Okosun I S, Seale J P, Daniel J B, Eriksen M P
Institute of Public Health, P.O. Box 3995, Georgia State University, Atlanta, GA, USA.
Public Health. 2005 Jun;119(6):509-17. doi: 10.1016/j.puhe.2004.08.016.
The objective of this study was to examine the relationship between self-rated health and episodic heavy drinking in a representative sample of American adults. We also sought to determine ethnic and gender differences in the association between self-rated health and episodic heavy drinking.
Data (n=4649) from the Third US National Health and Nutrition Examination Survey were utilized for this investigation. Episodic heavy drinking was defined as the consumption of five or more and four or more alcoholic beverages on one occasion for men and women, respectively. Poor health was defined as answering fair or poor to the question: "Would you say your health in general is excellent, very good, good, fair or poor?" Odds ratio from the logistic linear regression analysis was used to estimate the risk for poor health that was associated with episodic heavy drinking. Statistical adjustments were made for age, hypertension, diabetes, current smoking, body mass index and race/ethnicity.
Overall, episodic heavy drinking was associated with increased odds of poor self-rated health in men and women. In men, episodic heavy drinking was independently associated with 1.28 (95% CI: 1.07-1.82) increased odds of poor health. The corresponding value in women was 1.86 (95% CI: 1.05-2.28). In men, being Black was associated with approximately two-fold (OR=1.96; 95% CI: 1.33, 2.89), and being Hispanic was associated with approximately four-fold (OR=3.59; 95% CI: 2.50, 5.14) increased odds of poor self-rated health relative to being White. The corresponding odds ratios in women were 2.97 (95% CI: 1.90, 4.64) and 5.18 (95% CI: 3.23, 8.30). Associations were greater among blacks (adjusted OR=2.41; 95% CI: 1.81-3.22) and Hispanics (adjusted OR=4.15; 95% CI: 3.12-5.52) than among whites.
Poor health is associated with episodic heavy alcohol consumption. Public health strategies to curb alcohol abuse may improve self-reported health status in these at-risk populations.
本研究的目的是在美国成年人的代表性样本中检验自评健康状况与偶尔大量饮酒之间的关系。我们还试图确定自评健康状况与偶尔大量饮酒之间关联的种族和性别差异。
本调查使用了来自美国第三次国家健康与营养检查调查的数据（n = 4649）。偶尔大量饮酒分别定义为男性一次饮用五杯或更多、女性一次饮用四杯或更多酒精饮料。健康状况差定义为对“您认为您的总体健康状况是极佳、非常好、良好、一般还是差？”这个问题回答“一般”或“差”。逻辑线性回归分析的比值比用于估计与偶尔大量饮酒相关的健康状况差的风险。对年龄、高血压、糖尿病、当前吸烟状况、体重指数和种族/民族进行了统计调整。
总体而言，偶尔大量饮酒与男性和女性自评健康状况差的几率增加有关。在男性中，偶尔大量饮酒与健康状况差的几率增加1.28倍（95%置信区间：1.07 - 1.82）独立相关。女性的相应值为1.86（95%置信区间：1.05 - 2.28）。在男性中，与白人相比，黑人的自评健康状况差的几率增加约两倍（比值比 = 1.96；95%置信区间：1.33, 2.89），西班牙裔的几率增加约四倍（比值比 = 3.59；95%置信区间：2.50, 5.14）。女性的相应比值比分别为2.97（95%置信区间：1.90, 4.64）和5.18（95%置信区间：3.23, 8.30）。黑人（调整后的比值比 = 2.41；95%置信区间：1.81 - 3.22）和西班牙裔（调整后的比值比 = 4.15；95%置信区间：3.12 - 5.52）之间的关联比白人更大。
健康状况差与偶尔大量饮酒有关。遏制酒精滥用的公共卫生策略可能会改善这些高危人群的自我报告健康状况。
