Hasin D, Grant B, Harford T, Hilton M, Endicott J
Columbia University/NYS Psychiatric Institute, New York 10032.
J Stud Alcohol. 1990 Nov;51(6):485-93. doi: 10.15288/jsa.1990.51.485.
Are drinking problems on the rise in the U.S. general population? Surveys of drinking practices and problems conducted in the United States in 1967, 1969, 1979 and 1984 included numerous questions on alcohol-related problems that were identical or nearly identical in wording. Using data from these surveys, we tested for ordered increases over time in the prevalence of an indicator of multiple problems, considered on both a current (1-year) and lifetime basis. We studied prevalence in men and women between the ages of 22 and 59 in all four surveys. Prevalence of the multiple problem indicator was rare, especially when considered on a current basis. However, relative increases in prevalence ranging from 53% to over 200% were found from 1967 to 1984 in the multiple problem indicator for men and women, for lifetime as well as current problems. With the exception of current problems in women (a very rare condition even in the 1984 survey), these changes were all statistically significant or showed a trend toward significance. When respondents were subgrouped by age, all subgroups still showed increases since 1967, although sample sizes decreased and significance tests of ordered increases over time were not so consistent.
美国普通人群中的饮酒问题呈上升趋势吗？1967年、1969年、1979年和1984年在美国进行的饮酒行为和问题调查包含了许多关于酒精相关问题的提问，这些问题在措辞上相同或几乎相同。利用这些调查的数据，我们测试了在当前（1年）和终生基础上，多重问题指标的患病率是否随时间有序增加。我们研究了所有四项调查中年龄在22岁至59岁之间的男性和女性的患病率。多重问题指标的患病率很低，尤其是在当前基础上考虑时。然而，从1967年到1984年，男性和女性的多重问题指标在终生以及当前问题方面的患病率相对增加幅度从53%到超过200%不等。除了女性的当前问题（即使在1984年的调查中也是一种非常罕见的情况）外，这些变化在统计上均具有显著性或呈现出显著趋势。当按年龄对受访者进行分组时，自1967年以来所有亚组仍呈现上升趋势，尽管样本量减少，且随时间有序增加的显著性检验并不那么一致。
