Timko Christine, Sutkowi Anne, Pavao Joanne, Kimerling Rachel
Center for Health Care Evaluation, Department of Veterans Affairs (VA) Health Care System, 795 Willow Road, Menlo Park, CA 94025, USA.
Subst Abuse Treat Prev Policy. 2008 Jun 6;3:15. doi: 10.1186/1747-597X-3-15.
This study examined sociodemographic, physical and mental health, and adult and childhood adverse experiences associated with binge drinking in a representative sample of women in the State of California.
Data were from the 2003 to 2004 (response rates of 72% and 74%, respectively) California Women's Health Survey (CWHS), a population-based, random-digit-dial annual probability survey sponsored by the California Department of Health Services. The sample was 6,942 women aged 18 years or older.
The prevalence of binge drinking was 9.3%. Poor physical health, and poorer mental health (i.e., symptoms of PTSD, anxiety, and depression, feeling overwhelmed by stress), were associated with binge drinking when demographics were controlled, as were adverse experiences in adulthood (intimate partner violence, having been physically or sexually assaulted, or having experienced the death of someone close) and in childhood (living with someone abusing substances or mentally ill, or with a mother vicimized by violence, or having been physically or sexually assaulted). When adult mental health and adverse experiences were also controlled, having lived as a child with someone who abused substances or was mentally ill was associated with binge drinking. Associations between childhood adverse experiences and binge drinking could not be explained by women's poorer mental health status in adulthood.
Identifying characteristics of women who engage in binge drinking is a key step in prevention and intervention efforts. Binge drinking programs should consider comprehensive approaches that address women's mental health symptoms as well as circumstances in the childhood home.
本研究在加利福尼亚州具有代表性的女性样本中，调查了与暴饮相关的社会人口学、身心健康以及成人和儿童期不良经历。
数据来自2003年至2004年（回复率分别为72%和74%）的加利福尼亚州女性健康调查（CWHS），这是一项由加利福尼亚州卫生服务部发起的基于人群的随机数字拨号年度概率调查。样本为6942名18岁及以上的女性。
暴饮的患病率为9.3%。在控制人口统计学因素后，身体健康状况较差以及心理健康状况较差（即创伤后应激障碍、焦虑和抑郁症状，感到压力过大）与暴饮相关，成人期不良经历（亲密伴侣暴力、遭受身体或性侵犯，或经历亲近的人死亡）和儿童期不良经历（与滥用药物或患有精神疾病的人生活在一起，或母亲遭受暴力侵害，或遭受身体或性侵犯）也与暴饮相关。当同时控制成人心理健康和不良经历时，儿童期与滥用药物或患有精神疾病的人生活在一起与暴饮相关。儿童期不良经历与暴饮之间的关联无法用成年女性较差的心理健康状况来解释。
识别暴饮女性的特征是预防和干预工作的关键一步。暴饮项目应考虑采用综合方法，解决女性的心理健康症状以及童年家庭环境问题。
