Wells J E, Bushnell J A, Joyce P R, Oakley-Browne M A, Hornblow A R
Department of Community Health and General Practice, Christchurch School of Medicine, New Zealand.
Acta Psychiatr Scand. 1991 Jan;83(1):31-40. doi: 10.1111/j.1600-0447.1991.tb05508.x.
In 1986 the Christchurch Psychiatric Epidemiology Study obtained 1498 interviews using the Diagnostic Interview Schedule. Respondents were from a probability sample of adults aged 18-64 years. This article reports results relevant to preventing alcohol problems. The symptoms most likely ever to be experienced were types of heavy drinking (7-22%) and their consequences such as blackouts (13%). Thirty-two percent of men and 6% of women had met criteria for alcohol disorder prior to interview. The predictors of alcohol disorder were gender, childhood conduct disorder symptoms, early drunkenness, family breakdown and age of leaving school. Cohort effects were clear for onset of drunkenness and alcohol problems. The median duration of alcohol problems was at least 10 years, indicating scope for secondary prevention. General practice and hospitals appeared to be the most suitable places for intervention.
1986年，克赖斯特彻奇精神病流行病学研究使用诊断访谈表进行了1498次访谈。受访者来自18至64岁成年人的概率样本。本文报告了与预防酒精问题相关的结果。最有可能经历过的症状是重度饮酒类型（7 - 22%）及其后果，如昏厥（13%）。32%的男性和6%的女性在访谈前符合酒精障碍标准。酒精障碍的预测因素是性别、童年品行障碍症状、早期醉酒、家庭破裂和离校年龄。醉酒和酒精问题的发作存在明显的队列效应。酒精问题的中位持续时间至少为10年，表明有二级预防的空间。全科医疗和医院似乎是最合适的干预场所。
