Cardiovascular Epidemiology Research Unit, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 375 Longwood Avenue, Boston, Massachusetts 02215, USA.
J Stud Alcohol Drugs. 2011 Nov;72(6):885-91. doi: 10.15288/jsad.2011.72.885.
This study examined the frequency and temporal trends of alcohol use among women with and without myocardial infarction (MI) in the United States.
We pooled yearly surveys from the nationally representative Behavioral Risk Factor Surveillance System between 1997 and 2008. Subjects for this study were 1,186,951 women, of whom 50,055 had a previous MI. Yearly weighted prevalence rates and frequencies of drinking behaviors were calculated for alcohol use in women with and without previous MI.
Fewer post-MI women consumed alcohol than other women (24% vs. 46%), but the prevalence of drinking increased over time in both groups. Nearly one third of post-MI women and half of all women consumed more than one drink per day. Heavy episodic drinking (four or more drinks per day) increased over time in both groups. After multivariable adjustment, post-MI women were less likely to report any drinking or consuming more than one drink per day, but the prevalence of heavy episodic drinking and the increasing trends over time were similar in both groups.
Heavy alcohol use and heavy episodic drinking among women in the United States increased over the past decade, regardless of MI history. Although this may have reflected the influence of national guidelines on alcohol consumption, the increase in heavy episodic drinking suggests that better efforts to educate clinicians and women about the harms from excessive alcohol are required.
本研究在美国，调查了有和没有心肌梗死 (MI) 的女性中饮酒的频率和时间趋势。
我们汇总了 1997 年至 2008 年间全国代表性的行为危险因素监测系统的年度调查。本研究的对象是 1186951 名女性，其中 50055 人有过 MI。计算了有和没有既往 MI 的女性中饮酒行为的年度加权患病率和频率。
与其他女性相比（46%对 24%），MI 后女性饮酒的人数较少，但两组的饮酒比例均随时间推移而增加。近三分之一的 MI 后女性和一半的所有女性每天都饮用超过一杯酒。两组的重度饮酒（每天四杯或更多）随时间推移而增加。在多变量调整后，MI 后女性更不可能报告任何饮酒或每天饮用超过一杯酒，但两组的重度饮酒和随时间推移的增加趋势相似。
过去十年，美国女性的大量饮酒和重度饮酒有所增加，无论是否有 MI 病史。尽管这可能反映了国家饮酒指南的影响，但重度饮酒的增加表明，需要更好地努力教育临床医生和女性了解过量饮酒的危害。
