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一项基于人群的前瞻性研究,旨在探讨大规模创伤性事件后饮酒和狂饮行为的变化。

A prospective population based study of changes in alcohol use and binge drinking after a mass traumatic event.

机构信息

Center for Urban Epidemiologic Studies, 1216 Fifth Avenue, New York Academy of Medicine, New York, NY 10029, USA.

出版信息

Drug Alcohol Depend. 2011 May 1;115(1-2):1-8. doi: 10.1016/j.drugalcdep.2010.09.011. Epub 2010 Oct 24.

Abstract

Few studies have assessed changes in alcohol use before and after a massive disaster. We investigated the contribution of exposure to traumatic events and stressors related to Hurricanes Katrina and Rita to alcohol use and binge drinking. We used data from the Panel Study of Income Dynamics collected in Mississippi, Louisiana and Alabama on adults aged 18-85 (n=439): (1) data from 1968 to 2005 on household income; (2) data from 2005 and 2007 on total number of drinks per year and number of days the respondent binged; and (3) data from 2007 on exposure to hurricane-related traumatic events and post-hurricane stressors. Exposure to each additional hurricane-related traumatic event was associated with 79.2 more drinks and 2.46 times higher odds of binge drinking for more days in the past year (95% CI: 1.09, 5.55), while more post-disaster stressors were associated with 16.5 more drinks and 1.23 times higher odds of binge drinking for more days in the past year (95% CI: 0.99, 1.51). Respondents who had followed a lower lifetime income trajectory and were exposed to more lifetime traumatic events experienced the highest risk of reporting increased alcohol use given exposure to hurricane-related traumatic events and post-hurricane stressors. Disaster-related traumatic events and the proliferation of post-disaster stressors may result in increased post-disaster alcohol use and abuse. Disaster-related exposures may have a particularly strong impact among individuals with a history of social and economic adversity, widening preexisting health disparities.

摘要

几乎没有研究评估过大规模灾难前后饮酒习惯的变化。我们调查了暴露于卡特里娜和丽塔飓风相关创伤事件和应激源对饮酒和狂饮的影响。我们使用了密西西比州、路易斯安那州和阿拉巴马州的收入动态面板研究收集的数据,这些数据涉及 18 至 85 岁的成年人(n=439):(1)1968 年至 2005 年的家庭收入数据;(2)2005 年和 2007 年的每年饮酒量和饮酒天数数据;(3)2007 年的与飓风相关的创伤事件和飓风后应激源暴露数据。每增加一个与飓风相关的创伤事件,过去一年中受访者的饮酒量会增加 79.2 次,狂饮的几率会增加 2.46 倍(95%置信区间:1.09,5.55),而更多的灾后应激源与过去一年中增加 16.5 次饮酒和增加 1.23 倍的狂饮几率相关(95%置信区间:0.99,1.51)。那些遵循较低的终生收入轨迹且经历过更多的终生创伤事件的受访者,在暴露于与飓风相关的创伤事件和飓风后的应激源后,报告饮酒量增加的风险最高。与灾害相关的创伤事件和灾后应激源的增加可能导致灾后酒精使用和滥用的增加。与灾害相关的暴露可能对那些经历过社会和经济逆境的个体产生特别强烈的影响,扩大了先前存在的健康差距。

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