Seong Su Jeong, Hong Jin Pyo, Hahm Bong-Jin, Jeon Hong Jin, Sohn Jee Hoon, Lee Jun Young, Cho Maeng Je
Department of Psychiatry, Seoul National University Bundang Hospital, Seongnam, Korea. ; Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, Seoul, Korea.
Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
J Korean Med Sci. 2015 Nov;30(11):1675-81. doi: 10.3346/jkms.2015.30.11.1675. Epub 2015 Oct 16.
While decreasing trend in gender differences in alcohol use disorders was reported in Western countries, the change in Asian countries is unknown. This study aims to explore the shifts in gender difference in alcohol abuse (AA) and dependence (AD) in Korea. We compared the data from two nation-wide community surveys to evaluate gender differences in lifetime AA and AD by Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). Face-to-face interviews using the Composite International Diagnostic Interview (CIDI) were applied to all subjects in 2001 (n=6,220) and 2011 (n=6,022). Male-to-female ratio of odds was decreased from 6.41 (95% CI, 4.81-8.54) to 4.37 (95% CI, 3.35-5.71) for AA and from 3.75 (95% CI, 2.96-4.75) to 2.40 (95% CI, 1.80-3.19) for AD. Among those aged 18-29, gender gap even became statistically insignificant for AA (OR, 1.59; 95% CI, 0.97-2.63) and AD (OR, 1.18; 95% CI, 0.80-2.41) in 2011. Men generally showed decreased odds for AD (0.55; 95% CI, 0.45-0.67) and women aged 30-39 showed increased odds for AA (2.13; 95% CI 1.18-3.84) in 2011 compared to 2001. Decreased AD in men and increased AA in women seem to contribute to the decrease of gender gap. Increased risk for AA in young women suggests needs for interventions.
虽然西方国家报告称酒精使用障碍的性别差异呈下降趋势，但亚洲国家的变化情况尚不清楚。本研究旨在探讨韩国酒精滥用（AA）和酒精依赖（AD）的性别差异变化。我们比较了两项全国性社区调查的数据，以根据《精神疾病诊断与统计手册》第四版（DSM-IV）评估终生AA和AD的性别差异。2001年（n = 6220）和2011年（n = 6022）对所有受试者采用综合国际诊断访谈（CIDI）进行面对面访谈。AA的男性与女性比值比从6.41（95%可信区间，4.81 - 8.54）降至4.37（95%可信区间，3.35 - 5.71），AD的比值比从3.75（95%可信区间，2.96 - 4.75）降至2.40（95%可信区间，1.80 - 3.19）。在18 - 29岁人群中，2011年AA（比值比，1.59；95%可信区间，0.97 - 2.63）和AD（比值比，1.18；95%可信区间，0.80 - 2.41）的性别差距甚至在统计学上不显著。与2001年相比，2011年男性AD的比值比普遍下降（0.55；95%可信区间，0.45 - 0.67），30 - 39岁女性AA的比值比上升（2.13；95%可信区间1.18 - 3.84）。男性AD的减少和女性AA的增加似乎导致了性别差距的缩小。年轻女性AA风险的增加表明需要进行干预。
