Christchurch Health and Development Study, Department of Psychological Medicine, University of Otago, Christchurch School of Medicine and Health Sciences, New Zealand.
Drug Alcohol Depend. 2013 Feb 1;128(1-2):30-6. doi: 10.1016/j.drugalcdep.2012.07.014. Epub 2012 Aug 15.
This study examined the associations between measures of alcohol abuse/dependence (AAD) and several classifications of offending behaviour to age 30 in a New Zealand birth cohort.
Outcomes included: assault; use of a weapon; theft/burglary/vehicle conversion; property damage/vandalism/arson; and fraud/embezzlement/misappropriation of funds. The study also used measures of AAD symptoms; and time-dynamic covariate factors including life stress, other substance use, mental health status, peer and partner substance use and offending, and unemployment. Data were analysed using conditional fixed effects regression modelling augmented by time-dynamic covariate factors to control for confounding.
Those with five or more AAD symptoms had unadjusted odds of offending that ranged from 6.23 to 21.25 times higher than those with no symptoms, with little evidence to suggest these associations varied with age. Adjustment for both unobserved fixed effects and time-dynamic covariate factors reduced the magnitude of the associations between AAD and offending, with those with five or more AAD symptoms having odds of offending that were 0.88-4.10 times higher than those with no symptoms. After adjustment, only the associations between AAD and: a) assault (OR=4.10; 95% CI=1.91-8.62; p<0.0001); and b) property damage/vandalism/arson (OR=3.87; 95% CI=1.30-11.39; p<0.0001); remained statistically significant.
The results suggest a causal association between alcohol misuse and "impulsive" crimes such as assault and property damage/vandalism/arson, with estimates suggesting that AAD accounted for approximately 9.6-9.9% of these types of reported offending in the cohort.
本研究考察了新西兰出生队列中,到 30 岁时,酒精滥用/依赖(AAD)的衡量标准与几种犯罪行为分类之间的关联。
研究结果包括:攻击;使用武器;盗窃/入室盗窃/车辆改装;财产损失/故意破坏/纵火;以及欺诈/贪污/挪用资金。该研究还使用了 AAD 症状的衡量标准;以及时动态协变量因素,包括生活压力、其他物质使用、心理健康状况、同伴和伴侣的物质使用和犯罪行为以及失业情况。使用条件固定效应回归模型分析数据,并通过时动态协变量因素进行扩充,以控制混杂因素。
与没有症状的人相比,有 5 个或更多 AAD 症状的人犯罪的未调整几率从 6.23 倍到 21.25 倍不等,几乎没有证据表明这些关联随年龄而变化。调整未观察到的固定效应和时动态协变量因素后,AAD 与犯罪之间的关联幅度减小,有 5 个或更多 AAD 症状的人犯罪的几率比没有症状的人高 0.88-4.10 倍。调整后,只有 AAD 与以下方面的关联仍然具有统计学意义:a)攻击(OR=4.10;95%CI=1.91-8.62;p<0.0001);和 b)财产损失/故意破坏/纵火(OR=3.87;95%CI=1.30-11.39;p<0.0001)。
结果表明,酒精滥用与“冲动”犯罪(如攻击和财产损失/故意破坏/纵火)之间存在因果关系,估计表明,AAD 大约占该队列中这些类型报告犯罪的 9.6-9.9%。