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美国一所耶稣会大学医学生中狂饮及相关共同因素的患病率。

Prevalence of binge drinking and associated co-factors among medical students in a U.S. Jesuit University.

作者信息

Trostler Michael, Li Ying, Plankey Michael W

机构信息

Office of Medical Education, Georgetown University School of Medicine , Washington, DC and.

出版信息

Am J Drug Alcohol Abuse. 2014 Jul;40(4):336-41. doi: 10.3109/00952990.2014.907302. Epub 2014 May 8.

Abstract

BACKGROUND

Alcohol consumption is the third leading cause of preventable death in the U.S. Limited research has been conducted examining drinking habits of medical students.

OBJECTIVE

This study was designed to measure the prevalence and associated risk factors of binge drinking among a sample of medical students.

METHODS

A total of 485 medical students at a private, Jesuit medical school in the US participated in a confidential web-based survey in April 2011. Univariate and multivariate generalized linear regressions with robust error variance were performed for estimated prevalence ratio (PR) of binge drinking.

RESULTS

The prevalence of binge drinking was 58.1% among the sampled medical students with the majority being white (67.0%) and between 18 and 25 years old (60.0%). After adjusting for age, gender, race/ethnicity, and year in medical school, there were statistically significant (p < 0.05) associations of drinking during an after-exam party (PR = 2.82), protective behavioral strategy (PR = 0.97 per 1-score increase), self-reported diagnosis of depression (PR = 1.19), tobacco use (PR = 1.21 for previous use, 1.39 for current use), and previous illicit drug use (PR = 1.24) with binge drinking. In addition, the prevalence of binge drinking decreased among this sample of the medical students with older age (PR = 0.80 for 26-28, 0.60 for >28, p < 0.01) compared to those of 18-25 years old.

CONCLUSION

Binge drinking was highly prevalent among the sampled medical students, especially during an after-exam party. Identifying healthy coping strategies among medical students is warranted to reduce binge drinking.

摘要

背景

在美国,饮酒是可预防死亡的第三大主要原因。针对医学生饮酒习惯的研究有限。

目的

本研究旨在测量医学生样本中暴饮的患病率及相关风险因素。

方法

2011年4月,美国一所私立耶稣会医学院的485名医学生参加了一项基于网络的保密调查。对暴饮的估计患病率比值(PR)进行了单变量和多变量广义线性回归,并采用稳健误差方差。

结果

在抽样的医学生中,暴饮的患病率为58.1%,其中大多数是白人(67.0%),年龄在18至25岁之间(60.0%)。在调整了年龄、性别、种族/民族和医学院年级后,考试后聚会饮酒(PR = 2.82)、保护性行为策略(每增加1分PR = 0.97)、自我报告的抑郁症诊断(PR = 1.19)、烟草使用(以前使用PR = 1.21,目前使用PR = 1.39)和以前使用非法药物(PR = 1.24)与暴饮之间存在统计学显著关联(p < 0.05)。此外,与18至25岁的医学生相比,该样本中老年医学生的暴饮患病率有所下降(26至28岁PR = 0.80,>28岁PR = 0.60,p < 0.01)。

结论

在抽样的医学生中,暴饮非常普遍,尤其是在考试后聚会期间。有必要在医学生中确定健康的应对策略以减少暴饮。

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