Institute of Behavioral Sciences, Semmelweis University; Nagyvárad tér 4., Budapest, 1089, Hungary.
Subst Abuse Treat Prev Policy. 2012 Jan 16;7:3. doi: 10.1186/1747-597X-7-3.
Earlier results concerning alcohol consumption of bereaved persons are contradictory. The aim of the present study was to analyze the relationship between bereavement and alcohol consumption accounting for time and gender differences on a nationally representative sample from Hungary ("Hungarostudy Epidemiological Panel Survey", N = 4457)
Drinking characteristics of mourning persons (alcohol consumption, dependence symptoms, and harmful consequences of alcohol use) in the first three years of grief were examined among persons between 18-75 years using the Alcohol Use Disorders Identification Test (AUDIT).
Men bereaved for one year scored higher on two dimensions of AUDIT (dependence symptoms and harmful alcohol use), while men bereaved for two years scored higher on all three dimensions of AUDIT compared to the non-bereaved. The rate of men clinically at-risk concerning alcohol consumption among the non-bereaved is 12.9%, and among men bereaved for one year is 18.4% (a non-significant difference), while 29.8% (p < 0.001, OR = 2,781) among men bereaved for two years. However, men bereaved for three years did not differ from the non-bereaved in their drinking habits. In case of bereaved women, again no difference was found with respect to alcohol use compared to the non-bereaved.
Among bereaved men, the risk of alcohol related problems tends to be higher, which can be shown both among men bereaved for one year as well as men bereaved for two years. Considering the higher morbidity and mortality rates of bereaved men, alcohol consumption might play a mediator role. These facts draw attention to the importance of prevention, early recognition, and effective therapy of hazardous drinking in bereaved men.
先前关于丧亲者饮酒的研究结果存在矛盾。本研究旨在分析匈牙利全国代表性样本中丧亲与饮酒之间的关系,同时考虑到时间和性别差异(“匈牙利研究流行病学面板调查”,N=4457)。
使用酒精使用障碍识别测试(AUDIT),在丧亲后的头三年中,检查 18-75 岁丧亲者的饮酒特征(饮酒量、依赖症状和酒精使用的有害后果)。
丧亲一年的男性在 AUDIT 的两个维度(依赖症状和有害饮酒)上得分较高,而丧亲两年的男性在 AUDIT 的所有三个维度上得分都较高,与未丧亲的男性相比。未丧亲的男性中,有临床意义的酒精使用风险的比例为 12.9%,而丧亲一年的男性为 18.4%(无显著差异),而丧亲两年的男性为 29.8%(p<0.001,OR=2.781)。然而,丧亲三年的男性与未丧亲的男性在饮酒习惯上没有差异。对于丧亲的女性,与未丧亲的女性相比,她们的饮酒习惯也没有差异。
在丧亲的男性中,与酒精相关的问题的风险似乎更高,这在丧亲一年和丧亲两年的男性中都可以看到。考虑到丧亲男性更高的发病率和死亡率,酒精消费可能起到了中介作用。这些事实引起了人们对预防、早期识别和对丧亲男性危险饮酒进行有效治疗的重视。