; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcoholic Intoxication; Alcohols; Attitude; Automobile Driving; Behavior; Beverages; Birth; Characteristics; Child; Child Abuse; Childhood; Code; Cohort Analysis; Cohort Effect; Consumption; County; Cross-Sectional Studies; DSM-V; Data; Dependence; Development; Disadvantaged; Drug usage; Drunk driving; Economic Conditions; Economics; Effect Modifiers (Epidemiology); Environment; Epidemiology; Ethnic Origin; Etiology; Family; Family member; Frequencies; Future; Gender; Gender Role; General Population; Geographic Locations; Health; Heavy Drinking; Hospitals; Hour; Impairment; Income; Individual; Injury; Intake; Interpersonal Violence; Joints; Legal; Life; Life Cycle Stages; Link; Marijuana Smoking; Matched Group; Measurement; Measures; Mental Health; Methodology; Methods; Modeling; Neighborhoods; Outcome; Patient Self-Report; Pattern; Pharmaceutical Preparations; Police; Poverty; Public Health; Race; Religion; Reporting; Research; Respondent; Risk; Risk Estimate; Risk Factors; Role; Sampling; Series; Severities; Socioeconomic Status; Stress; Surveys; Testing; Time; To specify; Tobacco use; Unemployment; Update; Variant; Victimization; Violence; Visit; Wages; Work; adverse outcome; age group; aged; alcohol availability; alcohol consequences; alcohol content; alcohol effect; alcohol misuse; alcohol related consequences; alcohol related problem; alcohol use disorder; base; binge drinking; cohort; density; density of AOD outlets; drinking; driving under influence; experience; hazard; health care service utilization; impaired driving performance; improved; innovation; population survey; psychosocial; religious group; social; socioeconomics; trend; vandalism

The Epidemiological Analyses of the NAS research component involves the current 2009/10 National Alcohol Survey (NAS), the future 2014/15 NAS and previous NAS surveys from 1979, 1984, 1990, 1995, 2000 and 2005. Our analyses capitalize on unique strengths of the NAS survey series including commensurate measurement of detailed alcohol consumption patterns, alcohol dependence and consequences, life-course heavy drinking patterns, prior problems and other risk factors. The NAS series includes an unusually broad range of personal characteristics and psychosocial risk factors, having many unique features including the availability of comparable US adult population surveys at approximately 5-year intervals over the past 30 years. From the 2000 on, the NAS Resouces Core will provide neighborhood and county-level geo-referencing that captures environmental measures of alcohol availability, local drinking culture and socioeconomic conditions which our aims exploit. Long-term trend analyses are specified to reveal recent changes in intake patterns and problems; additionally, we propose age-period-cohort (APC) models to better understand the underlying components of these trends. Attaching environmental variables to this representative US sample brings a fresh perspective to our analyses of individual-level data by locating respondents within a particular geographic setting characterized by socioeconomic, drinking culture and alcohol availability measures. Together with the life-course drinking and other risk factors, the inclusion of these environmental variables will add considerable depth to our plans to model problem outcomes, since these depend in many cases on an individual's past behavior and experiences, as well as the current social, cultural, economic and regulatory environment. Also, our analyses benefit greatly from more precise measures of current intake that, since 2000, adjust for drink size and strength. Using these key features of the NAS, a series of aims test hypotheses to advance the epidemiology and etiology of a broad range of alcohol-related problems including alcohol dependence, driving under the influence (DUI), accidents and injuries, and family, work, health and legal consequences of heavy drinking. Additional analyses will evaluate the determinants of externalities related to others' drinking including violence victimization, family problems and vandalism, and will investigate health care utilization by individuals with alcohol use disorders. Finally, detailed analyses of self-reported drunkenness and heavy drinking occasions will improve understanding of these important and inter-related measures and their relationship to outcomes such as impaired driving.

NAS研究组件的流行病学分析涉及当前的2009/10国家酒精调查（NAS），未来的2014/15 NAS和先前的NAS调查，1979年，1984年，1984年，1990年，1990年，1995年，2000年和2005年。我们的分析在我们的分析中涉及NAS的独特调查系列，包括详细的饮酒量，包括详细的酒精含量，包括详细的饮酒方式，以及饮酒量，并饮酒量，以及饮酒量，并饮酒量，以及饮酒量，以及饮酒量，以及饮酒量，以及饮酒量，以及饮酒量，以及饮酒量，以及饮酒量，并将其供应量，以及饮酒量，以及饮酒量，以及饮酒量，以及饮酒方式，以及饮酒量，并构成了饮酒量，以及饮酒量，并将其分析其他风险因素。 NAS系列 包括异常广泛的个人特征和社会心理风险因素，具有许多独特的特征，包括在过去30年中大约5年间隔可比美国成人人口调查的可比性。从2000年开始，NAS恢复核心将提供邻里和县级的地理参考，以捕捉我们目标利用的饮酒，当地饮酒文化和社会经济状况的环境措施。规定了长期趋势分析以揭示摄入模式和问题的最新变化；此外，我们提出了年龄 - 周期 - 霍特（APC） 更好地了解这些趋势的基本组成部分的模型。将环境变量附加到该代表性的美国样本上，通过将受访者定位在特定地理环境中，以社会经济，饮酒文化和酒精供应措施为特定的特定地理环境，从而为我们对个人级别数据的分析带来了新的观点。加上生命饮酒和其他风险因素，包括这些环境变量将为我们的计划建模的计划提供相当大的深度，因为在许多情况下，这些变量以及当前的社会，文化，经济，经济和监管环境都取决于许多情况。此外，我们的分析从更精确的当前摄入量衡量中受益匪浅，这些方法自2000年以来调整了饮料的大小和强度。使用NAS的这些关键特征，一系列目标测试假设，以推动与酒精相关的广泛问题的流行病学和病因，包括酒精依赖，在影响下驾驶（DUI），事故和伤害，以及家庭，工作，工作，健康和法律对大量饮酒的影响。其他分析将评估与他人饮酒有关的外部性的决定因素，包括暴力受害，家庭问题和故意破坏，并将调查患有酒精饮酒障碍的人的医疗保健利用。最后，对自我报告的醉酒和大量饮酒场合的详细分析将改善对这些重要和相关措施的理解及其与驾驶受损等结果的关系。