Jiang Xuran, Li Dongguang, Boyce William, Pickett William
Department of Community Health and Epidemiology, Queen's University, Kingston, Ontario, Canada.
J Rural Health. 2008 Spring;24(2):143-7. doi: 10.1111/j.1748-0361.2008.00150.x.
The impact of alcohol consumption on risks for injury among rural adolescents is an important and understudied public health issue. Little is known about whether relationships between alcohol consumption and injury vary between rural and urban adolescents.
To examine associations between alcohol and medically attended injuries by urban-rural geographic status using a representative national sample of Canadian adolescents.
The study involved a secondary analysis of a national sample of Canadian adolescents aged 11-15 years (n = 7,031) from the 2001-2002 Health Behavior in School-Aged Children Survey. Respondents were classified into 5 geographic categories of rural-urban status. Multiple logistic regression was used to examine the magnitude and homogeneity of associations between drinking patterns and adolescent injuries across these 5 geographic groupings.
Higher rates of alcohol consumption and adolescent injuries were observed in more rural areas. Alcohol consumption was significantly associated with higher risks for injury occurrence with evidence of a dose-related pattern of risk. Associations between alcohol consumption and injury were consistent by urban-rural geographic status.
Misuse of alcohol is an important potential cause of injury. Adolescents whose lifestyle includes alcohol consumption experience higher risks for injury, and this association is observed consistently by urban-rural geographic status. Findings of this study emphasize a need to intervene with high-risk adolescents as a tertiary prevention strategy, irrespective of geographic background.
饮酒对农村青少年受伤风险的影响是一个重要且研究不足的公共卫生问题。对于饮酒与受伤之间的关系在农村和城市青少年中是否存在差异，人们知之甚少。
使用具有代表性的加拿大青少年全国样本，研究城乡地理状况与因饮酒导致的需就医治疗的伤害之间的关联。
该研究对2001 - 2002年学龄儿童健康行为调查中11 - 15岁的加拿大青少年全国样本（n = 7,031）进行了二次分析。受访者被分为城乡状况的5个地理类别。采用多元逻辑回归分析来检验这5个地理分组中饮酒模式与青少年伤害之间关联的程度和同质性。
在农村地区，饮酒率和青少年受伤率更高。饮酒与受伤风险增加显著相关，且存在剂量相关的风险模式。饮酒与受伤之间的关联在城乡地理状况方面是一致的。
酒精滥用是受伤的一个重要潜在原因。生活方式中包含饮酒的青少年受伤风险更高，且这种关联在城乡地理状况方面始终存在。本研究结果强调，无论地理背景如何，都有必要对高危青少年进行干预，作为三级预防策略。
