Jonas H A, Dobson A J, Brown W J
Department of General Practice and Public Health, University of Melbourne, Victoria.
Aust N Z J Public Health. 2000 Apr;24(2):185-91. doi: 10.1111/j.1467-842x.2000.tb00140.x.
To determine which socio-demographic factors, health-related behaviours and physical health conditions are associated with non-drinking, binge drinking and hazardous/harmful drinking in young Australian women.
Cross-sectional data were obtained from the baseline survey of 14,762 young women (aged 18-23 years) enrolled in the Women's Health Australia study in 1996. Associations between a range of drinking patterns and socio-demographic factors, health-related behaviours and health conditions were examined.
Half the women were 'low intake' drinkers, a third 'rarely drank' and 9% were non-drinkers; however, 70% reported binge drinking with one-quarter of the binge drinkers doing so at least weekly. Non-drinkers were more likely than drinkers to be married, pregnant, non-smokers, born in non-English speaking countries, to live in the Northern Territory, and to have lower levels of education, employment, and private health insurance. 'Low intake/binge weekly' drinkers (12%) and 'hazardous/harmful' drinkers (5%) were more likely than 'low risk' drinkers to be unmarried; to live in shared accommodation, alone or with their parents; to live in rural or remote areas; to have ever had any sexually transmitted infection; to be current smokers or ex-smokers and to have used unhealthy weight-control practices.
The results confirm findings from other countries about the importance of social conditions as determinants of alcohol consumption by young women.
Health promotion to reduce young women's alcohol consumption needs to be carefully targeted to take account of their demographies, living environments and beliefs.
确定哪些社会人口学因素、与健康相关的行为及身体健康状况与澳大利亚年轻女性的不饮酒、暴饮及危险/有害饮酒有关。
横断面数据取自1996年参与澳大利亚女性健康研究的14762名18至23岁年轻女性的基线调查。研究了一系列饮酒模式与社会人口学因素、与健康相关的行为及健康状况之间的关联。
一半女性为“低摄入量”饮酒者,三分之一“很少饮酒”,9%为不饮酒者;然而,70%的女性报告有暴饮行为,其中四分之一的暴饮者至少每周暴饮一次。与饮酒者相比,不饮酒者更有可能已婚、怀孕、不吸烟、出生于非英语国家、居住在北领地、教育程度较低、就业情况较差且私人医疗保险覆盖率较低。与“低风险”饮酒者相比,“低摄入量/每周暴饮”饮酒者(12%)和“危险/有害”饮酒者(5%)更有可能未婚;居住在合租住房、独自居住或与父母同住;居住在农村或偏远地区;曾感染过任何性传播感染;目前吸烟或曾吸烟且曾采用不健康的体重控制方法。
研究结果证实了其他国家关于社会状况作为年轻女性酒精消费决定因素的重要性的研究发现。
为减少年轻女性酒精消费而开展的健康促进活动需要谨慎定位,以考虑到她们的人口统计学特征、生活环境和信念。