Roberts Sarah C M, Bond Jason, Korcha Rachael, Greenfield Thomas K
Department of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Reproductive Health, University of California, San Francisco, Oakland, CA USA 94612.
Int J Ment Health Addict. 2013 Feb;11(1):50-63. doi: 10.1007/s11469-012-9398-x.
This study explores whether associations between consuming alcohol in bars and alcohol-related harms are consistent across countries and whether country-level characteristics modify associations. We hypothesized that genderedness of bar drinking modifies associations, such that odds of harms associated with bar drinking increase more rapidly in predominantly male bar-drinking countries. Multilevel analysis was used to analyze survey data from 21 countries representing five continents from Gender, Alcohol, and Culture: An International Study (GENACIS). Bar frequency was positively associated with harms overall. Relationships between bar frequency and harms varied across country. Genderedness modified associations between bar frequency and odds of fights, marriage/relationship harms, and work harms. Findings were significant only for men. Contrary to our hypothesis, odds of harms associated with bar drinking increased less rapidly in countries where bar drinking is predominantly male. This suggests predominantly male bar drinking cultures may be protective for males who more frequently drink in bars.
本研究探讨在酒吧饮酒与酒精相关危害之间的关联在不同国家是否一致，以及国家层面的特征是否会改变这种关联。我们假设酒吧饮酒的性别差异会改变这种关联，即在以男性为主的酒吧饮酒国家，与酒吧饮酒相关的危害几率上升得更快。采用多水平分析方法，对来自五大洲21个国家的《性别、酒精与文化：一项国际研究》（GENACIS）的调查数据进行分析。总体而言，去酒吧的频率与危害呈正相关。去酒吧的频率与危害之间的关系因国家而异。性别差异改变了去酒吧的频率与打架、婚姻/关系危害以及工作危害几率之间的关联。研究结果仅对男性具有显著性。与我们的假设相反，在以男性为主的酒吧饮酒国家，与酒吧饮酒相关的危害几率上升得较慢。这表明以男性为主的酒吧饮酒文化可能对更频繁在酒吧饮酒的男性具有保护作用。
