Reynolds D L, Chambers L W, DeVillaer M R
Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Can J Public Health. 1992 Nov-Dec;83(6):441-7.
This study reported and compared community health indicators for the measurement of alcohol abuse. Using data from the 1989 Hamilton-Wentworth Health Survey, similar rates were found for four differing definitions of alcohol abuse: 1) drinking everyday (5.7%, 95% confidence limit (CL) = 3.8-7.7%), 2) drinking at least 14 drinks in the past seven days (12.1%, 95% CL = 9.2-15.1%), 3) frequent binging on 10 drinks or more (9.4%, 95% CL = 6.9-11.8%), and 4) "alcoholism" as defined by the Michigan Alcoholism Screening Test (MAST) (7.4%, 95% CL = 5.1-9.7%). Binging on five drinks or more occurred frequently (37.0, 95% CL = 32.8-41.1%). All indicators of alcohol abuse from the survey were significantly higher for males as compared to females (p < 0.05), and demonstrated varying distributions by age. Estimates of drinking consumption based on the sale of alcoholic beverages in the community were also examined and found to estimate consumption levels nearly double that of the self-reported survey data. Relevance to public health planning and monitoring is discussed.
本研究报告并比较了用于衡量酒精滥用情况的社区健康指标。利用1989年汉密尔顿-温特沃斯健康调查的数据，发现对于酒精滥用的四种不同定义，其发生率相似：1）每天饮酒（5.7%，95%置信区间（CL）=3.8-7.7%），2）在过去七天内饮酒至少14杯（12.1%，95%CL=9.2-15.1%），3）频繁暴饮10杯或更多（9.4%，95%CL=6.9-11.8%），以及4）由密歇根酒精中毒筛查测试（MAST）定义的“酒精中毒”（7.4%，95%CL=5.1-9.7%）。暴饮5杯或更多的情况很常见（37.0%，95%CL=32.8-41.1%）。与女性相比，调查中所有酒精滥用指标在男性中均显著更高（p<0.05），并且按年龄呈现出不同的分布。还对基于社区酒精饮料销售情况的饮酒量估计进行了检查，发现其估计的饮酒量几乎是自我报告调查数据的两倍。讨论了其与公共卫生规划和监测的相关性。
