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越南农村地区的酒精使用及与酒精消费相关的问题:一项使用酒精使用障碍识别测试(AUDIT)的流行病学调查

Alcohol use and alcohol consumption-related problems in rural Vietnam: an epidemiological survey using AUDIT.

作者信息

Giang Kim Bao, Allebeck Peter, Spak Fredrik, Van Minh Hoang, Dzung Truong Viet

机构信息

Faculty of Public Health, Hanoi Medical University, Hanoi, Vietnam.

出版信息

Subst Use Misuse. 2008;43(3-4):481-95. doi: 10.1080/10826080701208111.

Abstract

This study aimed to assess alcohol use and alcohol consumption-related problems in different sociodemographic groups in a rural district in Vietnam. Interviews were completed between March 2004 and July 2004. The Alcohol Use Disorder Identification Test (AUDIT) was applied to interview 3423 people, who were randomly selected in a rural district (1695 men and 1728 women). People who had an AUDIT score greater than 7 (in men) or greater than 5 (in women) were identified as having alcohol consumption-related problems. Prevalences and adjusted odds ratios of alcohol use and alcohol consumption-related problems were estimated for different subgroups of the population. Weekly and daily "binge drinking" among men were 5.7 and 3.6%, while binge drinking in women was virtually nonexistent. The prevalence of alcohol consumption-related problems was 25.5% among men and 0.7% among women. The differences between sociodemographic groups were not strong, but women who were separated, divorced, or widowed as well as those with higher education had significantly higher rates of alcohol consumption-related problems than married women and those with lower education. This study indicates an urgent need for alcohol intervention programs focused on men. However, further monitoring of alcohol use and problems among women is important to follow-up changes in consumption pattern. The study's limitations are discussed.

摘要

本研究旨在评估越南一个农村地区不同社会人口群体中的酒精使用情况以及与酒精消费相关的问题。访谈于2004年3月至2004年7月期间完成。采用酒精使用障碍识别测试(AUDIT)对一个农村地区随机抽取的3423人(1695名男性和1728名女性)进行访谈。AUDIT评分大于7(男性)或大于5(女性)的人被认定存在与酒精消费相关的问题。针对不同人群亚组估计了酒精使用及与酒精消费相关问题的患病率和调整后的比值比。男性中每周和每日的“暴饮”比例分别为5.7%和3.6%,而女性中几乎不存在暴饮情况。与酒精消费相关问题的患病率在男性中为25.5%,在女性中为0.7%。社会人口群体之间的差异并不显著,但分居、离婚或丧偶的女性以及受过高等教育的女性与酒精消费相关问题的发生率显著高于已婚女性和受教育程度较低的女性。本研究表明迫切需要针对男性的酒精干预项目。然而,进一步监测女性的酒精使用情况及相关问题对于跟踪消费模式的变化很重要。文中讨论了该研究的局限性。

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