1993年至2010年中老年成年人全因住院酒精相关诊断：趋势与队列差异
Alcohol-Related Diagnoses in Hospital Admissions for All Causes Among Middle-Aged and Older Adults: Trends and Cohort Differences From 1993 to 2010.
作者信息
Sacco Paul, Unick George Jay, Kuerbis Alexis, Koru A Güneş, Moore Alison A
机构信息
University of Maryland-Baltimore, Baltimore, MD, USA
University of Maryland-Baltimore, Baltimore, MD, USA.
出版信息
J Aging Health. 2015 Dec;27(8):1358-74. doi: 10.1177/0898264315583052. Epub 2015 Apr 22.
OBJECTIVE
This aim of this study was to characterize trends in alcohol-related hospital admissions among middle-aged and older adults from 1993 to 2010 in relation to age, gender, race, and cohort membership.
METHOD
This study utilized repeated cross-sectional data from the Nationwide Inpatient Sample. Using alcohol-related classified admissions, yearly rates and longitudinal trends of alcohol-related inpatient hospitalizations based on age, period, birth cohort, gender, and race were estimated.
RESULTS
Among those aged 45 and older, admissions rose from an estimated 610,634 to more than 1,134,876, and rates of any alcohol-related diagnosis also increased from 1993 to 2010. Rates for men were consistently higher than women, and rates for Blacks were higher than Whites. Age was associated with decreasing rates, but post-World War II cohorts displayed higher rates over time.
DISCUSSION
Rates of alcohol-related admissions are increasing among adults above age 45, which may be a function of cohort effects. Training the health care workforce is crucial to respond to this trend.
目的
本研究旨在描述1993年至2010年间，中年及老年成年人酒精相关住院情况在年龄、性别、种族和队列成员方面的趋势。
方法
本研究使用了来自全国住院患者样本的重复横断面数据。利用与酒精相关的分类住院数据，估算了基于年龄、时期、出生队列、性别和种族的酒精相关住院患者的年发生率和纵向趋势。
结果
在45岁及以上人群中，住院人数从约610,634人增至超过1,134,876人，1993年至2010年间，任何与酒精相关诊断的发生率也有所上升。男性的发生率始终高于女性，黑人的发生率高于白人。年龄与发生率下降有关，但二战后队列的发生率随时间推移呈上升趋势。
讨论
45岁以上成年人中与酒精相关的住院率正在上升，这可能是队列效应的结果。培训医疗保健人员对于应对这一趋势至关重要。
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